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首页> 外文期刊>Global public health >Systematic review of barriers and facilitators to voluntary medical male circumcision in priority countries and programmatic implications for service uptake
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Systematic review of barriers and facilitators to voluntary medical male circumcision in priority countries and programmatic implications for service uptake

机译：系统审查障碍和促进者在优先国家的自愿医疗男性割礼和服务的方案影响

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摘要

Voluntary medical male circumcision (VMMC) is an effective biomedical HIV prevention strategy. There is a need to identify key barriers and facilitators to VMMC uptake in priority countries to improve uptake. In this paper, we report findings from a systematic review of the barriers and facilitators of VMMC uptake, comparing them across countries in order to provide programmers critical information to design effective VMMC uptake interventions. Our review followed PRISMA protocol. Twenty three articles from 10 of the 14 priority countries were included. The top three barriers cited were: MC negatively perceived as being practiced by other or foreign cultures and religions, fear of pain caused by the procedure, and perceptions of VMMC as not helpfuleeded. The top four facilitators cited in most countries were: Belief that VMMC reduces health risks and improves hygiene, family and peer support of MC, and enhanced sexual performance and satisfaction. The barriers and facilitators highlighted in this paper can help inform programmatic strategies in these countries. More research is needed to ensure that all sub-populations are being adequately reached. By applying this information to new research and programming, these countries can achieve greater VMMC uptake - and thus reductions in HIV transmission and prevalence.
机译：自愿医疗男性割礼（VMMC）是一种有效的生物医学艾滋病预防策略。有必要识别关键障碍和促进者，以优先级国家的VMMC吸收，以改善摄取。在本文中，我们从系统审查VMMC吸收的障碍和促进者的系统审查报告了调查结果，将它们与各国进行比较，以便为设计有效的VMMC吸收干预提供程序员关键信息。我们的评论遵循Prisma议定书。包括14个优先国家的10个来自14个优先国家的二十三篇文章。引用的前三名壁垒是：MC被认为是由其他或外国文化和宗教的练习，害怕由程序引起的疼痛，以及VMMC的看法，没有帮助/需要。在大多数国家引用的前四名助长者是：信仰VMMC降低了健康风险，并改善了MC的卫生，家庭和同行支持，并加强了性表现和满足。本文突出显示的障碍和促进者可以帮助这些国家的编程策略提供信息。需要进行更多的研究以确保所有子群体都得到充分的充分达成。通过将这些信息应用于新的研究和编程，这些国家可以实现更大的VMMC吸收 - 因此减少艾滋病毒传播和患病率。

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