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

Title: Ethical implications of economic compensation for voluntary medical male circumcision for HIV prevention and epidemic control
Authors: Köhler, Johannes; Singh, Jerome Amir; Stuart, Rennie; Samuelson, Julia; Reis, Andreas Alois
Contributors: Robinson, Julia; German Federal Ministry of Education and Research and Stiftung Mercator; Bill & Melinda Gates Foundation
Source: PLOS Global Public Health ; volume 2, issue 12, page e0001361 ; ISSN 2767-3375
Publisher Information: Public Library of Science (PLoS)
Publication Year: 2022
Collection: PLOS Publications (via CrossRef)
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.
Document Type: article in journal/newspaper
Language: English
DOI: 10.1371/journal.pgph.0001361
Availability: https://doi.org/10.1371/journal.pgph.0001361; https://dx.plos.org/10.1371/journal.pgph.0001361
Rights: http://creativecommons.org/licenses/by/4.0/
Accession Number: edsbas.AB54EE41
Database: BASE