JOHN SNOW INTERNATIONAL
The American people, through the generous support of the PEPFAR with USAID under the Cooperative Agreement Strengthening High Impact Interventions for an AIDS-free Generation, have made it possible to develop a training program for community mobilization for Voluntary Medical Male Circumcision (VMMC).
2019 · 87 pages

Abstract
This initiative aims to increase knowledge and skills among community members to promote VMMC as an effective HIV prevention method. The training objectives focus on increasing participants' knowledge of VMMC for HIV prevention, familiarizing them with communication strategies, tools, and effective interpersonal communication, and building their skills and confidence in promoting VMMC in their communities. The training also aims to address common misconceptions and myths surrounding VMMC. Male circumcision is defined as the surgical removal of the foreskin, the thin layer of skin covering the penis. VMMC is a voluntary procedure that must be based on informed consent and carried out under safe conditions. The benefits of VMMC include reduced HIV infection risk, as well as other health benefits such as reduced risk of urinary tract infections and penile cancer. Studies have shown that VMMC can significantly reduce HIV infection risk. For example, a study in Orange Farm found that the rate of circumcision rose from 12% to 53% over 10 years, resulting in a 19% lower HIV prevalence among men in the community and a 16.9% lower HIV prevalence among women with circumcised partners. The inner foreskin has a high concentration of cells efficient in HIV uptake, making it prone to tearing and bleeding, which can lead to ulcerative microbial environments and inflammation. Circumcision reduces the risk of HIV infection by removing the inner foreskin and reducing the risk of these complications. The training program includes a pretest to assess participants' knowledge and understanding of VMMC. The program also covers topics such as pain management during the circumcision procedure, the importance of informed consent, and the role of community mobilization in promoting VMMC. The geographic focus of this initiative is on countries with high HIV prevalence rates, including Somalia, Ethiopia, Zimbabwe, Kenya, Tanzania, Uganda, Malawi, and Rwanda. The program aims to build the capacity of community members to promote VMMC and reduce HIV infection risk in these countries. Overall, the training program for community mobilization for VMMC is an important initiative in the fight against HIV/AIDS. By increasing knowledge and skills among community members, the program aims to promote VMMC as an effective HIV prevention method and reduce HIV infection risk in high-prevalence countries.
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Classification
USAID DEC