Strategy and Implementation Plan for Scaling Up Safe Male Circumcision for HIV Prevention in Swaziland

In light of ecologic, observational and conclusive scientific evidence from randomized-controlled clinical trials that male circumcision provides partial protection against HIV acquisition by men, WHO, in November 2007, recommended that MC be added to existing comprehensive HIV prevention programmes in 13 countries throughout sub-Saharan Africa: countries with high HIV prevalence, low male circumcision (MC) prevalence, and predominantly heterosexual (generalized) epidemics.

Swaziland has the highest HIV prevalence in the world, a generalized HIV epidemic, and almost all Swazi men are uncircumcised. Therefore, in November 2007, Swaziland drafted a formal MC policy, Policy on Safe Male Circumcision for HIV Prevention (hereafter, THE MC Policy), as a first step to begin providing MC services to curb the spread of HIV throughout the country.

Kingdom of Swaziland Ministry of Health