Joint United Nations Programme on HIV/AIDS, Geneva, Switzerland.
PLoS Med. 2011 Nov;8(11):e1001127. doi: 10.1371/journal.pmed.1001127. Epub 2011 Nov 29.
Scaling up voluntary medical male circumcision (VMMC) for HIV prevention is cost saving and creates fiscal space in the future that otherwise would have been encumbered by antiretroviral treatment costs. An investment of US$1,500,000,000 between 2011 and 2015 to achieve 80% coverage in 13 priority countries in southern and eastern Africa will result in net savings of US$16,500,000,000. Strong political leadership, country ownership, and stakeholder engagement, along with effective demand creation, community mobilisation, and human resource deployment, are essential. This collection of articles on determining the cost and impact of VMMC for HIV prevention signposts the way forward to scaling up VMMC service delivery safely and efficiently to reap individual- and population-level benefits.
扩大自愿男性包皮环切术（VMMC）以预防艾滋病可节省成本，并为未来创造财政空间，否则这些财政空间将被抗逆转录病毒治疗费用所占据。2011 年至 2015 年期间投资 15 亿美元，在南部和东部非洲 13 个重点国家实现 80%的覆盖率，将节省 165 亿美元。强有力的政治领导、国家自主权和利益攸关方参与，以及有效的需求创造、社区动员和人力资源部署，都是至关重要的。本系列关于确定 VMMC 预防艾滋病的成本和影响的文章为扩大 VMMC 服务的安全高效提供了方向，以获得个人和人群层面的收益。
