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Ethical implications of economic compensation for voluntary medical male circumcision for HIV prevention and epidemic control.
Köhler, Johannes; Singh, Jerome Amir; Stuart, Rennie; Samuelson, Julia; Reis, Andreas Alois.
Afiliación
  • Köhler J; Department of Anesthesiology and Critical Care Medicine, Kantonsspital Münsterlingen, Münsterlingen, Switzerland.
  • Singh JA; School of Law, University of KwaZulu-Natal, Durban, South Africa.
  • Stuart R; Dalla Lana School of Public Health, University of Toronto, Toronto, Canada.
  • Samuelson J; UNC Bioethics Center, Department of Social Medicine, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, United States of America.
  • Reis AA; Global Programmes on HIV, Hepatitis, STIs, World Health Organization, Geneva, Switzerland.
PLOS Glob Public Health ; 2(12): e0001361, 2022.
Article en En | MEDLINE | ID: mdl-36962919
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.

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Health_economic_evaluation Aspecto: Ethics Idioma: En Revista: PLOS Glob Public Health Año: 2022 Tipo del documento: Article País de afiliación: Suiza Pais de publicación: Estados Unidos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Health_economic_evaluation Aspecto: Ethics Idioma: En Revista: PLOS Glob Public Health Año: 2022 Tipo del documento: Article País de afiliación: Suiza Pais de publicación: Estados Unidos