Sexually Transmitted Infection Management, Safer Sex Promotion and Voluntary HIV Counselling and Testing in the Male Circumcision Trial, Rakai, Uganda

Examines voluntary HIV counseling & testing (VCT), sexually transmitted infection (STI) management, & safer sex promotion activities conducted within the male circumcision trial in a rural district of Uganda. The trial is described, & findings revealed a 51%-60% efficacy for prevention o...

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Bibliographic Details
Published in:Reproductive health matters 2007-05, Vol.15 (29), p.68-74
Main Authors: Matovu, Joseph KB, Ssempijja, Victor, Makumbi, Fredrick E, Gray, Ronald H, Kigozi, Godfrey, Nalugoda, Fred, Serwadda, David, Wawer, Maria J
Format: Article
Language:English
Subjects:
Acquired Immune Deficiency Syndrome
Adolescent
Adult
AIDS
Attitude
Circumcision
Condoms
Contraception
Counseling - organization & administration
Counselling
Cultural Characteristics
Experimentation
Health Behavior
Health Education
HIV
HIV Infections - diagnosis
HIV Infections - prevention & control
HIV Infections - transmission
Humans
Male
Male circumcision
Males
Management
Men
Middle Aged
Patient Education as Topic - organization & administration
Prevention
Public health
Reproductive health
Risk-Taking
Roundtable
Safe Sex
Sexual Behavior
Sexuality
Sexually transmitted diseases
Sexually Transmitted Diseases - diagnosis
Sexually Transmitted Diseases - prevention & control
Sexually Transmitted Diseases - transmission
Syphilis
Uganda
Uganda - epidemiology
Venereal Diseases
Wound healing
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Summary:Examines voluntary HIV counseling & testing (VCT), sexually transmitted infection (STI) management, & safer sex promotion activities conducted within the male circumcision trial in a rural district of Uganda. The trial is described, & findings revealed a 51%-60% efficacy for prevention of incident HIV in circumcised men vs uncircumcised men. Further, results suggest high & similar uptake of VCT, STI management, & safe sex behavior. Given male circumcision's only partial protection against HIV acquisition or transmission, such programs are seen as most effective when implemented alongside intensive risk reduction promotion & messages regarding risk linked to early resumption of sexual activity before complete healing has occurred in newly circumcised men. Tables, References. D. Edelman
ISSN:0968-8080
1460-9576
DOI:10.1016/S0968-8080(07)29306-1