Sequential Cross-Sectional Surveys in Orange Farm, a Township of South Africa, Revealed a Constant Low Voluntary Medical Male Circumcision Uptake among Adults despite Demand Creation Campaigns and High Acceptability

Esaie Marshall (1) , Reathe Rain-Taljaard (2) , Motlalepule Tsepe (2) , Cornelius Monkwe (2) , Florence Hlatswayo (2) , Simphiwe Tshabalala (2) , Simphiwe Khela (2) , Lindo Xulu (2) , Dumazile Xaba (2) , Tebogo Molomo (2) , Thobile Malinga (2) , Adrian Puren (3) , Bertran Auvert (4)

1 INSERM - Institut National de la Santé et de la Recherche Médicale
2 Progressus
3 NICD - National Institute for Communicable Diseases [Johannesburg]
4 CESP - Centre de recherche en épidémiologie et santé des populations

WHO recommends a male circumcision (MC) prevalence rate higher than 80% to have a substantial impact on the HIV-AIDS epidemic in Eastern and Southern Africa. Orange Farm, a township in South Africa, has a free-for-service voluntary medical male circumcision (VMMC) clinic in operation since 2008. Following an intense campaign from 2008 to 2010, MC prevalence rate increased to 55.4% (ANRS-12126). Ongoing and past VMMC campaigns focused on youths, through school talks, and adults at a community level. The main objective of the study was to assess the change in MC prevalence rate among adults aged 18–19 and 18–49 years in the past 5 years.

Mots clés: Circumcision

Domaines: Sciences du Vivant [q-bio]; Médecine humaine et pathologie

Esaie Marshall, Reathe Rain-Taljaard, Motlalepule Tsepe, Cornelius Monkwe, Florence Hlatswayo, et al.. Sequential Cross-Sectional Surveys in Orange Farm, a Township of South Africa, Revealed a Constant Low Voluntary Medical Male Circumcision Uptake among Adults despite Demand Creation Campaigns and High Acceptability. PLoS ONE, 2016, 11 (7), ⟨10.1371/journal.pone.0158675⟩. ⟨hal-01384650⟩