Along with an article looking at HIV in the U.S. among men who are gay, bisexual and have sex with men, two articles in the pre-World AIDS Day edition of the Centers for Disease Control and Prevention’s Morbidity and Mortality Weekly Report examine outcomes of treatment and circumcision rollouts in Africa, and cite the opportunities that accelerated and improved efforts would bring.
Antiretroviral treatment enrollment data in Côte d’Ivoire, Swaziland, Mozambique, Zambia, Uganda and Tanzania show men initiating treatment for HIV at later stages of disease, and show higher rates of attrition for men than women, the report says. The extent of those differences, however, varied by country, providing an opportunity to examine programs in countries with greater success in reaching men and better focus efforts everywhere.
The issue also looks at medical circumcision uptake across Africa since the 2011 World AIDS Day announcement that the President’s Emergency Plan For AIDS Relief would support scaling up the HIV-prevention measure to at least 4.7 million men over two years. Acceptance of medical circumcision has nearly quadrupled in nine CDC supported countries — Botswanan, Kenya, Malawi, Mozambique, Namibia, South Africa, Tanzania, Uganda and Zambia — between 2010 and 2012, the report says. Still, more than 20 million circumcisions will have to take place over the next two years to reach a goal of 80 percent coverage, the report says, which in turn would avert nearly three and half million HIV infections through 2025, and save $16.5 billion in HIV treatment and care costs.