“…Male circumcision is associated with various cultural factors, including religious sacrifice, rites of passage into adulthood, responsible manhood, and the promotion of hygiene (Auvert, Taljaard, Lagarde, Sobngwi-Tambekou, Sitta, & Puren, 2005;personal communication with ECHOTL chairperson Nkosi Matanzima, 2006). Newly circumcised men are prepared for new roles as adults and are taught the essential duties to their families and community members through a process called male initiation (le Roux, Niehaus, Koen, Seller, Lochner, & Emsley, 2007;Mbito & Malia, 2008). Anthropologists working in African societies have presented male initiation as secretive, culturally-tight rites of passage from boyhood to manhood (Boyle, Goldman, Svoboda, & Fernandez, 2002;Meissner & Buso, 2007;Munthali & Zulu, 2007;Niang & Boiro, 2007;Vincent, 2008).…”