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首页> 美国政府科技报告 >Adult Male Circumcision: Reflections on Successes and Challenges.
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Adult Male Circumcision: Reflections on Successes and Challenges.

机译：成年男性包皮环切术：对成功与挑战的思考。

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摘要

Voluntary medical male circumcision (VMMC) is a cost-effective HIV prevention intervention that reduces the risk of HIV acquisition in men by 60%. Although some countries are successfully scaling-up VMMC, not all are. When VMMC scale-up experiences are viewed in the context of models for the diffusion of innovation, some themes emerge. Successful VMMC programs have in common locally-led campaigns, a cultural tolerance of VMMC, strong political leadership and coordination, and adequate human and material resources. Challenges with VMMC scale-up have been marked by less flexible implementation models that seek full integration of VMMC services at public medical facilities and struggles with targeting services versus equitable access to services. Innovation diffusion models, especially the endogenous technology model, and multiple levels of influence on diffusion -- individual males and their sex partners communities, and health systems -- remind us that the adoption of a prevention intervention, such as VMMC, is expected to start out slowly, and as information spreads, gradually speed up. In addition, the diffusion models suggest that customizing approaches to different populations is likely to accelerate VMMC scale-up and help achieve a long-term, sustainable impact on the HIV epidemic.

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