Hensen, Bernadette, Fearon, Elizabeth, Schaap, Ab, Lewis, James J. ![]() |
Abstract
Increased coverage of voluntary medical male circumcision (VMMC) is needed in countries with high HIV prevalence. We applied an HIV-prevention cascade to identify gaps in male circumcision coverage in Zambia. We used survey data collected in 2013 and 2014/15 to describe circumcision coverage at each time-point, and prevalence of variables related to demand for and supply of VMMC. We explored whether circumcision coverage in 2014/15 was associated with demand and supply among uncircumcised men in 2013. Results show that circumcision coverage was 11.5% in 2013 and 18.0% in 2014/15. Levels of having heard of circumcision and agreeing with prevention benefits was similar at both time-points (79.8% vs 83.2%, and 49.7% vs 50.7%, respectively). In 2013, 39.3% of men perceived services to be available compared to 54.7% in 2014/15. Levels of having heard of circumcision in 2013 was correlated with and higher perceived service availability associated with coverage in 2014/15. VMMC coverage was low in these study sites. Knowledge of prevention tools and of service availability are necessary to increase coverage but alone are insufficient.
Item Type: | Article |
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Date Type: | Publication |
Status: | Published |
Schools: | Social Sciences (Includes Criminology and Education) |
Publisher: | Springer |
ISSN: | 1090-7165 |
Last Modified: | 26 Oct 2022 07:01 |
URI: | https://orca.cardiff.ac.uk/id/eprint/123868 |
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