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Citation Information

Type Journal Article - AIDS and Behavior
Title The relationship between distance and post-operative visit attendance following medical male circumcision in Nyanza province, Kenya
Volume 20
Issue 11
Publication (Day/Month/Year) 2016
Page numbers 2529-2537
URL http://erepository.uonbi.ac.ke/bitstream/handle/11295/91779/The Relationship Between Distance and​Post-operative Visit Attendance.pdf?sequence=1&isAllowed=y
To date, there is no research on voluntary
medical male circumcision (VMMC) catchment areas or
the relationship between distance to a VMMC facility and
attendance at a post-operative follow-up visit. We analyzed
data from a randomly selected subset of males self-seeking
circumcision at one of 16 participating facilities in Nyanza
Province, Kenya between 2008 and 2010. Among 1437
participants, 46.7 % attended follow-up. The median distance
from residence to utilized facility was 2.98 km (IQR
1.31–5.38). Nearly all participants (98.8 %) lived within
5 km from a facility, however, 26.3 % visited a facility
more than 5 km away. Stratified results demonstrated that
among those utilizing fixed facilities, greater distance was
associated with higher odds of follow-up non-attendance
(OR5.01–10km vs. 0–1km = 1.71, 95 % CI 1.08, 2.70,
p = 0.02; OR[10km vs. 0–1 km = 2.80, 95 % CI 1.26, 6.21,
p = 0.01), adjusting for age and district of residence. We
found 5 km marked the threshold distance beyond which
follow-up attendance significantly dropped. These results
demonstrate distance is an important predictor of attending
follow-up, and this relationship appears to be modified by
facility type.

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