Maximizing the Impact of Voluntary Medical Male Circumcision for HIV Prevention in Zambia by Targeting High-Risk Men: A Pre/Post Program Evaluation

被引：2

作者：

Lukobo-Durrell, M. ^{[1
]}

Aladesanmi, L. ^{[2
]}

Suraratdecha, C. ^{[3
]}

Laube, C. ^{[1
]}

Grund, J. ^{[3
]}

Mohan, D. ^{[4
]}

Kabila, M. ^{[2
]}

Kaira, F. ^{[2
]}

Habel, M. ^{[3
]}

Hines, J. Z. ^{[3
]}

Mtonga, H. ^{[2
]}

Chituwo, O. ^{[5
]}

Conkling, M. ^{[5
]}

Chipimo, P. J. ^{[5
]}

Kachimba, J. ^{[6
]}

Toledo, C. ^{[3
]}

机构：

[1] Jhpiego, 1615 Thames St, Baltimore, MD 21231 USA

[2] Jhpiego, Lusaka, Zambia

[3] Ctr Dis Control & Prevent, Div Global HIV & TB, Ctr Global Hlth, Atlanta, GA USA

[4] Johns Hopkins Bloomberg Sch Publ Hlth, Baltimore, MD USA

[5] Ctr Dis Control & Prevent, Div Global HIV & TB, Ctr Global Hlth, Lusaka, Zambia

[6] Minist Hlth, Lusaka, Zambia

来源：

AIDS AND BEHAVIOR | 2022年 / 26卷 / 11期

关键词：

Male circumcision; Demand creation; Economic compensation; Zambia; Human-centered design; KENYA;

D O I：

10.1007/s10461-022-03767-6

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

A well-documented barrier to voluntary medical male circumcision (VMMC) is financial loss due to the missed opportunity to work while undergoing and recovering from VMMC. We implemented a 2-phased outcome evaluation to explore how enhanced demand creation and financial compensation equivalent to 3 days of missed work influence uptake of VMMC among men at high risk of HIV exposure in Zambia. In Phase 1, we implemented human-centered design-informed interpersonal communication. In Phase 2, financial compensation of ZMW 200 (similar to US$17) was added. The proportion of men undergoing circumcision was significantly higher in Phase 2 compared to Phase 1 (38% vs 3%). The cost of demand creation and compensation per client circumcised was $151.54 in Phase 1 and $34.93 in Phase 2. Financial compensation is a cost-effective strategy for increasing VMMC uptake among high-risk men in Zambia, and VMMC programs may consider similar interventions suited to their context.

引用

页码：3597 / 3606

页数：10

共 37 条

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