Male circumcision coverage, knowledge, and attitudes after 4-years of program scale-up in Rakai, Uganda

Xiangrong Kong, Joseph Ssekasanvu, Godfrey Kigozi, Tom Lutalo, Fred Nalugoda, David Serwadda, Maria J Wawer, Ronald H Gray

Research output: Contribution to journalArticle


We assessed medical male circumcision (MMC) coverage and knowledge and attitudes toward MMC adoption in men in Rakai, Uganda after 4 years of scale-up. MMC prevalence only reached 28 %, with an annual increase of 4 %. Prevalence was lower in men not using condoms or having never received HIV testing and counseling. Over 95 % of uncircumcised men knew the health benefits of and places offering MMC, but only 27 % were willing to adopt MMC. Main reasons for non-acceptance were fear of pain or injury. The data suggest MMC uptake in Rakai has been suboptimal and demand generation is key for scale-up.

Original languageEnglish (US)
Pages (from-to)880-884
Number of pages5
JournalAIDS and Behavior
Issue number5
Publication statusPublished - 2014



  • Demand creation
  • HIV prevention
  • Male circumcision
  • Reproductive health service underutilization in men

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Infectious Diseases
  • Social Psychology
  • Medicine(all)

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