VMMC Programmatic Successes and Challenges: Western Kenya Case Study.

IF 3.7 2区医学 Q2 INFECTIOUS DISEASES

Current HIV/AIDS Reports Pub Date : 2022-12-01 DOI:10.1007/s11904-022-00644-8

Kawango Agot, Jacob Onyango, Marylyn Ochillo, Elijah Odoyo-June

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引用次数: 1

Abstract

Purpose of review: The Nyanza region of western Kenya is lauded for impressive coverage of voluntary medical male circumcision (VMMC) and remains the bedrock of the VMMC program in Kenya. We conducted literature review on programmatic successes and challenges of implementing VMMC program in the region.

Recent findings: Responsive stakeholders' engagement, robust policy environment, effective technical working groups, prompt capacity building of health facilities, government support, flexible implementation strategies, and sustained donor funding contributed to the successes of the program that saw circumcision prevalence in Nyanza reach between 75.6 and 85.3% among 15-29-year-olds by 2019. However, the lack of support for early infant circumcision, inadequate domestic financing, and slow pace of service integration into government health facilities continue to undermine the progress towards sustainability. While local ownership of the VMMC program has been demonstrated through its inclusion in county annual health workplans and progressive integration into routine health care, continued dependence on declining external funding threatens its sustainability. Furthermore, Kenya is experiencing a youth bulge with a projected high demand for VMMC which calls for increased resource inputs into the program. Strategies are therefore needed to increase domestic resource inflows into VMMC.

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VMMC项目成功与挑战:肯尼亚西部案例研究。

审查目的:肯尼亚西部的Nyanza地区因其令人印象深刻的自愿医疗男性包皮环切(VMMC)的覆盖范围而受到称赞，并且仍然是肯尼亚VMMC计划的基石。我们对该地区实施VMMC计划的成功和挑战进行了文献综述。最近的发现是:利益攸关方积极参与、强有力的政策环境、有效的技术工作组、卫生设施的迅速能力建设、政府支持、灵活的实施战略以及持续的捐助者资助促成了该规划的成功，到2019年，尼扬扎15-29岁人群的包皮环切率达到75.6%至85.3%。然而，缺乏对婴儿早期包皮环切术的支持、国内资金不足以及将服务纳入政府卫生设施的速度缓慢，继续破坏在实现可持续性方面取得的进展。虽然通过将自愿家庭医疗保健方案纳入县年度卫生工作计划和逐步纳入常规卫生保健，证明了地方对自愿家庭医疗保健方案的所有权，但对不断减少的外部资金的持续依赖威胁着其可持续性。此外，肯尼亚正在经历青年人口膨胀，预计对自愿医疗保健的需求很高，这要求增加对该方案的资源投入。因此，需要制定战略，增加国内资源流入志愿医疗保健服务。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Current HIV/AIDS Reports INFECTIOUS DISEASES-

CiteScore

8.10

自引率

2.20%

发文量

期刊介绍： This journal intends to provide clear, insightful, balanced contributions by international experts that review the most important, recently published clinical findings related to the diagnosis, treatment, management, and prevention of HIV/AIDS. We accomplish this aim by appointing international authorities to serve as Section Editors in key subject areas, such as antiretroviral therapies, behavioral aspects of management, and metabolic complications and comorbidity. Section Editors, in turn, select topics for which leading experts contribute comprehensive review articles that emphasize new developments and recently published papers of major importance, highlighted by annotated reference lists. An international Editorial Board reviews the annual table of contents, suggests articles of special interest to their country/region, and ensures that topics are current and include emerging research. Commentaries from well-known figures in the field are also provided.

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