Detailed Mechanism Funding and Narrative

Details for Mechanism ID: 8584
Country/Region: South Africa
Year: 2007
Main Partner: Johns Hopkins University
Main Partner Program: JHPIEGO
Organizational Type: University
Funding Agency: USAID
Total Funding: $600,000

Funding for Sexual Prevention: Other Sexual Prevention (HVOP): $600,000


USAID will fund the dissemination of findings from the 2007 male circumcision mapping and will fund the training, mentoring and service delivery of safe clinical male circumcision if the South African National Department of Health consents to male circumcision programming.


Although not widespread, prevalence rates for male circumcision in South Africa range from 20% to nearly 100%. The prevalence also varies by ethnic group and is higher in some areas of the Eastern Cape and KwaZulu-Natal. Male circumcision is usually done for cultural or religious reasons rather than for health benefits. For example, certain ethnic groups, such as the Xhosa, routinely practice male circumcision as part of boys' initiation and transition to adulthood. In this context, circumcision is performed by traditional practitioners rather than by medically trained personnel in a health facility. A recent study conducted in South Africa showed that male circumcision very significantly reduces the risk of HIV acquisition. Two further large-scale studies of circumcision for HIV prevention in Uganda and Kenya showed similar results. Based on the information from the three clinical trials, UNAIDS and WHO have issued normative guidance and recommendations regarding policy and program development. With a potential of up to 60% reduction in the acquisition of HIV in males, circumcision may be considered an option for uninfected men as part of a larger HIV prevention package. Scaling-up male circumcision in South Africa may therefore soon become a priority, as a component of national comprehensive HIV prevention programs. South Africa has draft regulations/policy on governing the conditions under which the traditional male circumcision as part of an initiation ceremony may be carried out. There is an intergovernmental task team examining issues/policies surrounding traditional male circumcision. The USG PEPFAR team has ongoing consultations with the National Department of Health and UNAIDS on how to move the male circumcision agenda forward.

Target Populations: Adults Discordant couples Secondary school students University students Men (including men of reproductive age) Women (including women of reproductive age)

Coverage Areas:


Table 3.3.05: