Prevalence of Voluntary Medical Male Circumcision for HIV Infection Prevention — Chókwè District, Mozambique, 2014–2019

Hines, Jonas Z; Thompson, Ricardo; Toledo, Carlos; Nelson, Robert; Casavant, Isabelle; Pals, Sherri; Canda, Marcos; Bonzela, Juvêncio; Jaramillo, Alicia; Cardoso, Judite; Ujamaa, Dawud; Tamele, Stelio; Chivurre, Victor; Malimane, Inácio; Pathmanathan, Ishani; Heitzinger, Kristen; Wei, Stanley C.; Couto, Aleny; Come, Jotamo; Vergara, Alfredo; MacKellar, Duncan

doi:10.15585/mmwr.mm7026a2

Cited by 2 publications

(1 citation statement)

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“…In Mozambique, one nationally representative study reported a male circumcision prevalence of 48% (95% CI 46.5–49.5) in men above 15 years in 2011 [ 22 ]. In Chókwè District, the male circumcision prevalence increased from 50% (95% CI 47.1–53) in 2014–2015 to 73.5 (95% CI 70.9–75.9) [ 65 ].…”

Section: Resultsmentioning

confidence: 99%

Estimates of the prevalence of male circumcision in sub-Saharan Africa from 2010–2023—A systematic review and meta-analysis

Elsayed,

Elmarasi,

Madzime

et al. 2024

PLoS ONE

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Background Male circumcision (MC) is a key part of the package of interventions to prevent HIV, the biggest health challenge in sub-Saharan Africa. Objective To estimate the male circumcision prevalence and to evaluate the progress towards meeting WHO targets in sub-Saharan Africa during the period 2010–2023. Methods We carried out a systematic review and meta-analysis of studies published during the period 2010–2023. We searched PubMed, Scopus, Cochrane CENTRAL, Google Scholar, WHO and the Demographic and Health Survey for reports on MC prevalence in sub-Saharan Africa. MC prevalence was synthesized using inverse-variance heterogeneity models, heterogeneity using I2 statistics and publication bias using funnel plots. Results A total of 53 studies were included. The overall prevalence during the study period was 45.9% (95% CI 32.3–59.8), with a higher MC prevalence in Eastern (69.9%, 95%CI 49.9–86.8) compared to Southern African (33.3%, 95%CI 21.7–46.2). The overall prevalence was higher in urban (45.3%, 95%CI 27.7–63.4) compared to rural settings (42.6%, 95% 26.5–59.5). Male circumcision prevalence increased from 40.2% (95% CI 25.0–56.3) during 2010–2015 to 56.2% (95% CI 31.5–79.5) during 2016–2023. Three countries exceeded 80% MC coverage, namely, Ethiopia, Kenya and Tanzania. Conclusion Overall, the current MC prevalence is below 50%, with higher prevalence in Eastern African countries and substantially lower prevalence in Southern Africa. Most of the priority countries need to do more to scale up medical male circumcision programs.

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Section: Resultsmentioning

confidence: 99%