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Poverty and InequalitySexual and Reproductive HealthFamily, Maternal & Child HealthMethodology

Male Circumcision Coverage, Knowledge, and Attitudes After 4-Years of Program Scale-up in Rakai, Uganda

TitleMale Circumcision Coverage, Knowledge, and Attitudes After 4-Years of Program Scale-up in Rakai, Uganda
Publication TypeJournal Article
Year of Publication2014
AuthorsKong, X, Ssekasanvu, J, Kigozi, G, Lutalo, T, Nalugoda, F, Serwadda, D, Wawer, M, Gray, R
JournalAIDS and Behavior
Volume18
Pagination880-4
Date PublishedMay
ISBN Number1090-7165
Accession Number24633740
Abstract

We assessed medical male circumcision (MMC) coverage and knowledge and attitudes toward MMC adoption in men in Rakai, Uganda after 4 years of scale-up. MMC prevalence only reached 28 %, with an annual increase of 4 %. Prevalence was lower in men not using condoms or having never received HIV testing and counseling. Over 95 % of uncircumcised men knew the health benefits of and places offering MMC, but only 27 % were willing to adopt MMC. Main reasons for non-acceptance were fear of pain or injury. The data suggest MMC uptake in Rakai has been suboptimal and demand generation is key for scale-up.