Evidence map›Paper›PMID 31214866›Full record

ReviewAIDS and behavior2019

Voluntary Medical Male Circumcision to Prevent HIV: Modelling Age Prioritization in Namibia.

Peter Stegman, Bridget Stirling, Brad Corner, Melissa Schnure, Denis Mali, Ella Shihepo, Katharine Kripke, Emmanuel Njeuhmeli

Open access · hybridAbstract readReview
In one paragraph

Review in AIDS and behavior, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 20% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.

  1. Evidence Gaps in Economic Evaluations of HIV Interventions Targeting Young People: A Systematic Review.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2024
    Pooled it
  2. Trial
  3. Trial
  4. Review
  5. Preventing HIV Among Adolescent Boys and Young Men Through PEPFAR-Supported Voluntary Medical Male Circumcision in 15 Sub-Saharan African Countries, 2018-2021.AIDS education and prevention : official publication of the International Society for AIDS Education · 2023
    Article
  6. Facilitators and barriers to voluntary medical male circumcision as an HIV prevention strategy in Kavango East, Namibia.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2023
    Article
  7. Article
  8. Review
  9. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 5 institutions in 3 countries.

Peter StegmanProject SOAR, Avenir Health, 7064 Eastern Avenue, NW, Washington, DC, 20012, USA. pstegman@avenirhealth.org.
Bridget StirlingUniversity of Calgary in Qatar, Doha, Qatar.
Brad CornerUnited States Agency for International Development, Windhoek, Namibia.
Melissa SchnureProject SOAR, Palladium, Washington, DC, USA.
Denis MaliUnited States Agency for International Development, Windhoek, Namibia.
Ella ShihepoNational AIDS Control Program, Ministry of Health and Social Services, Windhoek, Namibia.
Katharine KripkeProject SOAR, Avenir Health, 7064 Eastern Avenue, NW, Washington, DC, 20012, USA.
Emmanuel NjeuhmeliUnited States Agency for International Development, Washington, DC, USA.
United States Agency for International Development · USAvenir Health · USFutures Group (United States) · USMinistry of Health and Social Services · NAUniversity of Calgary in Qatar · QA

Funding

Population Council AID-OAA-140060
6 · The paper itself

Abstract

Voluntary Medical Male circumcision (VMMC) has been part of prevention in Namibia since 2009. Yet, as of 2013, VMMC coverage among 15- to 24-year-olds was estimated at less than 22%. Program data suggests uptake of VMMC below age 15 is lower than expected, given the age distribution of the eligible population. Nearly 85% of VMMCs were for males between ages 15 and 29, while boys 10-14 years were referred outside the program. This analysis uses the Decision Makers Program Planning Tool to understand the impact of age prioritization on circumcision in Namibia. Results indicate that circumcising males aged 20-29 reduced HIV incidence most rapidly, while focusing on ages 15-24 was more cost effective and produced greater magnitude of impact. Providing services to those under 15 could increase VMMC volume 67% while introducing Early Infant Medical Circumcision could expand coverage. This exercise supported a review of VMMC strategies and implementation, with Namibia increasing coverage among 10- to 14-year-olds nearly 20 times from 2016 to 2017.

Indexed as

AdolescentAdultAge DistributionAge FactorsChildCircumcision, MaleCost-Benefit AnalysisDecision MakingHIV InfectionsHumansIncidenceMaleNamibiaProgram EvaluationVoluntary ProgramsYoung AdultHIV/AIDSHIV preventionNamibiaSub-Saharan AfricaVMMC

Identifiers

PMID31214866
PMCPMC6773676
OpenAlexW2952969909

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.