RESEARCH ARTICLE Open Access in n

Full list of author information is available at the end of the articleThe efficacy, effectiveness and cost-effectiveness of adult male circumcision (MC) to prevent female-to-male trans-mission of HIV are well established [1-6]. The World Health Organization (WHO) estimates that as many as 2 million new infections in Sub-Saharan Africa can be averted in the next 10 years through scale-up of safe, high-quality MC services [7]. times higher among uncircumcised men than among cir-cumcised men ages 15–64 (16.9 % vs. 3.1%) [8]. In Nyansa Province, based on 2009 data, the equivalent figure were 17.3 % and 5.5 % respectively [9]. Among Kenya’s nine provinces, Nyansa has the highest combined male and fe-male HIV prevalence, 13.9%. Nyanza accounts for one in three new infections in Kenya [10], while comprising only 5.4 million of Kenya’s 2009 population of 38.6 million [11] making it a priority region for scaling up MC. * Correspondence