Imperial College London
Alternate

Jeff Imai-Eaton

Faculty of Medicine, School of Public Health

Senior Research Fellow
 
 
 
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Contact

 

jeffrey.eaton

 
 
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Location

 

UG7Norfolk PlaceSt Mary's Campus

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Summary

 

Publications

Citation

BibTex format

@article{Cork:2020:10.1186/s12916-020-01635-5,
author = {Cork, MA and Wilson, KF and Perkins, S and Collison, ML and Deshpande, A and Eaton, JW and Earl, L and Haeuser, E and Justman, JE and Kinyoki, DK and Mayala, BK and Mosser, JF and Murray, CJL and Nkengasong, JN and Piot, P and Sartorius, B and Schaeffer, LE and Serfes, AL and Sligar, A and Steuben, KM and Tanser, FC and VanderHeide, JD and Yang, M and Wabiri, N and Hay, SI and Dwyer-Lindgren, L},
doi = {10.1186/s12916-020-01635-5},
journal = {BMC Medicine},
title = {Mapping male circumcision for HIV prevention efforts in sub-Saharan Africa},
url = {http://dx.doi.org/10.1186/s12916-020-01635-5},
volume = {18},
year = {2020}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - BackgroundHIV remains the largest cause of disease burden among men and women of reproductive age in sub-Saharan Africa. Voluntary medical male circumcision (VMMC) reduces the risk of female-to-male transmission of HIV by 50–60%. The World Health Organization (WHO) and Joint United Nations Programme on HIV/AIDS (UNAIDS) identified 14 priority countries for VMMC campaigns and set a coverage goal of 80% for men ages 15–49. From 2008 to 2017, over 18 million VMMCs were reported in priority countries. Nonetheless, relatively little is known about local variation in male circumcision (MC) prevalence.MethodsWe analyzed geo-located MC prevalence data from 109 household surveys using a Bayesian geostatistical modeling framework to estimate adult MC prevalence and the number of circumcised and uncircumcised men aged 15–49 in 38 countries in sub-Saharan Africa at a 5 × 5-km resolution and among first administrative level (typically provinces or states) and second administrative level (typically districts or counties) units.ResultsWe found striking within-country and between-country variation in MC prevalence; most (12 of 14) priority countries had more than a twofold difference between their first administrative level units with the highest and lowest estimated prevalence in 2017. Although estimated national MC prevalence increased in all priority countries with the onset of VMMC campaigns, seven priority countries contained both subnational areas where estimated MC prevalence increased and areas where estimated MC prevalence decreased after the initiation of VMMC campaigns. In 2017, only three priority countries (Ethiopia, Kenya, and Tanzania) were likely to have reached the MC coverage target of 80% at the national level, and no priority country was likely to have reached this goal in all subnational areas.ConclusionsDespite MC prevalence increases in all priority countries since the onset of VMMC campaigns in 2008, MC prevalence remain
AU  - Cork,MA
AU  - Wilson,KF
AU  - Perkins,S
AU  - Collison,ML
AU  - Deshpande,A
AU  - Eaton,JW
AU  - Earl,L
AU  - Haeuser,E
AU  - Justman,JE
AU  - Kinyoki,DK
AU  - Mayala,BK
AU  - Mosser,JF
AU  - Murray,CJL
AU  - Nkengasong,JN
AU  - Piot,P
AU  - Sartorius,B
AU  - Schaeffer,LE
AU  - Serfes,AL
AU  - Sligar,A
AU  - Steuben,KM
AU  - Tanser,FC
AU  - VanderHeide,JD
AU  - Yang,M
AU  - Wabiri,N
AU  - Hay,SI
AU  - Dwyer-Lindgren,L
DO  - 10.1186/s12916-020-01635-5
PY  - 2020///
SN  - 1741-7015
TI  - Mapping male circumcision for HIV prevention efforts in sub-Saharan Africa
T2  - BMC Medicine
UR  - http://dx.doi.org/10.1186/s12916-020-01635-5
UR  - https://bmcmedicine.biomedcentral.com/articles/10.1186/s12916-020-01635-5
UR  - http://hdl.handle.net/10044/1/90142
VL  - 18
ER  -
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