What question did this study set out to answer?

To understand the demographic profiles of men using male circumcision services in South Africa and assess targeting effectiveness.

May 25, 20260 citationsOpen Access

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Targeting for male medical circumcision: profiles from two South African cities

HCHuman Sciences Research Council

Key Points

To understand the demographic profiles of men using male circumcision services in South Africa and assess targeting effectiveness.
Data collected from Cape Town (N=1194) in 2016 and Mangaung (N=277) in 2017-2018.
Analysis of service utilization based on age, risk factors, and socio-cultural influences.
Assessment of cost-efficiency associated with circumcision services.
Age targeting for circumcision users is inadequate.
There is an absence of risk targeting for potential HIV infections.
Cultural and religious factors negatively impact the long-term cost-efficiency of circumcision services.

Abstract

Male circumcision is considered by some to be an acceptable global approach to reduce HIV infections. Consequently, many governments in sub-Saharan Africa run voluntary male circumcision programmes. South Africa also provides male circumcision for free at state clinics and hospitals. Very little is known about the men who use this service. This study uses data from Cape Town, a sample of 1194 in 2016, and from Mangaung, a sample of 277 in 2017 and 2018, to fill this gap. The study finds that age targeting is inadequate, risk targeting is absent, and religious and cultural factors have a negative effect on the cost-efficiency of the service in the long run.

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Targeting for male medical circumcision: profiles from two South African cities

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Abstract

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