• Vincent Mutabazi, Jamie I Forrest, Nathan Ford, and Edward J Mills.
• Ministry of Health, Republic of Rwanda, Rwanda Biomedical Centre-Medical Research Centre, PO Box 2717, Kigali, Rwanda. mutabazivincent@gmail.com.
• Bmc Med. 2014 Oct 6; 12: 184.

AbstractVoluntary medical male circumcision has been conclusively demonstrated to reduce the lifetime risk of male acquisition of HIV. The strategy has been adopted as a component of a comprehensive strategy towards achieving an AIDS-free generation. A number of countries in which prevalence of HIV is high and circumcision is low have been identified as a priority, where innovative approaches to scale-up are currently being explored. Rwanda, as one of the priority countries, has faced a number of challenges to successful scale-up. We discuss here how simplifications in the procedure, addressing a lack of healthcare infrastructure and mobilizing resources, and engaging communities of both men and women have permitted Rwanda to move forward with more optimism in its scale-up tactics. Examples from Rwanda are used to highlight how these barriers can and should be addressed.

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