Nearly all national programmes in 14 priority countries had in place the key elements for scale-up of voluntary medical male circumcision by the end of 2011, a year when most of the countries more than doubled the number of procedures performed. However, this WHO/UNAIDS update reports that the 1.4 million men reached by these programmes represents about 7 percent of the total of 20 million male circumcisions needed to achieve significant public health impact.