Introduction

Clinical trials have demonstrated an approximate 60% reduced chance of a circumcised male contracting HIV (sexually) from an infected female. Since 2007, the WHO have recommended that countries with high HIV prevalence and low rates of male circumcision adopt Voluntary Medical Male Circumcision (VMMC) as a tool in their fight against the HIV epidemic.

15 countries in Southern and Eastern Africa pledged to circumcise 80% of its sexually active men by 2016 after modelling estimated that performing ˜20 million circumcisions among 15-49 year old men could avert 3.4 million new HIV infections across these countries by 2025.

However, whilst some countries neared their targets, rates of voluntary medical male circumcision in Zambia and Zimbabwe remained low, despite strong efforts to improve the supply of circumcision services.

As the community of VMMC countries convened in Lusaka, Zambia in 2013, it became apparent that a new approach was needed to generate demand for VMMC in Zimbabwe and Zambia.