Rwanda Pioneers Use of Non-Surgical Circumcision Method


27. 11. 2013

Minister Agnes Binagwaho and other health officials at the launch of prepex at Kanombe Military Hospital

Rwanda has become the first country to launch a nationwide scale-up of non-surgical adult male circumcision method (Prepex) to reduce the rate of HIV infections

Adult men will be able to access the Voluntary Medical Male Circumcision (VMMC) services which now targets over 700.000 adults (between 15-49 years) in the scale up program.

The non-surgical method was launched on November 26, 2013 in Kigali by Rwanda’s Minister of Health, Dr. Agnes Binagwaho.

The method was developed by Tzameret Fuerst, who are medical experts and co-founders of Prepex. It was first tried in Rwanda and has also been fully approved by the world health organization after a three year clinical and rigorous evaluation process.

Though the country’s HIV prevalence is at a low rate (3percent), the Minister of Health Dr. Agnes Binagwaho says that the method is timely and will enable the country to have a grip on the scourge by preventing more infections and enabling the infected ones to get assistance.

“This method is the first of its kind that will scale up the VMMC services and curb the rate of HIV infection in Rwanda. We will deploy it along other existing methods of prevention coupled with behavioral change initiatives,” Dr. Agnes Binagwaho said.

The minister also stated that though Rwanda has been the first country to use the method, the problem of HIV/Aids is a crosscutting issue that calls for the involvement of everyone.

She said that Rwandans have showed a lot of interest in the Prepex method despite the fact that the country is limited by resources to meet the demand.

According to the Minister, government will open up more health centers, mobilize and train more human resource to provide the services at all community levels, and also solicit the funds needed to actualize the set goals of promoting male circumcision.

Studies have showed that voluntary medical male circumcision reduces risks of heterosexually acquired HIV/AIDS infections by roughly 60 percent. In 2007, international health experts announced plans to circumcise 80 percent of male adults (20 million men) in 14 countries in south and eastern Africa- which are hit hardest by HIV.

Prepex becomes the first device for adult circumcision to receive WHO approval and according to US Global AIDS coordinator Ambassador, Eric Goosby – it is believed to be “a method that will truly save lives”.

The UNAIDS estimates that the circumcision effort would prevent 3.4 million HIV infections and it will need about $16.5 billion for the goal to be achieved.



[Today, many scientific advances have been made in HIV treatment, there are laws to protect people living with HIV and we understand so much more about the condition. But despite this, people do not know the facts about how to protect themselves and others from HIV, and stigma and discrimination remain a reality for many people living with HIV. World AIDS Day is important as it reminds the public and Government that HIV has not gone away – there is still a vital need to raise money, increase awareness, fight prejudice and improve education.] (Source:


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