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https://www.readbyqxmd.com/read/28418491/educating-religious-leaders-increases-male-circumcision-rates-in-tanzania
#1
M J Friedrich
No abstract text is available yet for this article.
April 18, 2017: JAMA: the Journal of the American Medical Association
https://www.readbyqxmd.com/read/28414783/acceptability-and-feasibility-of-early-infant-male-circumcision-for-hiv-prevention-in-malawi
#2
Charles Chilimampunga, Simeon Lijenje, Judith Sherman, Kelvin Nindi, Webster Mavhu
BACKGROUND: Voluntary medical male circumcision (VMMC) has been successfully implemented in 14 countries as an additional HIV prevention intervention. As VMMC programs mature in most countries, the focus is now on how to sustain the HIV prevention gains realised from VMMC. As part of preparations for the sustainability phase, countries are either piloting or preparing to pilot early infant male circumcision (EIMC). This qualitative study explored the acceptability and feasibility of EIMC in Malawi in order to inform pilot implementation...
2017: PloS One
https://www.readbyqxmd.com/read/28406272/dorsal-longitudinal-foreskin-cut-is-associated-with-reduced-risk-of-hiv-syphilis-and-genital-herpes-in-men-a-cross-sectional-study-in-papua-new-guinea
#3
Andrew J Vallely, David MacLaren, Matthew David, Pamela Toliman, Angela Kelly-Hanku, Ben Toto, Rachael Tommbe, Zure Kombati, Petronia Kaima, Kelwyn Browne, Clement Manineng, Lalen Simeon, Claire Ryan, Handan Wand, Peter Hill, Greg Law, Peter M Siba, W John H McBride, John M Kaldor
INTRODUCTION: Various forms of penile foreskin cutting are practised in Papua New Guinea. In the context of an ecological association observed between HIV infection and the dorsal longitudinal foreskin cut, we undertook an investigation of this relationship at the individual level. METHODS: We conducted a cross-sectional study among men attending voluntary confidential HIV counselling and testing clinics. Following informed consent, participants had a face-to-face interview and an examination to categorize foreskin status...
April 3, 2017: Journal of the International AIDS Society
https://www.readbyqxmd.com/read/28406269/evaluating-the-feasibility-and-uptake-of-a-community-led-hiv-testing-and-multi-disease-health-campaign-in-rural-uganda
#4
REVIEW
(no author information available yet)
INTRODUCTION: Multi-disease community health campaigns can be effective for population-wide HIV testing in a research setting (SEARCH: NCT01864603). We sought to evaluate feasibility and uptake of a community-led health campaign (CLHC) planned and implemented by village leaders and local clinic workers in Uganda. METHODS: Over five months in 2014, locally elected village leaders and Ministry of Health (MoH) clinic staff in a rural parish in Uganda planned a census followed by a CLHC, after training by two SEARCH trial consultants and by leaders from a neighbouring parish that had previously participated in a SEARCH health campaign...
March 29, 2017: Journal of the International AIDS Society
https://www.readbyqxmd.com/read/28403211/the-potential-impact-and-cost-of-focusing-hiv-prevention-on-young-women-and-men-a-modeling-analysis-in-western-kenya
#5
Ramzi A Alsallaq, Jasmine Buttolph, Charles M Cleland, Timothy Hallett, Irene Inwani, Kawango Agot, Ann E Kurth
OBJECTIVE: We compared the impact and costs of HIV prevention strategies focusing on youth (15-24 year-old persons) versus on adults (15+ year-old persons), in a high-HIV burden context of a large generalized epidemic. DESIGN: Compartmental age-structured mathematical model of HIV transmission in Nyanza, Kenya. INTERVENTIONS: The interventions focused on youth were high coverage HIV testing (80% of youth), treatment at diagnosis (TasP, i.e...
2017: PloS One
https://www.readbyqxmd.com/read/28402442/risk-of-heterosexual-hiv-transmission-attributable-to-sexually-transmitted-infections-and-non-specific-genital-inflammation-in-zambian-discordant-couples-1994-2012
#6
Kristin M Wall, William Kilembe, Bellington Vwalika, Lisa B Haddad, Eric Hunter, Shabir Lakhi, Roy Chavuma, Naw Htee Khu, Ilene Brill, Cheswa Vwalika, Lawrence Mwananyanda, Elwyn Chomba, Joseph Mulenga, Amanda Tichacek, Susan Allen
Background: Studies have demonstrated the role of ulcerative and non-ulcerative sexually transmitted infections (STI) in HIV transmission/acquisition risk; less is understood about the role of non-specific inflammatory genital abnormalities. Methods: HIV-discordant heterosexual Zambian couples were enrolled into longitudinal follow-up (1994-2012). Multivariable models estimated the effect of genital ulcers and inflammation in both partners on time-to-HIV transmission within the couple...
April 11, 2017: International Journal of Epidemiology
https://www.readbyqxmd.com/read/28377421/a-cross-sectional-analysis-of-trichomonas-vaginalis-infection-among-heterosexual-hiv-1-serodiscordant-african-couples
#7
Aaron F Bochner, Jared M Baeten, Alison S Rustagi, Edith Nakku-Joloba, Jairam R Lingappa, Nelly R Mugo, Elizabeth A Bukusi, Saidi Kapiga, Sinead Delany-Moretlwe, Connie Celum, Ruanne V Barnabas
OBJECTIVES: Trichomonas vaginalis is the most prevalent curable STI worldwide and has been associated with adverse health outcomes and increased HIV-1 transmission risk. We conducted a cross-sectional analysis among couples to assess how characteristics of both individuals in sexual partnerships are associated with the prevalence of male and female T. vaginalis infection. METHODS: African HIV-1 serodiscordant heterosexual couples were concurrently tested for trichomoniasis at enrolment into two clinical trials...
April 4, 2017: Sexually Transmitted Infections
https://www.readbyqxmd.com/read/28367749/improving-voluntary-medical-male-circumcision-standards-adherence-and-post-procedure-follow-up-in-uganda-a-mixed-methods-study
#8
Sarah Smith Lunsford, John Byabagambi, Zachariah Falconer-Stout, Esther Karamagi
Voluntary medical male circumcision (VMMC) has been demonstrated to reduce the transmission of HIV by 60%. Scaling up VMMC services requires that they be of high quality, socially accepted, and effective. We evaluated an intervention aimed at improving VMMC standards adherence and patient follow-up rates in nine facilities in Uganda. We also qualitatively explored why some men return for follow-up care and others do not. The completeness and quality of clinical documentation was poor at baseline, but significantly improved at endline...
March 2017: African Journal of AIDS Research: AJAR
https://www.readbyqxmd.com/read/28364982/medical-male-circumcision-is-associated-with-improvements-in-pain-during-intercourse-and-sexual-satisfaction-in-kenya
#9
Monica P C Nordstrom, Nelli Westercamp, Walter Jaoko, Timothy Okeyo, Robert C Bailey
BACKGROUND: Two cohort studies using data from randomized controlled trials in Africa offer the best evidence to date on the effects of voluntary medical male circumcision (VMMC) on male sexual function and satisfaction, suggesting no significant impairments in sexual function or satisfaction and some improvements in sexual function after male circumcision. AIM: To assess the effects of VMMC on sexual function and satisfaction in a large population-based cohort of men circumcised as adults and uncircumcised controls in Kenya...
April 2017: Journal of Sexual Medicine
https://www.readbyqxmd.com/read/28364568/spatial-patterns-of-hiv-prevalence-and-service-use-in-east-zimbabwe-implications-for-future-targeting-of-interventions
#10
Robin Schaefer, Simon Gregson, Albert Akaruza, Rebecca Rhead, Tidings Masoka, Nadine Schur, Sarah-Jane Anderson, Constance Nyamukapa
INTRODUCTION: Focusing resources for HIV control on geographic areas of greatest need in countries with generalized epidemics has been recommended to increase cost-effectiveness. However, socioeconomic inequalities between areas of high and low prevalence could raise equity concerns and have been largely overlooked. We describe spatial patterns in HIV prevalence in east Zimbabwe and test for inequalities in accessibility and uptake of HIV services prior to the introduction of spatially-targeted programmes...
February 27, 2017: Journal of the International AIDS Society
https://www.readbyqxmd.com/read/28362880/exploring-drivers-for-safe-male-circumcision-experiences-with-health-education-and-understanding-of-partial-hiv-protection-among-newly-circumcised-men-in-wakiso-uganda
#11
Simon P S Kibira, Marguerite Daniel, Lynn Muhimbuura Atuyambe, Fredrick Edward Makumbi, Ingvild Fossgard Sandøy
INTRODUCTION: About 2.5 million men have voluntarily been circumcised since Uganda started implementing the WHO recommendation to scale up safe male circumcision to reduce HIV transmission. This study sought to understand what influences men's circumcision decisions, their experiences with health education at health facilities and their knowledge of partial HIV risk reduction in Wakiso district. METHODS: Data were collected in May and June 2015 at five public health facilities in Wakiso District...
2017: PloS One
https://www.readbyqxmd.com/read/28362066/adverse-event-profile-of-a-mature-voluntary-medical-male-circumcision-programme-performing-prepex-and-surgical-procedures-in-zimbabwe
#12
Aaron F Bochner, Caryl Feldacker, Batsi Makunike, Marrianne Holec, Vernon Murenje, Abby Stepaniak, Sinokuthemba Xaba, Shirish Balachandra, Mufuta Tshimanga, Vts Chitimbire, Scott Barnhart
INTRODUCTION: The frequency of adverse events (AEs) is a widely used indicator of voluntary medical male circumcision (VMMC) programme quality. Though over 11.7 million male circumcisions (MCs) have been performed, little published data exists on the profile of AEs from mature, large-scale programmes. No published data exists on routine implementation of PrePex, a device-based MC method. METHODS: The ZAZIC Consortium began implementing VMMC in Zimbabwe in 2013, supporting services at 36 facilities...
February 20, 2017: Journal of the International AIDS Society
https://www.readbyqxmd.com/read/28361507/client-uptake-of-safer-conception-strategies-implementation-outcomes-from-the-sakh-umndeni-safer-conception-clinic-in-south-africa
#13
Sheree R Schwartz, Jean Bassett, Charles B Holmes, Nompumelelo Yende, Rebecca Phofa, Ian Sanne, Annelies Van Rie
INTRODUCTION: Implementation of safer conception services for HIV-affected couples within primary healthcare clinics in resource-limited settings remains limited. We review service utilization and safer conception strategy uptake during the first three years of Sakh'umndeni, which is a safer conception clinic in South Africa. METHODS: Sakh'umndeni is located at Witkoppen Health and Welfare Centre, a high-volume primary healthcare clinic in northern Johannesburg...
March 8, 2017: Journal of the International AIDS Society
https://www.readbyqxmd.com/read/28357381/recent-insights-into-the-hiv-aids-pandemic
#14
REVIEW
Juan C Becerra, Lukas S Bildstein, Johannes S Gach
Etiology, transmission and protection: Transmission of HIV, the causative agent of AIDS, occurs predominantly through bodily fluids. Factors that significantly alter the risk of HIV transmission include male circumcision, condom use, high viral load, and the presence of other sexually transmitted diseases. Pathology/Symptomatology: HIV infects preferentially CD4(+) T lymphocytes, and Monocytes. Because of their central role in regulating the immune response, depletion of CD4(+) T cells renders the infected individual incapable of adequately responding to microorganisms otherwise inconsequential...
September 5, 2016: Microbial Cell
https://www.readbyqxmd.com/read/28353535/increasing-voluntary-medical-male-circumcision-vmmc-uptake-among-adult-men-in-tanzania-a-randomised-controlled-trial
#15
Mwita Wambura, Hally Mahler, Jonathan M Grund, Natasha Larke, Gerry Mshana, Evodius Kuringe, Marya Plotkin, Gissenge Lija, Maende Makohka, Fern Terris-Prestholt, Richard J Hayes, John Changalucha, Helen A Weiss
OBJECTIVE: We evaluated a demand creation intervention to increase voluntary medical male circumcision (VMMC) uptake among men aged 20-34 years in Tanzania, to maximise short-term impact on HIV incidence. METHODS: A cluster-randomised controlled trial stratified by region was conducted in 20 outreach sites in Njombe and Tabora regions. The sites were randomised 1:1 to receive either a demand-creation intervention package in addition to standard VMMC outreach, or standard VMMC outreach alone...
March 28, 2017: AIDS
https://www.readbyqxmd.com/read/28351877/cdc-s-male-circumcision-recommendations-represent-a-key-public-health-measure
#16
Brian J Morris, John N Krieger, Jeffrey D Klausner
No abstract text is available yet for this article.
March 24, 2017: Global Health, Science and Practice
https://www.readbyqxmd.com/read/28350578/increasing-voluntary-medical-male-circumcision-uptake-among-adult-men-in-tanzania
#17
Mwita Wambura, Hally Mahler, Jonathan M Grund, Natasha Larke, Gerry Mshana, Evodius Kuringe, Marya Plotkin, Gissenge Lija, Maende Makokha, Fern Terris-Prestholt, Richard J Hayes, John Changalucha, Helen A Weiss
OBJECTIVE: We evaluated a demand-creation intervention to increase voluntary medical male circumcision (VMMC) uptake among men aged 20-34 years in Tanzania, to maximise short-term impact on HIV incidence. METHODS: A cluster randomized controlled trial stratified by region was conducted in 20 outreach sites in Njombe and Tabora regions. The sites were randomized 1 : 1 to receive either a demand-creation intervention package in addition to standard VMMC outreach, or standard VMMC outreach alone...
April 24, 2017: AIDS
https://www.readbyqxmd.com/read/28339497/women-s-knowledge-and-perception-of-male-circumcision-before-and-after-its-roll-out-in-the-south-african-township-of-orange-farm-from-community-based-cross-sectional-surveys
#18
Barbara Maraux, Pascale Lissouba, Reathe Rain-Taljaard, Dirk Taljaard, Julie Bouscaillou, David Lewis, Adrian Puren, Bertran Auvert
The roll-out of medical male circumcision (MC) is progressing in Southern and Eastern Africa. Little is known about the effect of this roll-out on women. The objective of this study was to assess the knowledge and perceptions of women regarding MC in a setting before and after the roll-out. This study was conducted in the South African township of Orange Farm where MC prevalence among men increased from 17% to 53% in the period 2008-2010. Data from three community-based cross sectional surveys conducted in 2007, 2010 and 2012 among 1258, 1197 and 2583 adult women, respectively were studied...
2017: PloS One
https://www.readbyqxmd.com/read/28331272/preputial-calculi-a-case-report-and-review-of-literature
#19
Gajanan S Bhat
Preputial calculi are the rarest form of urolithiasis seen usually in an uncircumcised male with phimosis. We report a case in an elderly male who presented with azotaemia. Calculi are evident on clinical examination by palpation. Late presentation by the patient leads to complications. Treatment is by dorsal slit or circumcision. The case highlights the need of early recognition and treatment of this rare condition to prevent any complication.
February 2017: Indian Journal of Surgery
https://www.readbyqxmd.com/read/28301588/is-it-all-about-the-money-a-qualitative-exploration-of-the-effects-of-performance-based-financial-incentives-on-zimbabwe-s-voluntary-male-medical-circumcision-program
#20
Caryl Feldacker, Aaron F Bochner, Amy Herman-Roloff, Marrianne Holec, Vernon Murenje, Abby Stepaniak, Sinokuthemba Xaba, Mufata Tshimanga, Vuyelwa Chitimbire, Shingirai Makaure, Joseph Hove, Scott Barnhart, Batsirai Makunike
BACKGROUND: In 2013, Zimbabwe's voluntary medical male circumcision (VMMC) program adopted performance-based financing (PBF) to speed progress towards ambitious VMMC targets. The $25 USD PBF intended to encourage low-paid healthcare workers to remain in the public sector and to strengthen the public healthcare system. The majority of the incentive supports healthcare workers (HCWs) who perform VMMC alongside other routine services; a small portion supports province, district, and facility levels...
2017: PloS One
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