Ugandan Medical Male Circumcision Program Launched To Prevent HIV Transmission
Main Category: HIV / AIDSArticle Date: 11 Jul 2009 - 1:00 PDT
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Uganda was the first country in sub-Saharan Africa to register a drop in adult national prevalence in HIV. The epidemic, however, remains serious as approximately one million Ugandans are HIV positive. Experts in the field have begun promoting a low cost and powerful weapon against new HIV infections: voluntary medical male circumcision.
Three trials in Kenya, Uganda and South Africa have demonstrated that male circumcision reduces the rate of HIV infection in heterosexual relationships by 50 to 60 percent. Male circumcision has received endorsements by the World Health Organization and the Uganda Ministry of Health as a proven safe way to prevent the spread of HIV.
Yesterday, the Kayunga District Hospital and Makerere University Walter Reed Project (MUWRP) opened the Kayunga District Medical Male Circumcision Program, the first free, non-research male circumcision program in Uganda. They marked the grand opening on July 9th at a ribbon-cutting ceremony at a renovated clinic.
Dr. Ahmed Matovu, Kayunga District Hospital Superintendent added, "Circumcision must be utilized in combination with Uganda's existing HIV sexual prevention messages, which include condom use, faithfulness, or abstinence."
"The Kayunga District Medical Male Circumcision Program, which has already circumcised more than 220 men, represents hope and progress in the fight against HIV," said MUWRP's Mark Breda.
Representatives from the Kayunga District Health Authority, Kayunga District Hospital, Uganda AIDS Control Program, Uganda AIDS Commission, and the U.S. government commemorated the day along with musical performances and a tree planting ceremony. The entire Kayunga community was invited. Participation included the males that have already been circumcised, ranging in age from 13-60, with the average age being 19.
The program is funded using President's Emergency Plan for AIDS Relief (PEPFAR) country operational funding. Kayunga is a rural district located in the mid-central part of Uganda, with an estimated population of 320,000 (Uganda population census 2002). The overall estimated prevalence of HIV infection in the district is 9.9%.
MUWRP is a non-profit partnership with Makerere University and the U.S. Military HIV Research Program (MHRP). While its primary focus has been on developing a globally effective preventive HIV-1 vaccine, MHRP is actively committed to and engaged in providing effective prevention, care and treatment programs in the communities where they conduct research.
Source: U.S. Military HIV Research Program
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http://www.medicalnewstoday.com/releases/157170.php.
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Visitor Opinions In Chronological Order (2)
And Yet...
posted by Hugh Young on 11 Jul 2009 at 8:38 pmUganda succeeded in bringing its HIV rate down mainly by promoting "zero grazing" - one partner at a time, which works because the virus is most transmissible soon after it's been acquired. Yet they seem to have abandoned this for some political reason.
Circumcision looks like a quick fix, but the trials on which it is based have some worrying flaws: several times as many circumcised men dropped out, their HIV status unknown, as non-circumcised men were infected; the two groups were not treated identically in a number of significant ways; non-sexual transmission was discounted (several of the HIV+ men claimed to have had no sex at all).
Why is the HIV rate higher among the non-circumcised men of at least six African countries (Camerooon, Ghana, Lesotho, Malawi, Rwanda and Swaziland) than the circumcised men (according to the National Health and Demographic Surveys)?
Training program!
posted by Dr. Chandi Fred Opeli on 31 Aug 2010 at 5:00 amI am a Medical Officer working in Adjumani Hospital and would like to get the training in Medical Male Circumcision to prevent HIV transmission. We have Nurses who have had this training but they can't work without a clinician/Surgeon. I was chosen by the Hospital Administration to go for this training but failed to get the appropriate address to apply to.
I am there for requesting you to give me the details and requirements for the training.
Thank You
Dr. Chandi Fred Opeli
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