Voluntary medical male circumcision is one of the most important ways to reduce new HIV infections. The foreskin contains receptors that the HIV virus can attach to, and removing it reduces HIV transmission from women to men by about 60% .
But cost and access issues have been barriers for many men and boys in southern Africa. With US funding being cut for HIV programmes, it is increasingly important to scale up voluntary circumcision programmes using local resources.
Together with Bonginkosi Eugene Khumalo, head of circumcision programme at Northdale Hospital, KwaZulu-Natal, we did a study to evaluate the training of primary care providers to use Unicirc, a novel surgical instrument designed in South Africa according to World Health Organization (WHO) specifications.
