Title |
How do you circumcise a nation? The Rwandan case study
|
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Published in |
BMC Medicine, October 2014
|
DOI | 10.1186/s12916-014-0184-4 |
Pubmed ID | |
Authors |
Vincent Mutabazi, Jamie I Forrest, Nathan Ford, Edward J Mills |
Abstract |
Voluntary medical male circumcision has been conclusively demonstrated to reduce the lifetime risk of male acquisition of HIV. The strategy has been adopted as a component of a comprehensive strategy towards achieving an AIDS-free generation. A number of countries in which prevalence of HIV is high and circumcision is low have been identified as a priority, where innovative approaches to scale-up are currently being explored. Rwanda, as one of the priority countries, has faced a number of challenges to successful scale-up. We discuss here how simplifications in the procedure, addressing a lack of healthcare infrastructure and mobilizing resources, and engaging communities of both men and women have permitted Rwanda to move forward with more optimism in its scale-up tactics. Examples from Rwanda are used to highlight how these barriers can and should be addressed. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
United Kingdom | 5 | 25% |
Rwanda | 3 | 15% |
United States | 3 | 15% |
Germany | 1 | 5% |
Canada | 1 | 5% |
Unknown | 7 | 35% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 16 | 80% |
Practitioners (doctors, other healthcare professionals) | 2 | 10% |
Scientists | 2 | 10% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Tanzania, United Republic of | 1 | 3% |
Unknown | 37 | 97% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Master | 13 | 34% |
Student > Ph. D. Student | 7 | 18% |
Researcher | 5 | 13% |
Student > Doctoral Student | 2 | 5% |
Other | 2 | 5% |
Other | 4 | 11% |
Unknown | 5 | 13% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 12 | 32% |
Nursing and Health Professions | 7 | 18% |
Social Sciences | 5 | 13% |
Business, Management and Accounting | 1 | 3% |
Agricultural and Biological Sciences | 1 | 3% |
Other | 4 | 11% |
Unknown | 8 | 21% |