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.