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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Kripke, Katharine
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Reed, Jason
Stegman, Peter
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PLOS ONE, 2016, 11 (07):
[32] Factors Associated with Low Uptake of Voluntary Medical Male Circumcision as HIV-Prevention Strategy among Men Aged 18-49 Years from Nyanza District, Rwanda
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[33] Impact and Cost of Scaling Up Voluntary Medical Male Circumcision for HIV Prevention in the Context of the New 90-90-90 HIV Treatment Targets (vol 11, e0155734, 2016)
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[34] Assessing Progress, Impact, and Next Steps in Rolling Out Voluntary Medical Male Circumcision for HIV Prevention in 14 Priority Countries in Eastern and Southern Africa through 2014 (vol 11, e0158767, 2016)
Kripke, Katharine
Njeuhmeli, Emmanuel
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Reed, Jason
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PLOS ONE, 2017, 12 (01):
[35] Assessing Progress, Impact, and Next Steps in Rolling Out Voluntary Medical Male Circumcision for HIV Prevention in 14 Priority Countries in Eastern and Southern Africa through 2014 (vol 11, e0158767, 2016)
Kripke, Katharine
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[36] FIELD-BASED VIDEO PRE-TEST COUNSELING, ORAL TESTING, AND TELEPHONIC POST-TEST COUNSELING: IMPLEMENTATION OF AN HIV FIELD TESTING PACKAGE AMONG HIGH-RISK INDIAN MEN
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AIDS EDUCATION AND PREVENTION, 2012, 24 (04) : 309 - 326
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JOURNAL OF THE INTERNATIONAL AIDS SOCIETY, 2012, 15 : 239 - 239

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