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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Status of voluntary medical male circumcision in Kenya: Findings from 2 nationally representative surveys in Kenya, 2007 and 2012
Journal of Acquired Immune Deficiency Syndromes, Volume 66, No. SUPPL. 1, Year 2014
Notification
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Description
Background: The Kenyan Ministry of Health initiated a voluntary medical male circumcision (VMMC) program in 2008. We used data from 2 nationally representative surveys to estimate trends in the number, demographic characteristics, and sexual behaviors of recently circumcised and uncircumcised HIV-uninfected men in Kenya. Methods: We compared the proportion of circumcised men between the first and second Kenya AIDS Indicator Survey (KAIS 2007 and KAIS 2012) to assess the progress of Kenya's VMMC program. We calculated the number of uncircumcised HIV-uninfected men. We conducted descriptive analyses and used multivariable methods to identify the variables independently associated with HIV-uninfected uncircumcised men aged 15-64 years in the VMMC priority region of Nyanza. Results: The proportion of men who reported being circumcised increased significantly from 85.0% in 2007 to 91.2% in 2012. The proportions of circumcised men increased in all regions, with the highest increases of 18.1 and 9.0 percentage points in the VMMC priority regions of Nyanza and Nairobi, respectively. Half (52.5%) of HIV-uninfected and uncircumcised men had never been married, and 84.6% were not using condoms at all times with their last sexual partner. Conclusions: VMMC prevalence has increased across Kenya demonstrating the success of the national program. Despite this accomplishment, the Nyanza region remains below the target to circumcise 80% of all eligible men aged 15-49 years between 2009 and 2013. As new cohorts of young men enter into adolescence, consistent focus is needed. To ensure sustainability of the VMMC program, financial resources and coordinated planning must continue. Copyright © 2014 by Lippincott Williams & Wilkins.
Authors & Co-Authors
Galbraith, Jennifer S.
United States, Atlanta
Centers for Disease Control and Prevention
Ochieng, Athanasius
Kenya, Nairobi
Ministry of Health Nairobi
Mwalili, Samuel Musili
United States, Atlanta
Centers for Disease Control and Prevention
Emusu, Donath
United States, Atlanta
Centers for Disease Control and Prevention
Mwandi, Zebedee
United States, Atlanta
Centers for Disease Control and Prevention
Kim, Andrea A.
United States, Atlanta
Centers for Disease Control and Prevention
Rutherford, George Williams
United States, San Francisco
University of California, San Francisco
Maina, William K.
Kenya, Nairobi
Ministry of Health Nairobi
Kimanga, Davies O.
Kenya, Nairobi
Ministry of Health Nairobi
Chesang, Kipruto
United States, Atlanta
Centers for Disease Control and Prevention
Cherutich, Peter K.
Kenya, Nairobi
Ministry of Health Nairobi
Statistics
Citations: 28
Authors: 11
Affiliations: 3
Identifiers
Doi:
10.1097/QAI.0000000000000121
ISSN:
15254135
Research Areas
Infectious Diseases
Sexual And Reproductive Health
Study Design
Cross Sectional Study
Cohort Study
Study Approach
Quantitative
Study Locations
Kenya
Participants Gender
Male