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自愿男性包皮环切术预防艾滋病毒 - 2017-2021 年,东非和南非 13 国

Voluntary Medical Male Circumcisions for HIV Prevention - 13 Countries in Eastern and Southern Africa, 2017-2021.

出版信息

MMWR Morb Mortal Wkly Rep. 2023 Mar 10;72(10):256-260. doi: 10.15585/mmwr.mm7210a2.

Abstract

In 2007, voluntary medical male circumcision (VMMC) was endorsed by the World Health Organization (WHO) and the Joint United Nations Programme on HIV/AIDS after it was found to be associated with approximately a 60% reduction in the risk for female-to-male transmission of HIV (1). As a result of this endorsement, the U.S. President's Emergency Plan for AIDS Relief (PEPFAR), through partnerships with U.S. government agencies, including CDC, the U.S. Department of Defense, and the U.S. Agency for International Development, started supporting VMMCs performed in prioritized countries in southern and eastern Africa. During 2010-2016, CDC supported 5,880,372 VMMCs in 12 countries (2,3). During 2017-2021, CDC supported 8,497,297 VMMCs performed in 13 countries. In 2020, the number of VMMCs performed declined 31.8% compared with the number in 2019, primarily because of COVID-19-related disruptions to VMMC service delivery. PEPFAR 2017-2021 Monitoring, Evaluation, and Reporting data were used to provide an update and describe CDC's contribution to the scale-up of the VMMC program, which is important to meeting the 2025 Joint United Nations Programme on HIV/AIDS (UNAIDS) target of 90% of males aged 15-59 years having access to VMMC services in prioritized countries to help end the AIDS epidemic by 2030 (4).

摘要

2007 年,世界卫生组织(WHO)和联合国艾滋病规划署(UNAIDS)联合发布了自愿男性包皮环切术(VMMC),因为其与减少 HIV 女性向男性传播的风险(1)大约 60%相关。作为这一认可的结果,美国艾滋病紧急救援计划(PEPFAR)通过与美国政府机构的合作,包括美国疾病控制与预防中心(CDC)、美国国防部和美国国际开发署,开始支持在南部和东部非洲优先国家开展 VMMC。2010-2016 年期间,CDC 在 12 个国家支持了 5880372 例 VMMC(2,3)。2017-2021 年期间,CDC 在 13 个国家支持了 8497297 例 VMMC。2020 年,与 2019 年相比,VMMC 的数量下降了 31.8%,主要是因为 COVID-19 对 VMMC 服务提供的中断。PEPFAR 2017-2021 年监测、评估和报告数据用于提供最新信息,并描述 CDC 对 VMMC 计划扩大规模的贡献,这对于实现 2025 年联合国艾滋病规划署(UNAIDS)目标至关重要,即优先国家 90%的 15-59 岁男性能够获得 VMMC 服务,以帮助到 2030 年结束艾滋病流行(4)。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1250/10010757/3347c838ad9a/mm7210a2-F.jpg

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