
Since 2009, the President’s Emergency Plan for AIDS Relief (PEPFAR) has supported the provision of more than 25.3 million voluntary medical male circumcisions (VMMC) in eastern and southern Africa as part of its efforts to reduce new HIV infections among men and boys. PEPFAR’s annual report to the U.S. Congress notes that significant declines in new HIV infections and all-cause mortality have been achieved in all countries in sub-Saharan Africa, primarily through scale-up of antiretroviral therapy and HIV prevention, including VMMC. In 2021, efforts to reach men and boys older than 15 will be intensified, using strategies identified in several countries for identifying older men at risk and supporting them to seek VMMC services.