PMID- 24198894
OWN - NLM
STAT- MEDLINE
DCOM- 20141230
LR  - 20211021
IS  - 1937-8688 (Electronic)
VI  - 15
DP  - 2013
TI  - Roll-out of medical male circumcision (MMC) for HIV prevention in 
      non-circumcising communities of Northern Uganda.
PG  - 100
LID - 10.11604/pamj.2013.15.100.2338 [doi]
LID - 100
AB  - INTRODUCTION: Recent studies have shown that circumcision reduces HIV/AIDS 
      infection rates by 60% among heterosexual African men. Public health officials 
      are arguing that circumcision of men should be a key weapon in the fight of 
      HIV/AIDS in Africa. Experts estimate that more than 3 million lives could be 
      saved in sub-Saharan Africa alone if the procedure becomes widely used. Some 
      communities in Uganda have misconceptions to MMC and resist the practice. 
      METHODS: To roll out MMC to a non-circumcising population of Northern Uganda from 
      June 2011 as a strategy to increase access and prevent the spread of HIV/AIDS. 
      RESULTS: Circumcision in a non-circumcising communities of Lango and Acholi 
      sub-regions with a population of about 0.5 million mature males 15-49 years. 
      Enrolment was voluntary, clinical officers, nurses carried out MMC after training 
      in the surgical procedure. Mass sensitization and mobilization was conducted 
      through radios, community leaderships and spouses. Cervical cancer screening was 
      incorporated at circumcision sites and used as incentive for the women. 
      Circumcisions were conducted at static sites, camps and outreach services where 
      VCT and adverse events (AEs) were recorded and managed. All clients assented/or 
      consented. CONCLUSION: A total of 26, 150 males were circumcised in eight months. 
      The AEs rate was 1.2% and was mild. 2,650 women were screened for cervical cancer 
      and positive test rate was 1.7%. Mobilization and sensitization were by radios 
      and spouses' involvement in cervical cancer screening exercise.
FAU - Kitara, David Lagoro
AU  - Kitara DL
AD  - Faculty of Medicine, Department of Surgery, Gulu University, P.O Box 166, Gulu, 
      Uganda.
FAU - Ocero, Andrew
AU  - Ocero A
FAU - Lanyero, Joan
AU  - Lanyero J
FAU - Ocom, Felix
AU  - Ocom F
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20130715
PL  - Uganda
TA  - Pan Afr Med J
JT  - The Pan African medical journal
JID - 101517926
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Circumcision, Male/ethnology/*statistics & numerical data
MH  - Female
MH  - HIV Infections/*prevention & control/transmission
MH  - *Health Promotion
MH  - *Health Services Accessibility
MH  - Humans
MH  - Male
MH  - Mass Screening
MH  - Middle Aged
MH  - Postoperative Complications/epidemiology
MH  - Prospective Studies
MH  - Uganda/epidemiology
MH  - Uterine Cervical Neoplasms/diagnosis/epidemiology
MH  - Young Adult
PMC - PMC3810160
OTO - NOTNLM
OT  - Medical Male circumcision
OT  - Northern Uganda
OT  - non-circumcising communities
OT  - scale-up of services
EDAT- 2013/11/08 06:00
MHDA- 2014/12/31 06:00
PMCR- 2013/07/15
CRDT- 2013/11/08 06:00
PHST- 2013/01/02 00:00 [received]
PHST- 2013/07/06 00:00 [accepted]
PHST- 2013/11/08 06:00 [entrez]
PHST- 2013/11/08 06:00 [pubmed]
PHST- 2014/12/31 06:00 [medline]
PHST- 2013/07/15 00:00 [pmc-release]
AID - PAMJ-15-100 [pii]
AID - 10.11604/pamj.2013.15.100.2338 [doi]
PST - epublish
SO  - Pan Afr Med J. 2013 Jul 15;15:100. doi: 10.11604/pamj.2013.15.100.2338. 
      eCollection 2013.