Voluntary Medical Male Circumcision: Modeling the Impact and Cost of Expanding Male Circumcision for HIV Prevention in Eastern and Southern Africa
|Emmanuel Njeuhmeli, Steven Forsythe, Jason Reed, Marjorie Opuni, Lori Bollinger, Nathan Heard, Delivette Castor, John Stover, Timothy Farley, Veena Menon, Catherine Hankins|
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The PEPFAR-funded Health Policy Initiative Costing Task Order, together with UNAIDS, sponsored a collection of articles focusing on voluntary male circumcision (VMMC) published in the online Plos Medecine and PloS ONE journals. The collection is titled, Voluntary Medical Male Circumcision for HIV Prevention: The Cost, Impact, and Challenges of Accelerated Scale-Up in Southern and Eastern Africa.
The collection highlights how scaling up voluntary medical male circumcision (VMMC) for HIV prevention in eastern and southern Africa can help prevent HIV, not only at individual but also at community and population level, as well as leading to substantial cost savings for countries as a result of averted treatment and care costs. The full collection can be accessed online at: http://www.ploscollections.org/VMMC2011.
This article presents the results of applying the Decision Makers' Program Planning Tool (DMPPT) to model the impact and cost of scaling up adult VMMC in Botswana, Lesotho, Malawi, Mozambique, Namibia, Rwanda, South Africa, Swaziland, Tanzania, Uganda, Zambia, Zimbabwe, and Nyanza Province in Kenya. Results from the DMPPT models suggest that scaling up adult VMMC to reach 80% coverage in the 13 countries by 2015 would entail performing 20.34 million circumcisions between 2011 and 2015 and an additional 8.42 million between 2016 and 2025 (to maintain the 80% coverage). Such a scale-up would result in averting 3.36 million new HIV infections through 2025. In addition, while the model shows that this scale-up would cost a total of US$2 billion between 2011 and 2025, it would result in net savings (due to averted treatment and care costs) amounting to US$16.51 billion. This study suggests that rapid scale-up of VMMC in eastern and southern Africa is warranted based on the likely impact on the region's HIV epidemics and net savings. Scaling up of safe VMMC in eastern and southern Africa will lead to a substantial reduction in HIV infections in the countries and lower health system costs through averted HIV care costs.
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|Document Type:||Conference Papers/Journal Articles|
|No. of Pages:||15|
|Country:||Botswana, Kenya, Lesotho, Malawi, Mozambique, Namibia, Rwanda, South Africa, Swaziland, Tanzania, Uganda, Zambia, Zimbabwe|
|Keywords:||Finance & Costing, Models, HIV/AIDS, Prevention, Strategic Planning, Male Circumcision, Male Circumcision Decisionmakers Tool|