Impediments for the Uptake of the Botswana Government′s Male Circumcision Initiative for HIV Prevention

Sabone, Motshedisi; Magowe, Mabel; Busang, Lesego; Moalosi, Jonathan; Binagwa, Benjamin; Mwambona, Janet

doi:10.1155/2013/387508

Cited by 16 publications

(20 citation statements)

References 11 publications

(19 reference statements)

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“…Despite the efficacy of male circumcision in reducing female‐to‐male transmission of HIV and STIs (WHO/UNAIDS Technical Consultation on Male Circumcision and HIV Prevention, ), only 5% of the teenagers who were aged 15–19 years in Botswana have been circumcised because this is not part of the Botswana culture, thus losing the benefit of this prevention strategy. Currently, the uptake is slow because of inadequate knowledge about its safety, especially for older men, the fear of pain, and criteria of selecting only HIV‐negative men (Sabone et al , , ).…”

Section: Introductionmentioning

confidence: 99%

Perceptions of key participants about Botswana adolescents' risks of unplanned pregnancy, sexually transmitted diseases, and HIV: Qualitative findings

Magowe

Seloilwe

Dithole

et al. 2017

Japan Journal Nursing Sci

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Policy changes are needed to improve collaboration between adolescents, parents, teachers, and youth officers in order to address adolescent sexuality problems. Further research is needed to explore the ways in which to improve sexuality communication between these groups. The results of the study provide valuable information on the sexuality risks that expose adolescents to HIV, pregnancy, and sexually transmitted infections and the strategies for the prevention of these risks, thus informing targeted interventions for risk reduction for adolescents.

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Section: Introductionmentioning

confidence: 99%

Perceptions of key participants about Botswana adolescents' risks of unplanned pregnancy, sexually transmitted diseases, and HIV: Qualitative findings

Magowe

Seloilwe

Dithole

et al. 2017

Japan Journal Nursing Sci

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“…These findings concur with the belief that intensification of neonatal circumcision is better because it is associated with fewer medical risks (29). Other studies have mainly sited poor knowledge of health care workers in relation to VMMC and the need for HIV testing (30).…”

Section: Discussionmentioning

confidence: 99%

Health care service providers’ experiences, understanding and conceptions of voluntary medical male circumcision in KwaZulu-Natal, South Africa

Nxumalo

Mchunu

2019

Preprint

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Health care service providers' experiences, understanding and conceptions of voluntary medical male circumcision in KwaZulu-Natal, South Africa BackgroundThere is compelling evidence that voluntary medical male circumcision reduces the chances of heterosexual transmission of HIV infection. Health care workers are among the key influencers in terms of scale up of VMMC as they are often involved in mobilization for uptake. Adequate knowledge and competence are essential to ensuring that the delivery of VMMC services is line with the recommended comprehensive package of HIV prevention services. AimThe aim of this study was to analyse health care service providers' conceptions, experiences and understanding of VMMC in KwaZulu-Natal, South Africa. MethodsThe study employed a qualitative approach using a phenomenographic design. Ethical clearance to conduct the study was obtained from the University of KwaZulu-Natal's Biomedical Research Ethics Committee (BE627/18).Data were collected from a purposive sample of 15 health care worker who were doctors, nurses and clinical associates working in six different rural clinics in KwaZulu-Natal, South Africa. Individual in-depth interviews were used collect data guided by a semi-structured interview schedule. An audiotape was used to record the interviews, which were then transcribed verbatim, and analysed thematically. ResultsCategories of description in healthcare providers' experiences, conceptions and understanding of voluntary medical male circumcision emerged. The findings of this study revealed that health care workers conceptions, experiences and understanding of VMMC were influenced by stereotypical cultural, religious and traditional beliefs. The challenges of implementing VMMC were shortage of staff and poor training of health care workers on VMMC. ConclusionTailored messaging targeting health care workers misconceptions and poor understanding of VMMC in necessary. In addition, resource allocation for training and infrastructure could significantly improve the quality of VMMC services and uptake thereof. INCLUSION CRITERIA Health care workers at primary health care level namely nurses, doctors and clinical associates directly involved with VMMC. DATA COLLECTIONA semi-structured interview guide was used to collect data from the target population by means of an in-depth individual interview recorded using an audiotape.

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“…There is need to dispel some myths, attitudes and beliefs about safe male circumcision which may fuel risky behaviours. Sabone et al (2013) observed that some wrong beliefs, myths and attitudes are key impediments to uptake of safe male circumcision among men in Botswana. They (Sabone et al, 2013) suggested the need for further information, education and communication about SMC to reduce the level to which risk compensation could moderate the protective effects of SMC.…”

Section: Discussionmentioning

confidence: 99%

Prevalence and covariates of human immunodeficiency virus (HIV) risk behaviours among circumcised and uncircumcised men in Botswana: A national cross sectional study

Keetile¹,

Bariagaber²

2017

J. Public Health Epidemiol.

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There is insufficient evidence documenting and comparing the prevalence and covariates of human immunodeficiency virus (HIV) risk behaviours among circumcised and uncircumcised men in Botswana. The main aim of this paper was to assess prevalence and covariates of HIV risk behaviours among circumcised and uncircumcised men in Botswana. Data used for this study was derived from the 2013 Botswana AIDS Impact Survey which was a nationally representative, population-based survey. Cross-tabulations and logistic regression analysis were used to assess covariates of HIV risk behaviours among circumcised and uncircumcised men. Mean age for participants in the study was 30.46 years. From a total sample of 3809 men, only 25% were circumcised, 90% had ever heard about safe male circumcision program, 9% were of the view that circumcised men should stop using condoms. Results show that 67% of men were circumcised in government health facility, 16% in private health facility, while 17% in a traditional setting. Logistic regression results show evidence of risk compensation (multiple sex partners) among circumcised men (OR=1.027; 95% CI: 1.002-1.053). On the other hand, circumcised men were less likely to have not used condoms consistently (OR=0.672; 95% CI: 0.531-0.753). Alcohol consumption was found to be a statistically significant covariate of having multiple sex partners (OR=2.101; 95% CI: 2.044-2.161) while in rural residence, Christianity, primary education and the belief that circumcised men should stop using condoms were associated with inconsistent condom use. Further research is needed to understand the complex relationship between men's circumcision status and HIV risk behaviours in order to design effective interventions.

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Impediments for the Uptake of the Botswana Government′s Male Circumcision Initiative for HIV Prevention

Cited by 16 publications

References 11 publications

Perceptions of key participants about Botswana adolescents' risks of unplanned pregnancy, sexually transmitted diseases, and HIV: Qualitative findings

Perceptions of key participants about Botswana adolescents' risks of unplanned pregnancy, sexually transmitted diseases, and HIV: Qualitative findings

Health care service providers’ experiences, understanding and conceptions of voluntary medical male circumcision in KwaZulu-Natal, South Africa

Prevalence and covariates of human immunodeficiency virus (HIV) risk behaviours among circumcised and uncircumcised men in Botswana: A national cross sectional study

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