Lack of resources, leadership hindering male circumcision campaign in Uganda, PlusNews reports

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"Ugandan men have been seeking medical male circumcision in droves since the government launched a national policy in 2010, but the health system is not equipped to handle the caseload, slowing down the potential HIV prevention benefits of the campaign," PlusNews reports. A recent WHO report found that "just 9,052 circumcisions were carried out in Uganda in 2010, against more than four million men who would need to be circumcised for the country to reach its 80 percent target," the news service writes, adding that if that goal is reached within five years, it could potentially avert close to 340,000 new HIV infections, according to WHO estimates.

The same report "found that Uganda's male circumcision [campaign] lacked leadership, with no prominent national champion," according to PlusNews, which adds that "PEPFAR is supporting much of Uganda's male circumcision activities and, since May, has conducted several mobile male circumcision clinics, recording high volumes in all the areas it has visited so far" (10/31).  


http://www.kaiserhealthnews.orgThis article was reprinted from kaiserhealthnews.org with permission from the Henry J. Kaiser Family Foundation. Kaiser Health News, an editorially independent news service, is a program of the Kaiser Family Foundation, a nonpartisan health care policy research organization unaffiliated with Kaiser Permanente.

Comments

  1. Ronald Goldman, Ph.D. Ronald Goldman, Ph.D. United States says:

    Many professionals have criticized the studies claiming that circumcision reduces HIV transmission. They have various flaws. Authorities that cite the studies have other agendas. Circumcision causes physical, sexual, and psychological harm. Other methods to prevent HIV transmission (e.g., condoms and sterilizing medical instruments) are much more effective, much cheaper, and much less invasive.

  2. Craig Garrett Craig Garrett United States says:

    Circumcision to prevent HIV/AIDS does not make sense. Circumcised men still have to use a condom just like intact (uncircumcised) men. The best way to prevent HIV is through education about safe sex, not surgery. Don't let them fool you into getting circumcised - you'll still have to wear a condom every time.

  3. Ron Low Ron Low United States says:

    In 2009, WHO researchers Wawer/Gray reported that the Ugandan men they circumcised were 50% MORE likely to infect their female partners with deadly HIV than the men they left intact were.  

    Most of the US men who have died of AIDS were circumcised at birth.  

    If anything is "hindering" the progress of circumcision in Uganda it is probably the facts about HIV and about the pleasure of having intact genitals.  

  4. Tom Tobin Tom Tobin United States says:

    Kaiser-Permanente is the first for-profit hospital in the United States.  Dr. Edgar Schoen was Chief of Pediatrics at Kaiser Permanente in Oakland for 24 years.  He has written many books singing the praises of circumcision.
    Dr. David Tomlinson serves as the World Health Organization's chief expert on circumcision. He invented the "improved" Gomco, the "improved" Plastibell and the "improved" Accu-circ. He very likely receives money for every one of the devices sold. There is an inherent conflict of interest there. Dr. Daniel Halperin, who conducted one of the 3 studies in South Africa which claimed such fantastic statistics, is not a medical doctor. His PhD is in Anthropology and Latin American Studies. He was not medically qualified to conduct the study. Dr. Halperin is on record saying he wants to make his grandfather, a ritual circumciser, proud.
    In the US, we have buried close to a million mostly circumcised men, who died from AIDS.  Nobody says that simply being circumcised is enough to prevent the spread of HIV.  You still have to wear a condom.  If you have to wear a condom to be safe, why get circumcised?  It typically removes half the skin of the male genitals.
    Condoms, unlike circumcision, protect both partners.

  5. Tom Tobin Tom Tobin United States says:

    Dr. Gray, with his cohort, Dr. Tobian don't have a lot of credibility in the US.  They keep insinuating that circumcision is a vaccine for HIV.  Everybody knows it is not.  They are two circumcised guys, trying to create a medical justification for circumcision, which doesn't exist.

    Doctors have been doing this in the US since 1870.

    Circumcision has cured everything from paralysis, to epilepsy. Later, it was cervical cancer, and penile cancer.

    All of these have been disproven.  Now, it is on to the bigger scare, HIV.  These doctors ignore the facts.  Some facts they ignore are, the French and Danes don't circumcise, yet their infection rates are 1/10 those of the US, which has one of the highest circumcision rates in the world.  How does Gray account for that?  He doesn't.  New Zealanders no longer circumcise.  They enjoy one of the lowest HIV infection rates in the world.  Dr. Gray does not talk about that.
    In my opinion, Dr. Gray is a cutter, looking for a reason.

    American doctors are less likely to be sued, while quot;helping" Ugandans, than they are if they were doing the same thing in the US.

The opinions expressed here are the views of the writer and do not necessarily reflect the views and opinions of News Medical.
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