Understanding barriers and facilitators to voluntary medical male circumcision and Spear and Shield uptake in Zambian community health centers.

ABSTRACT: Voluntary medical male circumcision (VMMC) has been an effective method for reducing the risk of HIV transmission by 50%-70% in Eastern and Southern Africa. The Spear and Shield (S&S) program is a community health center (CHC)-based biobehavioral VMMC HIV prevention intervention that increased VMMC uptake in male CHC attendees in Lusaka, Zambia. Qualitative data organized using the Consolidated Framework for Implementation Research (CFIR) has been used to characterize factors that may impact S&S/VMMC implementation. This manuscript uses the CFIR to examine S&S implementation across 96 CHCs in four Zambian provinces using a mixed-methods approach to (a) quantify successful S&S implementation; (b) understand how CFIR domains might provide insight into the degree of implemental success; (c) i

SUBMITTER: Cristofari NV 

PROVIDER: S-EPMC9154239 | biostudies-literature | 2022 May

REPOSITORIES: biostudies-literature