Lessons from a decade of voluntary medical male circumcision implementation and their application to HIV pre-exposure prophylaxis scale up

Int J STD AIDS. 2018 Dec;29(14):1432-1443. doi: 10.1177/0956462418787896. Epub 2018 Aug 16.

Abstract

Oral pre-exposure prophylaxis (PrEP) has the ability to curb HIV incidence worldwide and bring us closer to ending the HIV epidemic. Scale up of PrEP service delivery has many similar challenges to those faced by voluntary medical male circumcision (VMMC) services roll-out. This article outlines ten important lessons learned during the scale up of VMMC services in sub-Saharan Africa and their application to current oral PrEP implementation efforts to promote faster expansion for public health impact.

Keywords: 90–90–90 targets; HIV prevention; Male circumcision; antiretrovirals; implementation; oral PrEP.

Publication types

  • Review

MeSH terms

  • Anti-Retroviral Agents / administration & dosage*
  • Circumcision, Male*
  • Community Participation*
  • HIV Infections / prevention & control*
  • Humans
  • Male
  • Pre-Exposure Prophylaxis / methods
  • Pre-Exposure Prophylaxis / organization & administration*
  • Preventive Health Services / organization & administration

Substances

  • Anti-Retroviral Agents