Ethical implications of economic compensation for voluntary medical male circumcision for HIV prevention and epidemic control.

Despite tremendous efforts in fighting HIV over the last decades, the estimated annual number of new infections is still a staggering 1.5 million. There is evidence that voluntary medical male circumcision (VMMC) provides protection against men's heterosexual acquisition of HIV-1 infection. Des...

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Main Authors: Johannes Köhler, Jerome Amir Singh, Rennie Stuart, Julia Samuelson, Andreas Alois Reis
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2022-01-01
Series:PLOS Global Public Health
Online Access:https://doi.org/10.1371/journal.pgph.0001361
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author Johannes Köhler
Jerome Amir Singh
Rennie Stuart
Julia Samuelson
Andreas Alois Reis
author_facet Johannes Köhler
Jerome Amir Singh
Rennie Stuart
Julia Samuelson
Andreas Alois Reis
author_sort Johannes Köhler
collection DOAJ
description Despite tremendous efforts in fighting HIV over the last decades, the estimated annual number of new infections is still a staggering 1.5 million. There is evidence that voluntary medical male circumcision (VMMC) provides protection against men's heterosexual acquisition of HIV-1 infection. Despite good progress, most countries implementing VMMC for HIV prevention programmes are challenged to reach VMMC coverage rates of 90%. Particularly for men older than 25 years, a low uptake has been reported. Consequently, there is a need to identify, study and implement interventions that could increase the uptake of VMMC. Loss of income and incurred transportation costs have been reported as major barriers to uptake of VMMC. In response, it has been suggested to use economic compensation in order to increase VMMC uptake. In this discussion paper, we present and review relevant arguments and concerns to inform decision-makers about the ethical implications of using economic compensation, and to provide a comprehensive basis for policy and project-related discussions and decisions.
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spelling doaj.art-b02fc8996c9b4faf8243a62fcfb588432023-09-03T09:40:39ZengPublic Library of Science (PLoS)PLOS Global Public Health2767-33752022-01-01212e000136110.1371/journal.pgph.0001361Ethical implications of economic compensation for voluntary medical male circumcision for HIV prevention and epidemic control.Johannes KöhlerJerome Amir SinghRennie StuartJulia SamuelsonAndreas Alois ReisDespite tremendous efforts in fighting HIV over the last decades, the estimated annual number of new infections is still a staggering 1.5 million. There is evidence that voluntary medical male circumcision (VMMC) provides protection against men's heterosexual acquisition of HIV-1 infection. Despite good progress, most countries implementing VMMC for HIV prevention programmes are challenged to reach VMMC coverage rates of 90%. Particularly for men older than 25 years, a low uptake has been reported. Consequently, there is a need to identify, study and implement interventions that could increase the uptake of VMMC. Loss of income and incurred transportation costs have been reported as major barriers to uptake of VMMC. In response, it has been suggested to use economic compensation in order to increase VMMC uptake. In this discussion paper, we present and review relevant arguments and concerns to inform decision-makers about the ethical implications of using economic compensation, and to provide a comprehensive basis for policy and project-related discussions and decisions.https://doi.org/10.1371/journal.pgph.0001361
spellingShingle Johannes Köhler
Jerome Amir Singh
Rennie Stuart
Julia Samuelson
Andreas Alois Reis
Ethical implications of economic compensation for voluntary medical male circumcision for HIV prevention and epidemic control.
PLOS Global Public Health
title Ethical implications of economic compensation for voluntary medical male circumcision for HIV prevention and epidemic control.
title_full Ethical implications of economic compensation for voluntary medical male circumcision for HIV prevention and epidemic control.
title_fullStr Ethical implications of economic compensation for voluntary medical male circumcision for HIV prevention and epidemic control.
title_full_unstemmed Ethical implications of economic compensation for voluntary medical male circumcision for HIV prevention and epidemic control.
title_short Ethical implications of economic compensation for voluntary medical male circumcision for HIV prevention and epidemic control.
title_sort ethical implications of economic compensation for voluntary medical male circumcision for hiv prevention and epidemic control
url https://doi.org/10.1371/journal.pgph.0001361
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