Rethinking VMMC Demand Creation Demand creation for voluntary medical male circumcision (VMMC) depends on implementing partners hiring community health workers (CHWs) to conduct one-on-one sessions, host media events, and participate in school health programs. This reliance on
implementing partners poses sustainability challenges for Zimbabwe’s VMMC program, as activities usually end when funding from the implementing partner stops. Additionally, CHWs are paid based on the number of VMMC clients they recruit, limiting the scope of community engagement to activities that
directly increase VMMC uptake. This output-based payment model can discourage broader community
involvement and exclude key groups, such as local leaders, from contributing effectively to VMMC
promotion.
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