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  1. 1
    322952
    Peer Reviewed

    Workforce biggest barrier to roll-out of male circumcision.

    Pincock S

    Lancet. 2007 Dec 1; 370(9602):1817-1818.

    Progress towards making male circumcision for HIV prevention a reality in Africa has been slow because of cultural hurdles in a few countries, financial constraints in most, and a serious shortage of skilled practitioners throughout the continent. Joint Programme on HIV and AIDS made one of the most important policy statements in recent times on the fight against HIV in developing countries. After a 2-day consultation in Montreaux, Switzerland, the UN agencies released a document that urged countries with high rates of heterosexually transmitted HIV to consider adding male circumcision to their armamentarium against AIDS. The recommendation had a sound scientific basis. The results of three randomised controlled trials undertaken in Kisumu, Kenya, Rakai District, Uganda, and Orange Farm, South Africa had shown that male circumcision reduces the risk of heterosexually acquired HIV infection in men by around 60%. (excerpt)
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