Title |
Vasectomy as a proxy: extrapolating health system lessons to male circumcision as an HIV prevention strategy in Papua New Guinea
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Published in |
BMC Health Services Research, September 2012
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DOI | 10.1186/1472-6963-12-299 |
Pubmed ID | |
Authors |
Anna Tynan, Andrew Vallely, Angela Kelly, Greg Law, John Millan, Peter Siba, John Kaldor, Peter S Hill |
Abstract |
Male circumcision (MC) has been shown to reduce the risk of HIV acquisition among heterosexual men, with WHO recommending MC as an essential component of comprehensive HIV prevention programs in high prevalence settings since 2007. While Papua New Guinea (PNG) has a current prevalence of only 1%, the high rates of sexually transmissible diseases and the extensive, but unregulated, practice of penile cutting in PNG have led the National Department of Health (NDoH) to consider introducing a MC program. Given public interest in circumcision even without active promotion by the NDoH, examining the potential health systems implications for MC without raising unrealistic expectations presents a number of methodological issues. In this study we examined health systems lessons learned from a national no-scalpel vasectomy (NSV) program, and their implications for a future MC program in PNG. |
X Demographics
Geographical breakdown
Country | Count | As % |
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United States | 1 | 100% |
Demographic breakdown
Type | Count | As % |
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Members of the public | 1 | 100% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
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United Kingdom | 2 | 3% |
United States | 2 | 3% |
Unknown | 76 | 95% |
Demographic breakdown
Readers by professional status | Count | As % |
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Researcher | 14 | 18% |
Student > Master | 12 | 15% |
Student > Ph. D. Student | 10 | 13% |
Student > Bachelor | 8 | 10% |
Student > Doctoral Student | 5 | 6% |
Other | 14 | 18% |
Unknown | 17 | 21% |
Readers by discipline | Count | As % |
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Medicine and Dentistry | 22 | 28% |
Social Sciences | 11 | 14% |
Nursing and Health Professions | 9 | 11% |
Agricultural and Biological Sciences | 3 | 4% |
Business, Management and Accounting | 3 | 4% |
Other | 10 | 13% |
Unknown | 22 | 28% |