When scaling prevention means scaling demand: Voluntary medical male circumcision in Nyanza Province, Kenya

Weintraub, Rebecca; Talbot, Julie R; Wachter, Keri; Cole, Claire B.; May, Maria A.; Muraguri, Nicholas

doi:10.1016/j.hjdsi.2013.12.002

Cited by 4 publications

(5 citation statements)

References 12 publications

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“…Individual and community-wide misconceptions about VMMC can be addressed by engaging with local knowledge systems through planned community engagement, as demonstrated in other places where non-circumcising groups form the majority (Evens et al, 2014;Herman-Roloff et al, 2011;Khumalo-Sakutukwa et al, 2013;Weintraub et al, 2014). Community engagement activities, with local religious and group leaders, women and peers, as well as with the men being circumcised, undertaken during the implementation of VMMC, need to be repeated during the post-event period as a way of challenging misconceptions and harmful practices.…”

Section: Discussionmentioning

confidence: 99%

“…Yet, despite some opposition from Luo elders, community and political leaders endorsed male circumcision in the area. By December 2011, 52.2% of consenting uncircumcised men in Nyanza Province had been circumcised (Weintraub et al, 2014). This was despite considerable setbacks in the campaign as a result of forced circumcisions during the post-election violence in 2008 (Ahlberg & Njoroge, 2013).…”

Section: Introductionmentioning

confidence: 99%

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Voluntary medical male circumcision for HIV prevention in fishing communities in Uganda: the influence of local beliefs and practice

Mbonye

Kuteesa

Seeley

et al. 2016

African Journal of AIDS Research

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Local beliefs and practices about voluntary medical male circumcision (VMMC) may influence uptake and effectiveness. Data were gathered through interviews with 40 people from four ethnically mixed fishing communities in Uganda. Some men believed that wound healing could be promoted by contact with vaginal fluids while sex with non-regular partners could chase away spirits - practices which encouraged unsafe sexual practices. Information given by providers stressed that VMMC did not afford complete protection from sexually-transmitted infections, however, a number of male community members held the view that they were fully protected once circumcised. Both men and women said that VMMC was good not just for HIV prevention but also as a way of maintaining hygiene among the men. The implementation of VMMC in high-HIV prevalence settings needs to take account of local beliefs about circumcision, working with local religious/social group leaders, women and peers in the roll-out of the intervention.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Voluntary medical male circumcision for HIV prevention in fishing communities in Uganda: the influence of local beliefs and practice

Mbonye

Kuteesa

Seeley

et al. 2016

African Journal of AIDS Research

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“…This was not, however, unexpected (Justman et al, 2013). Although a strategy that works in one country may not work in another, ongoing experience shared between countries, innovative diffusion and health systems models, and sustained funding to meet demand and eliminate cost and informational barriers (Goosby et al, 2012; Gray, Wawer, & Kigozi, 2013; Justman et al, 2013; WHO, 2013; Chinkhumba, Godlonton, & Thornton, 2014; Galbraith et al, 2014; Stone, 2014; Weintraub et al, 2014), can ensure the progress being made in implementation of safe, acceptable, high quality VMMC programs in these countries is accelerated.…”

Section: Public Health Policy Considerations In Adopting Vmmcmentioning

confidence: 99%

“…Coverage has ranged from 4% in Malawi to 63% in Kenya (UNAIDS, 2013). The differences between countries can be attributed to multiple factors, including adoption of policies, health system challenges, strategies for demand generation, as well as socio-cultural and individual factors (Wamai et al, 2011; Mwanga et al, 2012; Dionne & Poulin, 2013; Gray, Wawer, & Kigozi, 2013; Plotkin et al, 2013; UNAIDS, 2013; WHO, 2013; Chinkhumba, Godlonton, & Thornton, 2014; Weintraub et al, 2014).…”

Section: Introductionmentioning

confidence: 99%

Male circumcision for protection against HIV infection in sub-Saharan Africa: The evidence in favour justifies the implementation now in progress

Wamai

Morris

Bailey

et al. 2015

Global Public Health

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This article responds to a recent 'controversy study' in Global Public Health by de Camargo et al. directed at three randomised controlled trials (RCTs) of male circumcision (MC) for HIV prevention. These trials were conducted in three countries in sub-Saharan Africa (SSA) and published in 2005 and 2007. The RCTs confirmed observational data that had accumulated over the preceding two decades showing that MC reduces by 60% the risk of HIV infection in heterosexual men. Based on the RCT results, MC was adopted by global and national HIV policy-makers as an additional intervention for HIV prevention. Voluntary medical MC (VMMC) is now being implemented in 14 SSA countries. Thus referring to MC for HIV prevention as 'debate' and viewing MC through a lens of controversy seems mistaken. In their criticism, de Camargo et al. misrepresent and misinterpret current science supporting MC for HIV prevention, omit previous denunciations of arguments similar to theirs, and ignore evidence from ongoing scientific research. Here we point out the flaws in three areas de Camargo et al. find contentious. In doing so, we direct readers to growing evidence of MC as an efficacious, safe, acceptable, relatively low-cost one-off biomedical intervention for HIV prevention.

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“…Many applications for healthcare, sports, security agencies and context-aware services applications have emerged [ 1 , 2 ]. For example, life logs collected by smart mobile phone sensors (such as accelerometers) have been used to provide personalized health care [ 3 ]. Vermeulen et al [ 4 ] developed a smartphone-based falls detection application to help elderly people.…”

Section: Introductionmentioning

confidence: 99%

A Novel Energy-Efficient Approach for Human Activity Recognition

Ruan

et al. 2017

Sensors

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In this paper, we propose a novel energy-efficient approach for mobile activity recognition system (ARS) to detect human activities. The proposed energy-efficient ARS, using low sampling rates, can achieve high recognition accuracy and low energy consumption. A novel classifier that integrates hierarchical support vector machine and context-based classification (HSVMCC) is presented to achieve a high accuracy of activity recognition when the sampling rate is less than the activity frequency, i.e., the Nyquist sampling theorem is not satisfied. We tested the proposed energy-efficient approach with the data collected from 20 volunteers (14 males and six females) and the average recognition accuracy of around 96.0% was achieved. Results show that using a low sampling rate of 1Hz can save 17.3% and 59.6% of energy compared with the sampling rates of 5 Hz and 50 Hz. The proposed low sampling rate approach can greatly reduce the power consumption while maintaining high activity recognition accuracy. The composition of power consumption in online ARS is also investigated in this paper.

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When scaling prevention means scaling demand: Voluntary medical male circumcision in Nyanza Province, Kenya

Cited by 4 publications

References 12 publications

Voluntary medical male circumcision for HIV prevention in fishing communities in Uganda: the influence of local beliefs and practice

Voluntary medical male circumcision for HIV prevention in fishing communities in Uganda: the influence of local beliefs and practice

Male circumcision for protection against HIV infection in sub-Saharan Africa: The evidence in favour justifies the implementation now in progress

A Novel Energy-Efficient Approach for Human Activity Recognition

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