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Estimates of the prevalence of male circumcision in sub-Saharan Africa from 2010–2023 —A systematic review and meta-analysis

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posted on 2024-04-16, 09:16 authored by Basant Elsayed, Mohamed Elmarasi, Ruvarashe J. Madzime, Lovemore Mapahla, Menatalla M. S. ElBadway, Tawanda Chivese

Male circumcision (MC) is a key part of the package of interventions to prevent HIV, the biggest health challenge in sub-Saharan Africa.

To estimate the male circumcision prevalence and to evaluate the progress towards meeting WHO targets in sub-Saharan Africa during the period 2010–2023.

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.

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.

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.

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Publisher

Stellenbosch University

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Basant, Elsayed; Mohamed, Elmarasi; Ruvarashe, Madzime J.; Mapahla, Lovemore; ElBadway, Menatalla M.S.; Chivese, Tawanda

Date

2024-03-13

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en

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  • Medicine and Health Sciences

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Recommended Citation

Basant, E, Mohamed, E, Ruvarashe, MJ, Mapahla, L, ElBadway, MMS & Chivese, T. 2024. Estimates of the prevalence of male circumcision in sub-Saharan Africa from 2010–2023 —A systematic review and meta-analysis. Stellenbosch University. Dataset. DOI:https://doi.org/10.25413/sun.25605504

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