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

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

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  • 1Department of Epidemiology, Bloomberg School of Public Health, Johns Hopkins University, 627 N. Washington St. RM2-C, Baltimore, MD, 21205, USA,


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.

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