IDEAS home Printed from https://ideas.repec.org/a/plo/pone00/0156909.html
   My bibliography  Save this article

Age Targeting of Voluntary Medical Male Circumcision Programs Using the Decision Makers’ Program Planning Toolkit (DMPPT) 2.0

Author

Listed:
  • Katharine Kripke
  • Marjorie Opuni
  • Melissa Schnure
  • Sema Sgaier
  • Delivette Castor
  • Jason Reed
  • Emmanuel Njeuhmeli
  • John Stover

Abstract

Background: Despite considerable efforts to scale up voluntary medical male circumcision (VMMC) for HIV prevention in priority countries over the last five years, implementation has faced important challenges. Seeking to enhance the effect of VMMC programs for greatest and most immediate impact, the U. S. President’s Plan for AIDS Relief (PEPFAR) supported the development and application of a model to inform national planning in five countries from 2013–2014. Methods and Findings: The Decision Makers’ Program Planning Toolkit (DMPPT) 2.0 is a simple compartmental model designed to analyze the effects of client age and geography on program impact and cost. The DMPPT 2.0 model was applied in Malawi, South Africa, Swaziland, Tanzania, and Uganda to assess the impact and cost of scaling up age-targeted VMMC coverage. The lowest number of VMMCs per HIV infection averted would be produced by circumcising males ages 20–34 in Malawi, South Africa, Tanzania, and Uganda and males ages 15–34 in Swaziland. The most immediate impact on HIV incidence would be generated by circumcising males ages 20–34 in Malawi, South Africa, Tanzania, and Uganda and males ages 20–29 in Swaziland. The greatest reductions in HIV incidence over a 15-year period would be achieved by strategies focused on males ages 10–19 in Uganda, 15–24 in Malawi and South Africa, 10–24 in Tanzania, and 15–29 in Swaziland. In all countries, the lowest cost per HIV infection averted would be achieved by circumcising males ages 15–34, although in Uganda this cost is the same as that attained by circumcising 15- to 49-year-olds. Conclusions: The efficiency, immediacy of impact, magnitude of impact, and cost-effectiveness of VMMC scale-up are not uniform; there is important variation by age group of the males circumcised and countries should plan accordingly.

Suggested Citation

  • Katharine Kripke & Marjorie Opuni & Melissa Schnure & Sema Sgaier & Delivette Castor & Jason Reed & Emmanuel Njeuhmeli & John Stover, 2016. "Age Targeting of Voluntary Medical Male Circumcision Programs Using the Decision Makers’ Program Planning Toolkit (DMPPT) 2.0," PLOS ONE, Public Library of Science, vol. 11(7), pages 1-17, July.
  • Handle: RePEc:plo:pone00:0156909
    DOI: 10.1371/journal.pone.0156909
    as

    Download full text from publisher

    File URL: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0156909
    Download Restriction: no

    File URL: https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0156909&type=printable
    Download Restriction: no

    File URL: https://libkey.io/10.1371/journal.pone.0156909?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Katharine Kripke & Nicole Perales & Jackson Lija & Bennet Fimbo & Eric Mlanga & Hally Mahler & James McOllogi Juma & Emmanuel Baingana & Marya Plotkin & Deogratias Kakiziba & Iris Semini & Delivette C, 2016. "The Economic and Epidemiological Impact of Focusing Voluntary Medical Male Circumcision for HIV Prevention on Specific Age Groups and Regions in Tanzania," PLOS ONE, Public Library of Science, vol. 11(7), pages 1-14, July.
    2. Katharine Kripke & Velephi Okello & Vusi Maziya & Wendy Benzerga & Munamato Mirira & Elizabeth Gold & Melissa Schnure & Sema Sgaier & Delivette Castor & Jason Reed & Emmanuel Njeuhmeli, 2016. "Voluntary Medical Male Circumcision for HIV Prevention in Swaziland: Modeling the Impact of Age Targeting," PLOS ONE, Public Library of Science, vol. 11(7), pages 1-10, July.
    3. Katharine Kripke & Ping-An Chen & Andrea Vazzano & Ananthy Thambinayagam & Yogan Pillay & Dayanund Loykissoonlal & Collen Bonnecwe & Peter Barron & Eva Kiwango & Delivette Castor & Emmanuel Njeuhmeli, 2016. "Cost and Impact of Voluntary Medical Male Circumcision in South Africa: Focusing the Program on Specific Age Groups and Provinces," PLOS ONE, Public Library of Science, vol. 11(7), pages 1-13, July.
    4. Katharine Kripke & Andrea Vazzano & William Kirungi & Joshua Musinguzi & Alex Opio & Rhobbinah Ssempebwa & Susan Nakawunde & Sheila Kyobutungi & Juliet N Akao & Fred Magala & George Mwidu & Delivette , 2016. "Modeling the Impact of Uganda’s Safe Male Circumcision Program: Implications for Age and Regional Targeting," PLOS ONE, Public Library of Science, vol. 11(7), pages 1-14, July.
    5. Katharine Kripke & Frank Chimbwandira & Zebedee Mwandi & Faustin Matchere & Melissa Schnure & Jason Reed & Delivette Castor & Sema Sgaier & Emmanuel Njeuhmeli, 2016. "Voluntary Medical Male Circumcision for HIV Prevention in Malawi: Modeling the Impact and Cost of Focusing the Program by Client Age and Geography," PLOS ONE, Public Library of Science, vol. 11(7), pages 1-11, July.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Emmanuel Njeuhmeli & Melissa Schnure & Andrea Vazzano & Elizabeth Gold & Peter Stegman & Katharine Kripke & Michel Tchuenche & Lori Bollinger & Steven Forsythe & Catherine Hankins, 2019. "Using mathematical modeling to inform health policy: A case study from voluntary medical male circumcision scale-up in eastern and southern Africa and proposed framework for success," PLOS ONE, Public Library of Science, vol. 14(3), pages 1-15, March.
    2. Emmanuel Njeuhmeli & Peter Stegman & Katharine Kripke & Owen Mugurungi & Gertrude Ncube & Sinokuthemba Xaba & Karin Hatzold & Alice Christensen & John Stover, 2016. "Modeling Costs and Impacts of Introducing Early Infant Male Circumcision for Long-Term Sustainability of the Voluntary Medical Male Circumcision Program," PLOS ONE, Public Library of Science, vol. 11(7), pages 1-13, July.
    3. Elijah Odoyo-June & Stephanie Davis & Nandi Owuor & Catey Laube & Jonesmus Wambua & Paul Musingila & Peter W Young & Appolonia Aoko & Kawango Agot & Rachael Joseph & Zebedee Mwandi & Vincent Ojiambo &, 2021. "Prevalence of male circumcision in four culturally non-circumcising counties in western Kenya after 10 years of program implementation from 2008 to 2019," PLOS ONE, Public Library of Science, vol. 16(7), pages 1-16, July.
    4. Juan Dent & Nuno Gaspar & Emmanuel Njeuhmeli & Katharine Kripke, 2019. "Age targeting and scale-up of voluntary medical male circumcision in Mozambique," PLOS ONE, Public Library of Science, vol. 14(2), pages 1-14, February.
    5. Kathy Baisley & Natsayi Chimbindi & Nondumiso Mthiyane & Sian Floyd & Nuala McGrath & Deenan Pillay & Janet Seeley & Thembelihle Zuma & Jaco Dreyer & Dickman Gareta & Theresa Smit & Tinofa Mutevedzi &, 2018. "High HIV incidence and low uptake of HIV prevention services: The context of risk for young male adults prior to DREAMS in rural KwaZulu-Natal, South Africa," PLOS ONE, Public Library of Science, vol. 13(12), pages 1-17, December.
    6. Katharine Kripke & Ping-An Chen & Andrea Vazzano & Ananthy Thambinayagam & Yogan Pillay & Dayanund Loykissoonlal & Collen Bonnecwe & Peter Barron & Eva Kiwango & Delivette Castor & Emmanuel Njeuhmeli, 2016. "Cost and Impact of Voluntary Medical Male Circumcision in South Africa: Focusing the Program on Specific Age Groups and Provinces," PLOS ONE, Public Library of Science, vol. 11(7), pages 1-13, July.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Juan Dent & Nuno Gaspar & Emmanuel Njeuhmeli & Katharine Kripke, 2019. "Age targeting and scale-up of voluntary medical male circumcision in Mozambique," PLOS ONE, Public Library of Science, vol. 14(2), pages 1-14, February.
    2. Katharine Kripke & Karin Hatzold & Owen Mugurungi & Gertrude Ncube & Sinokuthemba Xaba & Elizabeth Gold & Kim Seifert Ahanda & Natalie Kruse-Levy & Emmanuel Njeuhmeli, 2016. "Modeling Impact and Cost-Effectiveness of Increased Efforts to Attract Voluntary Medical Male Circumcision Clients Ages 20–29 in Zimbabwe," PLOS ONE, Public Library of Science, vol. 11(10), pages 1-16, October.
    3. Emmanuel Njeuhmeli & Melissa Schnure & Andrea Vazzano & Elizabeth Gold & Peter Stegman & Katharine Kripke & Michel Tchuenche & Lori Bollinger & Steven Forsythe & Catherine Hankins, 2019. "Using mathematical modeling to inform health policy: A case study from voluntary medical male circumcision scale-up in eastern and southern Africa and proposed framework for success," PLOS ONE, Public Library of Science, vol. 14(3), pages 1-15, March.
    4. Thabang Manyaapelo & Anam Nyembezi & Robert A. C. Ruiter & Bart Van den Borne & Sibusiso Sifunda & Priscilla Reddy, 2017. "Understanding the Psychosocial Correlates of the Intention to Use Condoms among Young Men in KwaZulu-Natal, South Africa," IJERPH, MDPI, vol. 14(4), pages 1-15, March.
    5. Maria Ganczak & Marcin Korzeń & Maciej Olszewski, 2017. "Attitudes, Beliefs and Predictors of Male Circumcision Promotion among Medical University Students in a Traditionally Non-Circumcising Region," IJERPH, MDPI, vol. 14(10), pages 1-14, September.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:plo:pone00:0156909. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: plosone (email available below). General contact details of provider: https://journals.plos.org/plosone/ .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.