Male circumcision coverage, knowledge, and attitudes after 4-years of program scale-up in Rakai, Uganda

AIDS Behav. 2014 May;18(5):880-4. doi: 10.1007/s10461-014-0740-0.

Abstract

We assessed medical male circumcision (MMC) coverage and knowledge and attitudes toward MMC adoption in men in Rakai, Uganda after 4 years of scale-up. MMC prevalence only reached 28 %, with an annual increase of 4 %. Prevalence was lower in men not using condoms or having never received HIV testing and counseling. Over 95 % of uncircumcised men knew the health benefits of and places offering MMC, but only 27 % were willing to adopt MMC. Main reasons for non-acceptance were fear of pain or injury. The data suggest MMC uptake in Rakai has been suboptimal and demand generation is key for scale-up.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Circumcision, Male / ethnology
  • Circumcision, Male / psychology
  • Circumcision, Male / statistics & numerical data*
  • Condoms / statistics & numerical data
  • Focus Groups
  • HIV Infections / epidemiology
  • HIV Infections / prevention & control*
  • Health Knowledge, Attitudes, Practice*
  • Health Surveys
  • Humans
  • Interviews as Topic
  • Male
  • Middle Aged
  • Multivariate Analysis
  • Patient Acceptance of Health Care / psychology
  • Patient Acceptance of Health Care / statistics & numerical data*
  • Prevalence
  • Program Evaluation
  • Rural Population
  • Sexual Behavior
  • Socioeconomic Factors
  • Uganda / epidemiology
  • Young Adult