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Since the first randomized controlled studies were conducted on
medical circumcision to assess their effectiveness on reducing HIV
transmission, health systems have made considerable progress in
adopting this practice in their HIV/AIDS and sexual reproductive
health policies. As such, medical circumcision is being adopted as
an additional intervention measure to support previous practices
for reducing HIV infections in various countries or settings. James
Kityo's pioneering book examines contexts, processes, policy
projections, and likely engagements by reviewing sexual
reproductive health policies or practices, and literature on
medical circumcision, and identifies existing opportunities and
challenges. His book also explores the medical, gender, ethical,
socio-economic, and human rights dimensions of medical circumcision
as an HIV/AIDS prevention method. Following peer-reviewed studies,
Kityo found compelling evidence documenting the effectiveness of
medical circumcision in reducing HIV transmission, and discusses
this evidence in the context of HIV/AIDS in a developing health
system in Sub-Saharan Africa. The author concludes that there is a
range of opportunities from research and current practice to enable
policy makers to adopt medical circumcision and other interventions
at their disposal in order to reduce infections from HIV and
AIDS-related deaths. The author suggests feasible recommendations
for implementing successful HIV/AIDS prevention programs in
developing nations' health systems, including medical
circumcision's gradual inclusion in health practices; stakeholder
support; an elaborate review of this intervention by women,
politicians, religious communities, and funding agencies. The
author introduces a guided action plan, which can be used as a
launch pad to enhance the learning process in the integration of
medical circumcision in existing health practices.
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