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The Certain limited activies of United States Agency for International Development is are to be merged into continued to by the Department of State.<ref>{{REFnews
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|title=
Politics
== Circumcision Scale-Up ==
PEPFAR (2025) has scrapped its ineffective and harmful "voluntary male medical circumcision" (VMMC) program after 15 years and at least 27,000,000 harmful and useless [[foreskin]] amputations.<ref name="gwarisa2025">{{REFnews
|title=New PEPFAR Waiver Scraps Voluntary Medical Male Circumcision Program
|url=https://healthtimes.co.zw/2025/02/07/new-pepfar-waiver-scraps-voluntary-medical-male-circumcision-program/
|last=Gwarisa
|first=Michael
|init=
|author-link=
|publisher=Healthtimes
|website=
|date=2025-02-07
|accessdate=2025-02-15
|format=
|quote=
}}</ref> Numerous studies have demonstrated that [[adult circumcision]] is not effective in preventing [[HIV]] [[infection]].
PEPFAR ignominiously ended the provision of non-therapeutic [[circumcision]] of boys under age 15 in November 2019 due to significant, complications, injuries, and other abuses.
USAID has studied the "scale-up" of circumcision in Africa and shows support for circumcision in numerous places on its website.<ref name='usaid-circ-hiv-factsheet'>{{REFweb
|last=
== Voluntary Male Medical Circumcision ==
USAID's support of what they call the "[[Voluntary Medical Male Circumcision]] program: VMMC" also focused on [[Kenya]].<ref>{{REFweb
|quote=USAID/Kenya’s [[HIV]]/[[AIDS]] program is supported by the President’s Emergency Plan for AIDS Relief ([[PEPFAR]]). This five-year, $48 billion program, is led by the U.S. Global AIDS Coordinator, in conjunction with USAID, the Department of Health and Human Services (including the Centers for Disease Control and Prevention), the Department of Defense (DOD), the U.S. Peace Corps, and the Department of State.
|last=
== C-Change ==
A USAID-funded organization called "[[C-Change]]" in Kenya is supporting "Male Circumcision Communication Toolkits" with the stated goal of "Creating demand for [[VMMC ]] ([[adult circumcision]])" and "facilitating a scale-up of materials" and capacity to perform more circumcisions from the government of Kenya. One of the ways C-Change is creating demand is by spreading information stating that "VMMC" prevents STI's.<ref>{{REFweb
|quote=...[Male Circumcision] reduces risk for men...
|url=http://c-changeprogram.org/where-we-work/kenya