Preventing HIV through safe voluntary medical male circumcision for adolescent boys and men in generalized HIV epidemics: recommendations and key considerations
Overview
Since 2007 the World Health Organization (WHO) and the Joint United Nations Programme on HIV/AIDS (UNAIDS) have recommended voluntary medical male circumcision (VMMC) as an important strategy for the prevention of heterosexually acquired HIV in men in settings where the prevalence of heterosexually transmitted HIV is high. Over 25 million men and adolescent boys in East and Southern Africa have been reached with VMMC services.
These new guidelines update earlier WHO recommendations to maximize the HIV prevention impact of safe VMMC services and aim to guide the transition to the sustained provision of interventions with a focus on the health and well-being of both adolescent boys and men.
Related
Policy brief (PDF, 1.3 MB)
WHO TeleECHO™ Sessions
- 21 August 2020 Session 1: Overview of Guideline development process and HIV prevention through voluntary medical male circumcision: presentation PDF | video recording: English, Portuguese
- 24 August 2020 Session 2: Part 1. VMMC and younger adolescents 10 – 14 years; Part 2. Use of device-based methods for male circumcision in the context of HIV prevention: presentation PDF | video recording: English, Portuguese
- 25 August 2020 Session 3 Part 1. Enhancing uptake of VMMC among adult men; Part 2. Transitioning to adolescent-focused, sustainable VMMC services: presentation PDF | video recording: English, Portuguese
Annexes
- Web Annex 1.1. Guideline development process and groups ; declarations of interests (PDF, 805 KB)
- Web Annex 2.1. GRADE and evidence-to-decision tables on voluntary medical male circumcision for HIV prevention among adolescents and men (PDF, 1.2 MB)
- Web Annex 2.2. Male circumcision and the risk of HIV infection in women : systematic review and meta-analysis (PDF, 732 KB)
- Web Annex 2.3 Part 1. WHO guidance on voluntary medical male circumcision for HIV prevention among adolescent boys and men : literature reviews for PICO questions 1–3 (PDF, 1.6 MB)
- Web Annex 2.3 Part 2. Synthesis of literature on voluntary medical male circumcision : facilitators and barriers, by country (PDF, 833 KB)
- Web Annex 4.1. GRADE tables, summary of studies and evidence-to-decision table on safety and acceptability of male circumcision devices : collar clamp, elastic collar compression and surgical assist devices (PDF, 962 KB)
- Web Annex 5.1. GRADE and evidence-to-decision tables on enhancing uptake of voluntary medical male circumcision among men (PDF, 772 KB)
- Web Annex 5.2. Case studies on enhancing uptake of voluntary medical male circumcision services (PDF, 1.1 MB)
- Web Annex 6.1. Sustaining voluntary medical male circumcision services and linkages with adolescent sexual and reproductive health : the Zimbabwe Smart-LyncAges Project (PDF, 830 KB)