Manual for Male Circumcision under Local Anaesthesia

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Male circumcision under local anaesthesia Version 3.1 (Dec09) 28 American Academy of Pediatrics Task Force on Circumcision. Circumcision policy statement. Pediatrics 1999;103(3):686-693. 29 The Botswana Harvard AIDS Institute. Male circumcision study, 2001 (http://www.hsph.harvard.edu/bhp/research/male_circumcision.html). Male circumcision and HIV infection Chapter 1-8
Male circumcision under local anaesthesia Version 3.1 (Dec09) Chapter 2 Linking male circumcision to other male sexual and reproductive health services Summary • Men have different sexual and reproductive health needs at different ages. • Male circumcision reduces the risk of acquiring HIV infection by 50–60%, but does not guarantee complete protection. In addition, it may provide some protection against other sexually transmitted infections, such as syphilis and herpes, but offers little or no protection against gonorrhoea and chlamydia. • Male circumcision does not prevent unwanted pregnancy. Comprehensive education and information programmes, and the provision of services for contraception and STI prevention and management, are needed to address male sexual and reproductive health needs. • WHO and UNAIDS recommend HIV testing and counselling for all patients who have signs and symptoms of HIV infection. In certain epidemic situations, they recommend routinely offering an HIV test at every contact with health services. • WHO and UNAIDS recommend that all men who request circumcision to reduce their risk of HIV infection should be offered an HIV test. • The core goals for male sexual and reproductive health services include promoting responsible male sexual behaviour and encouraging men to support their female partners and children in meeting their sexual and reproductive health needs. • Sexual and reproductive health education and services are important for men and adolescents, as well as for women. A wide range of people and organizations can provide information and services, including parents, teachers, nongovernmental organizations, churches and youth groups, as well as health care providers in outpatient, family planning, STI, and HIV clinics. Every opportunity to provide education and services should be taken. • Male circumcision services for older boys and young men offer an opportunity to provide sexual and reproductive health education and counselling to these key groups. Linking male circumcision and other male SRH services Chapter 2-1
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Manual for Male Circumcision under Local Anaesthesia

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