Effects of COVID-19 Pandemic on Voluntary Medical Male Circumcision Services for HIV Prevention, Sub-Saharan Africa, 2020

被引：9

作者：

Peck, Megan E. ^{[1
]}

Ong, Katherine S. ^{[1
]}

Lucas, Todd ^{[1
]}

Prainito, Amber ^{[2
]}

Thomas, Anne G. ^{[3
]}

Brun, Alex ^{[4
]}

Kiggundu, Valerian ^{[5
]}

Yansaneh, Aisha ^{[5
]}

Busang, Lesego ^{[6
]}

Kgongwana, Kabelo ^{[6
]}

Kelaphile, David ^{[7
]}

Seipone, Khumo ^{[6
]}

Letebele, Mpho H. ^{[8
]}

Makadzange, Panganai F. ^{[8
]}

Marwiro, Amon ^{[9
]}

Sesinyi, Mirriam ^{[10
]}

Lapidos, Tyrone ^{[11
]}

Lukhele, Njabuliso ^{[12
]}

Maziya, Vusi ^{[13
]}

Mkhontfo, Mandzisi ^{[14
]}

Gultie, Teruwork ^{[15
]}

Mulatu, Dejene ^{[16
]}

Shimelis, Mesfin ^{[17
]}

Zegeye, Tiruneh ^{[17
]}

Teka, Tesfaye ^{[18
]}

Bulterys, Marc ^{[19
]}

Njenga, John N. ^{[19
]}

Odoyo-June, Elijah ^{[19
]}

Juma, Ambrose W. ^{[20
]}

Soo, Leonard ^{[21
]}

Talam, Norah ^{[22
]}

Brown, Malerato ^{[23
]}

Chakare, Tafadzwa ^{[24
]}

Nonyana, Nyane ^{[24
]}

Khoabane, Mpho A. ^{[25
]}

Auld, Andrew F. ^{[26
]}

Maida, Alice ^{[26
]}

Msungama, Wezi ^{[26
]}

Kapito, Martin ^{[27
]}

Nyirenda, Rose ^{[27
]}

Matchere, Faustin ^{[28
]}

Odek, James ^{[29
]}

Canda, Marcos ^{[30
]}

Malimane, Inacio ^{[30
]}

Come, Jotamo ^{[31
]}

Gaspar, Nuno ^{[32
]}

Langa, Antonio ^{[33
]}

Aupokolo, Mekondjo A. ^{[34
]}

Vejorerako, Kaauma C. ^{[34
]}

Kahindi, Lawrence ^{[35
]}

机构：

[1] US Ctr Dis Control & Prevent CDC, Atlanta, GA USA

[2] US Dept State, Washington, DC 20520 USA

[3] US Dept Def, San Diego, CA USA

[4] US Dept Def, Washington, DC 20305 USA

[5] US Agcy Int Dev, Washington, DC 20523 USA

[6] African Comprehens HIV AIDS Partnerships, Gaborone, Botswana

[7] US Dept Def, Gaborone, Botswana

[8] US CDC, Gaborone, Botswana

[9] Jhpiego, Gaborone, Botswana

[10] Minist Hlth & Wellness, Gaborone, Botswana

[11] US Dept Def, Mbabane, Eswatini

[12] USAID, Mbabane, Eswatini

[13] Minist Hlth, Mbabane, Eswatini

[14] US CDC, Mbabane, Eswatini

[15] ICAP Ethiopia, Addis Ababa, Ethiopia

[16] Minist Hlth, Addis Ababa, Ethiopia

[17] US CDC, Addis Ababa, Ethiopia

[18] US Dept Def, Addis Ababa, Ethiopia

[19] US CDC, Nairobi, Kenya

[20] Minist Hlth, Nairobi, Kenya

[21] USAID, Nairobi, Kenya

[22] US Dept Def, Nairobi, Kenya

[23] US Dept Def, Maseru, Lesotho

[24] Jhpiego, Maseru, Lesotho

[25] Minist Hlth, Maseru, Lesotho

[26] US CDC, Lilongwe, Malawi

[27] Minist Hlth, Lilongwe, Malawi

[28] US Dept Def, Lilongwe, Malawi

[29] USAID, Lilongwe, Malawi

[30] US CDC, Maputo, Mozambique

[31] Minist Hlth, Maputo, Mozambique

[32] USAID, Maputo, Mozambique

[33] US Dept Def, Maputo, Mozambique

[34] Minist Hlth & Social Serv, Windhoek, Namibia

[35] ABT Associates Inc, Windhoek, Namibia

[36] USAID, Windhoek, Namibia

[37] Ctr HIV AIDS Prevent Studies, Windhoek, Namibia

[38] US CDC, Windhoek, Namibia

[39] US CDC, Kigali, Rwanda

[40] US Dept Def, Kigali, Rwanda

[41] USAID, Kigali, Rwanda

[42] Rwanda Biomed Ctr, Kigali, Rwanda

[43] Alliance Hlth Communities, Kigali, Rwanda

[44] Jhpiego, Kigali, Rwanda

[45] Minist Hlth, Kigali, Rwanda

[46] USAID, Pretoria, South Africa

[47] Minist Hlth, Pretoria, South Africa

[48] US CDC, Pretoria, South Africa

[49] Minist Hlth, Juba, South Sudan

[50] US CDC, Juba, South Sudan

来源：

EMERGING INFECTIOUS DISEASES | 2022年 / 28卷

关键词：

IMPACT; MEN;

D O I：

10.3201/eid2813.212455

中图分类号：

R392 [医学免疫学]; Q939.91 [免疫学];

学科分类号：

100102 ;

摘要：

Beginning in March 2020, to reduce COVID-19 transmission, the US President's Emergency Plan for AIDS Relief supporting voluntary medical male circumcision (VMMC) services was delayed in 15 sub-Saharan African countries. We reviewed performance indicators to compare the number of VMMCs performed in 2020 with those performed in previous years. In all countries, the annual number of VMMCs performed decreased 32.5% (from 3,898,960 in 2019 to 2,631,951 in 2020). That reduction is largely attributed to national and local COVID-19 mitigation measures instituted by ministries of health. Overall, 66.7% of the VMMC global annual target was met in 2020, compared with 102.0% in 2019. Countries were not uniformly affected; South Africa achieved only 30.7% of its annual target in 2020, but Rwanda achieved 123.0%. Continued disruption to the VMMC program may lead to reduced circumcision coverage and potentially increased HIV-susceptible populations. Strategies for modifying VMMC services provide lessons for adapting healthcare systems during a global pandemic.

引用

页码：S262 / S269

页数：8

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