The Government of Rwanda has decided to scale-up its voluntary male circumcision program using the PrePex™ system, a new device for rapid adult male circumcision deployment in resource-limited settings (http://www.moh.gov.rw/index.php?option=com_content&view=article&id=181:rwanda...). The PrePex system works through a special elastic mechanism that fits closely around an inner ring, trapping the foreskin, which dries up and is removed after a week. The procedure is quick, simple, bloodless and safe.
In 2010, a nationally sponsored study to test the safety and efficacy of the system was initiated: http://clinicaltrials.gov/ct2/show/NCT01150370. Results showed its potential to revolutionize male circumcision as an HIV prevention method. And a new study is currently under way in Rwanda to compare it to surgical circumcision for rapid scale-up of male circumcision in resource limited setting:http://clinicaltrials.gov/ct2/show/NCT01284088.
This roll-out is part of a national comprehensive plan for HIV prevention that you can download in PDF here: http://www.moh.gov.rw/index.php?option=com_docman&task=cat_view&gid=67&Itemid=14
We hope to decrease the HIV incidence rate by 50% by circumcising two million adults in two years.
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