Public health officials are currently supporting adult male circumcision to minimize the transmission of HIV during intercourse. Estimates indicate that more than 3 million lives could be saved in sub-Saharan Africa alone if the procedure were widely adopted. Complications including infection and accidental cutting/amputation of the glans during traditional circumcision ceremonies can lead to permanent injury or death. A low cost, adjustable (one-size-fits-most), culturally appropriate adult male circumcision tool was designed for use in traditional circumcision ceremonies to increase the likelihood of safe outcomes.
Issue Section:
Design Innovation
1.
UNAIDS
, 2008, Report on the Global HIV/AIDS Epidemic 2008.2.
Bakare
, N.
, and Miller
, V.
, 2008, “Meeting the Demand for Male Circumcision
,” Ann. Forum Collab. HIV Res.
, 10
(1
), pp. 1
–28
.3.
Katz
, I. T.
, and Wright
, A. A.
, 2008, “Circumcision—A Surgical Strategy for HIV Prevention in Africa
,” N. Engl. J. Med.
0028-4793, 359
, pp. 2412
–2415
.4.
Auvert
, B.
, 2005, “Randomized, Controlled Intervention Trial of Male Circumcision for Reduction of HIV Infection Risk: The ANRS 1265 Trial
,” PLoS Med.
1549-1277, 2
, p. e298
.5.
Bailey
, R.
, Moses
, S.
, Parker
, C.
, Agot
, K.
, Maclean
, I.
, Krieger
, J.
, Williams
, C.
, Campbell
, R.
, and Ndinya-Achola
, J.
, 2007, “Male Circumcision for HIV Prevention in Young Men in Kisumu, Kenya: A Randomised Controlled Trial
,” Lancet
0140-6736, 369
, pp. 643
–656
.6.
Gray
, R. H.
, Kigozi
, G.
, Serwadda
, D.
, Makumbi
, F.
, Watya
, S.
, Nalugoda
, F.
, Kiwanuka
, N.
, Moulton
, L.
, Chaudhary
, M.
, and Chen
, M.
, 2007, “Male Circumcision for HIV Prevention in Men in Rakai, Uganda: A Randomised Trial
,” Lancet
0140-6736, 369
, pp. 657
–666
.7.
Bailey
, R. C.
, Egesah
, O.
, and Rosenberg
, S.
, 2008, “Male Circumcision for HIV Prevention: A Prospective Study of Complications in Clinical and Traditional Settings in Bungoma, Kenya
,” Bull. World Health Organ
0042-9686, 86
, pp. 669
–677
.8.
Shaffer
, D. N.
, 2007, “The Protective Effect of Circumcision on HIV Incidence in Rural Low-Risk Men Circumcised Predominantly by Traditional Circumcisers in Kenya: Two-Year Follow-Up of the Kericho HIV Cohort Study
,” JAIDS, J. Acquired Immune Defic. Syndr.
1525-4135, 45
(4
), pp. 371
–379
.9.
Williams
, B. G.
, Lloyd-Smith
, J. O.
, Gouws
, E.
, Hankins
, C.
, Getz
, W. M.
, Hargrove
, J.
, de Zoysa
, I.
, Dye
, C.
, and Auvert
, B.
, 2006, “The Potential Impact of Male Circumcision on HIV in Sub-Saharan Africa
,” PLoS Med.
1549-1277, 3
, p. e262
.10.
McCoombe
, S. G.
, and Short
, R. V.
, 2006, “Potential HIV-1 Target Cells in the Human Penis
,” AIDS
0269-9370, 20
(11
), pp. 1491
–1495
.11.
Patterson
, B. K.
, 2002, “Susceptibility to Human Immunodeficiency Virus-1 Infection of Human Foreskin and Cervical Tissue Grown in Explant Culture
,” Am. J. Pathol.
0002-9440, 161
, pp. 867
–873
.12.
Turner
, A. N.
, 2008, “Male Circumcision and Women's Risk of Incident Chlamydial, Gonococcal, and Trichomonal Infections
,” Sex Transm. Dis.
0148-5717, 35
(7
), pp. 689
–695
.13.
Morris
, B. J.
, 2007, “Why Circumcision is a Biomedical Imperative for the 21st Century
,” BioEssays
0265-9247, 29.11
, pp. 1147
–1158
.14.
Seppa
, N.
, 2009, “Body and Brain: Demand for Circumcision Exceeds Availability in Sub-Saharan Africa: Procedure Catches on Among Men as a Way to Prevent HIV
,” Sci. News (Washington, D. C.)
0036-8423, 175
, p. 14
.15.
Peltzer
, K.
, Nqeketo
, A.
, Petros
, G.
, and Kanta
, X.
, 2008, “Traditional Circumcision During Manhood Initiation Rituals in East Cape, South Africa: A Pre-Post Intervention Evaluation
,” BMC Public Health
, 8:64
, pp. 8
and 64.16.
Vincent
, L.
, “‘Boys Will Be Boys’: Traditional Xhosa Male Circumcision, HIV and Sexual Socialization in Contemporary South Africa
,” Cult. Health Sex.
, 10
, pp. 431
–446
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