HIV and Male Circumcision in Swaziland

Mallinson, Kevin R; Sibandze, Bongani T.

doi:10.1891/9780826172112.0008

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“…In Swaziland, the U.S.-funded "cut and conquer" campaign has caused confusion in that it seems to suggest that once cut, a man has "conquered" HIV, or is subsequently free to "conquer" women, leading to beliefs that VMMC is actually a colonial campaign to infect Africans. 173…”

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“…A nurse in Swaziland remarked, "Doesn't it seem a bit like colonial paternalism for a White American physician to advocate for cutting the foreskin of a Black African man's penis for his own good?" 159 In Swaziland, Alfred Adams and Eileen Moyer found that "the aggressive nature of the circumcision campaign exacerbated peoples' suspicions." 160 One man asked: "[W]ho is funding this whole thing?…”

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A new Tuskegee? Unethical human experimentation and Western neocolonialism in the mass circumcision of African men

Fish¹,

Shahvisi²,

Gwaambuka³

et al. 2020

Developing World Bioethics

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In 2007, the World Health Organization (WHO) and the Joint United Nations Programme on HIV and AIDS (UNAIDS) approved a campaign to circumcise millions of African boys and men. This policy followed the results of three randomized trials published between 2005 and 2007 reporting a relative risk reduction in female-to-male transmission of HIV of 50%-60% among circumcised men. 1 Given the urgency of the HIV crisis in sub-Saharan Africa (SSA), which represents over 70% of the global infection burden, 2 it is understandable that public health officials would seize on such an apparent "silver bullet." Between 2008-2018, 23 million men and boys underwent so-called "voluntary medical male circumcision" (VMMC) in

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confidence: 99%