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AuthorElsayed, Basant
AuthorElmarasi, Mohamed
AuthorMadzime, Ruvarashe J.
AuthorMapahla, Lovemore
AuthorElBadway, Menatalla M. S.
AuthorChivese, Tawanda
Available date2024-04-25T06:20:12Z
Publication Date2024
Publication NamePLoS ONE
ResourceScopus
ISSN19326203
URIhttp://dx.doi.org/10.1371/journal.pone.0298387
URIhttp://hdl.handle.net/10576/54233
AbstractBackground Male circumcision (MC) is a key part of the package of interventions to prevent HIV, the biggest health challenge in sub-Saharan Africa. Objective To estimate the male circumcision prevalence and to evaluate the progress towards meeting WHO targets in sub-Saharan Africa during the period 2010-2023. Methods We carried out a systematic review and meta-analysis of studies published during the period 2010-2023. We searched PubMed, Scopus, Cochrane CENTRAL, Google Scholar, WHO and the Demographic and Health Survey for reports on MC prevalence in sub-Saharan Africa. MC prevalence was synthesized using inverse-variance heterogeneity models, heterogeneity using I2 statistics and publication bias using funnel plots. Results A total of 53 studies were included. The overall prevalence during the study period was 45.9% (95% CI 32.3-59.8), with a higher MC prevalence in Eastern (69.9%, 95%CI 49.9-86.8) compared to Southern African (33.3%, 95%CI 21.7-46.2). The overall prevalence was higher in urban (45.3%, 95%CI 27.7-63.4) compared to rural settings (42.6%, 95% 26.5-59.5). Male circumcision prevalence increased from 40.2% (95% CI 25.0-56.3) during 2010-2015 to 56.2% (95% CI 31.5-79.5) during 2016-2023. Three countries exceeded 80% MC coverage, namely, Ethiopia, Kenya and Tanzania. Conclusion Overall, the current MC prevalence is below 50%, with higher prevalence in Eastern African countries and substantially lower prevalence in Southern Africa. Most of the priority countries need to do more to scale up medical male circumcision programs.
Languageen
PublisherPublic Library of Science
SubjectAfrica
Article
circumcision
East African
Ethiopia
geographic distribution
health survey
human
Human immunodeficiency virus infection
Kenya
male
meta analysis
prevalence
publication bias
quality control
risk assessment
rural population
Southern African
systematic review
Tanzania
urban population
female
Human immunodeficiency virus infection
prevalence
Africa, Southern
Circumcision, Male
Ethiopia
Female
HIV Infections
Humans
Kenya
Male
Prevalence
TitleEstimates of the prevalence of male circumcision in sub-Saharan Africa from 2010-2023 -A systematic review and meta-analysis
TypeArticle
Issue Number3-Mar
Volume Number19
dc.accessType Open Access


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