Effectiveness of an “Exclusive Intervention Strategy” to increase medical male circumcision uptake among men aged 25–49 years in South Africa

Grund, Jonathan M; Chetty-Makkan, Candice M.; Ginindza, Sibuse; Munyai, Reuben; H, Kisbey-Green; Maraisane, Mpho; Charalambous, Salome

doi:10.1186/s12889-018-5729-6

Cited by 16 publications

(26 citation statements)

References 15 publications

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“…Since VMMC programs were established in several sub-Saharan African countries, demand creation activities in VMMC programs to date have tended to focus on education and recruitment campaigns for adolescent and adult men [ 9 , 12 , 13 ]. However, some recent studies have also investigated women’s acceptance of male circumcision and their partner’s readiness to undergo the procedure, and willingness to help promote VMMC for their male partners and contacts [ 10 , 14 ].…”

Section: Introductionmentioning

confidence: 99%

Association of Male Circumcision with Women’s Knowledge of its Biomedical Effects and With Their Sexual Satisfaction and Function: A Systematic Review

Grund¹,

Bryant

Toledo

et al. 2018

AIDS Behav

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Male circumcision (MC) is a key HIV prevention intervention for men in countries with high HIV prevalence. Women’s understanding of MC is important but poorly understood. We conducted a systematic review including women’s knowledge of MC’s biomedical impacts and its association with female sexual satisfaction and function through October 2017. Thirty-eight articles were identified: thirty-two with knowledge outcomes, seven with sexual satisfaction, and four with sexual function (N = 38). Respondent proportions aware MC protects men from HIV were 9.84–91.8% (median 60.0%). Proportions aware MC protects men from STIs were 14.3–100% (72.6%). Proportions aware MC partially protects men from HIV were 37.5–82% (50.7%). Proportions aware MC is not proven to protect women from infection by an HIV-positive partner were 90.0–96.8% (93.0%). No increases over time were noted. Women’s MC knowledge is variable. Education could help women support MC and make better-informed sexual decisions. Electronic supplementary material The online version of this article (10.1007/s10461-018-2313-0) contains supplementary material, which is available to authorized users.

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Section: Introductionmentioning

confidence: 99%

Association of Male Circumcision with Women’s Knowledge of its Biomedical Effects and With Their Sexual Satisfaction and Function: A Systematic Review

Grund¹,

Bryant

Toledo

et al. 2018

AIDS Behav

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“…Based on our findings we piloted an exclusive adult clinic to provide an environment where mature men could feel comfortable to access VMMC services. Results of this intervention are reported in full elsewhere [27]. Women could encounter communication challenges and resistance when speaking to mature men about circumcision, thus learning constructive skills could assist them in creating awareness on VMMC.…”

Section: Discussionmentioning

confidence: 99%

“…This sub-study took place as part of a larger implementation science research study (Imbizo study) that aimed to increase the proportion of men aged 25–49 years who accessed VMMC services [27]. Here, we explore the attitude and willingness of women to start a conversation on medical male circumcision with their sexual partners.…”

Section: Introductionmentioning

confidence: 99%

“To speak or not to speak”: A qualitative analysis on the attitude and willingness of women to start conversations about voluntary medical male circumcision with their partners in a peri-urban area, South Africa

Chetty-Makkan

Grund²,

Munyai

et al. 2019

PLoS ONE

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IntroductionVoluntary medical male circumcision (VMMC) reduces the risk of HIV infection in heterosexual men and has long-term indirect protection for women, yet VMMC uptake in South Africa remains low (49.8%) in men (25–49 years). We explored the attitude and willingness of women to start conversations on VMMC with their sexual partners in a South African peri-urban setting to increase VMMC uptake.MethodsThirty women with median age of 30 years (inter-quartile range 26–33 years) were interviewed in a language of their choice. Key questions included: types of approach to use, gender roles, benefits and barriers to introducing the topic of VMMC, and perceptions of VMMC. Interviews were digitally-recorded, transcribed, and translated. Through a standard iterative process, a codebook was developed (QSR NVIVO 10 software) and inductive thematic analysis applied.ResultsMost women were willing talk to their sexual partners about circumcision, but indicated that the decision to circumcise remained that of their sexual partner. Women felt that they should encourage their partners, show more interest in circumcision, be patient, speak in a caring and respectful tone, choose a correct time when their partner was relaxed and talk in a private space about VMMC. Using magazine/newspaper articles, pamphlets or advertisements were identified as tools that could aid their discussion. Substantial barriers to initiating conversations on VMMC included accusations by partner on infidelity, fear of gender-based violence, cultural restrictions and hesitation to speak to a mature partner about circumcision.ConclusionsWomen need to ensure that before talking to their partner about circumcision, the environment and approach that they use are conducive. Female social network forums could be used to educate women on conversation techniques, skills to use when talking to their partners and how to address communication challenges about circumcision. Involvement of women in VMMC awareness campaigns could encourage circumcision uptake among men.

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“…Voluntary medical male circumcision (VMMC) significantly reduces the risk of acquiring HIV in men (1)(2)(3)(4)(5)(6)(7)(8)(9) and for every circumcision there is a reduction of male to female sexual transmission of HIV by approximately 60% (10,11). VMMC is associated with several health benefits such as reducing the risk of contracting genital ulcers, syphilis, penile cancer, human papillomavirus (HPV), herpes simplex virus (HSV) and cancroid (12,13).…”

Section: Introductionmentioning

confidence: 99%

Differences in Adverse Events Related to Voluntary Male Medical Circumcision Between Civilian and Military Health Facilities in Uganda

Obangaber¹,

Seruwagi²,

Nabaggala³

et al. 2021

Preprint

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Background: Voluntary medical male circumcision (VMMC) significantly reduces the risk of acquiring HIV in men. Despite the percentage of circumcised men (15-49 years) in Uganda increasing over time, some populations are not taking up the surgical procedure. The government of Uganda and implementing partners have responded to this lack of VMMC coverage among key populations by intensifying introducing innovative strategies that increase demand particularly among military personnel using the WHO’s MOVE strategy. As a surgical intervention, it is critical that VMMC services are safe for clients and that adverse events or complications are minimized. This paper describes the prevalence and trends of adverse events reported among military mobile camps in comparison to civilian sites in Uganda. Methods: A prospective study conducted in eighteen (18) public health facilities between March and August 2019. Of these nine (9) were providing care to civilian populations while nine (9) served the military population and catchment areas. Descriptive statistics, Chi-square test and trends analysis were carried out to describe profile of advance events among civilian and military facilities over the study period. Results: The highest proportions of VMMC were done among persons aged 15 to 19 years whereas among military camps the highest proportions of circumcision among males aged 20 to 24 years. Regarding site of circumcision, the highest proportions of VMMC were done at outreaches, with higher levels in military camps compared to civilian camps. For the proportions of adverse events reported, higher proportions were reported in civilian camps compared to military camps (Total – 1.3% vs 0.2%; p- value<0.05). For trends analysis, results indicate that there was no statistically significant trend for both civilian and military number of adverse events reported for the four quarters in 2020 (P-value =0.315 for civilian and P=0.094 for the military). Conclusions: The MOVE model is great for scaling up VMMC in specialized populations such as military. Can also be adapted in other populations if contextual bottlenecks are identified and collectively addressed by key stakeholders – leadership, community engagement and using a largely horizontal approach offer promising possibilities and outcomes.

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Effectiveness of an “Exclusive Intervention Strategy” to increase medical male circumcision uptake among men aged 25–49 years in South Africa

Cited by 16 publications

References 15 publications

Association of Male Circumcision with Women’s Knowledge of its Biomedical Effects and With Their Sexual Satisfaction and Function: A Systematic Review

Association of Male Circumcision with Women’s Knowledge of its Biomedical Effects and With Their Sexual Satisfaction and Function: A Systematic Review

“To speak or not to speak”: A qualitative analysis on the attitude and willingness of women to start conversations about voluntary medical male circumcision with their partners in a peri-urban area, South Africa

Differences in Adverse Events Related to Voluntary Male Medical Circumcision Between Civilian and Military Health Facilities in Uganda

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