The influence of branding on the uptake of voluntary medical male circumcision: a case study of “<i>Ndife Otsogola</i>” in Lilongwe, Malawi

Makono, Patrick; Mhagama, Peter; Tsitsi, Chimwemwe

doi:10.2989/16085906.2020.1850482

Cited by 2 publications

(1 citation statement)

References 21 publications

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“…Research has shown that interpersonal factors, the social context, culture and religion all play a significant role in influencing the uptake of VMMC by males. 18 , 19 , 20 From a socio-cultural perspective, the difference in cultural opinions between VMMC and TMC has been shown to be barriers to the acceptability of medical circumcision. 21 , 22 , 23 , 24 This is most prominent in communities that practice TMC as a rite of passage into manhood.…”

Section: Introductionmentioning

confidence: 99%

The development of an explanatory model for voluntary medical male circumcision in KwaZulu-Natal, South Africa

Nxumalo

Mchunu

2021

South African Family Practice

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Background: KwaZulu-Natal (KZN) remains the epicentre of the human immunodeficiency virus/acquired immunodeficiency syndrome (HIV/AIDS) epidemic in South Africa. The incidence of HIV infection in KZN necessitates cost-effective strategies to curb the spread of infection. Voluntary medical male circumcision (VMMC) has been adopted as an additional biomedical preventive strategy since 2010 in line with recommendations from the World Health Organization. Despite several attempts to scale-up VMMC to reach age specific targets to achieve immediate aversion of infections, the uptake of VMMC remains sub-optimal, particularly in KZN. The purpose of this study is to describe the processes that were followed in developing, describing and evaluating an explanatory model for VMMC in KZN, South Africa.Methods: A qualitative theory-generative phenomenographic study design was used to analyse the qualitative differences in primary healthcare stakeholders’ experiences, understanding and conceptions of VMMC in KZN, South Africa. The emerging results informed the development of the VMMC explanatory model for KZN, South Africa. The model development process followed four steps, namely (1) concept analysis, (2) construction of relational statements, (3) model description and (4) model evaluation. The criteria of relevance for the target audience – applicability, clarity, user friendliness and originality of work – were used to evaluate the model.Results: The model’s central premise is that the decision to undergo VMMC is shaped by a complex interplay of factors in the context or external environment of males (the extrinsic variable), which influences specific experiences, conceptions and understanding regarding VMMC (the influential/intrinsic variables). These collectively determine men’s responses to VMMC (the outcome variable).Conclusion: The model describes the process by which contextual, extrinsic and intrinsic variables interact to determine an individual male’s response to VMMC, thus providing a guide to primary healthcare providers on care, practice and policy interventions to support the uptake of VMMC in the rural primary healthcare context of KZN, South Africa.

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Section: Introductionmentioning

confidence: 99%

The development of an explanatory model for voluntary medical male circumcision in KwaZulu-Natal, South Africa

Nxumalo

Mchunu

2021

South African Family Practice

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Exploring culturally-preferred communication approaches for increased uptake of voluntary medical male circumcision (VMMC) services in rural Malawi

et al. 2023

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Background In 2007 WHO and UNAIDS recommended communication interventions as a key strategy for creating demand for Voluntary Medical Male Circumcision (VMMC) in Southern Africa. In Malawi, VMMC communication interventions, implemented by health communication agencies, have effectively raised awareness of services. However, high awareness of VMMC has not resulted in increased uptake. Consequently, Malawi has achieved the lowest number of circumcisions in Southern Africa. Methods These researchers carried out a study among the traditionally circumcising Yaos of Mangochi in Southern Region and the non-circumcising Chewas in Central Region. Data were collected using FGDs, KIIs, IDIs, Life Histories and Participatory Rural Appraisal methods. Data were analyzed thematically. Results This study demonstrates two lessons. First, Laswell’s Theory, which has traditionally been used in politics, is relevant to the health sector where the message delivery continuum also needs to be clear on source, message, audience, channel and intended effects. Secondly, according to informants, allowing communities to give feedback to the VMMC messages delivered by health promoters is fundamental. Therefore, failure by Laswell Theory to emphasize on feedback compromises its efficacy. It weakens its ability to foster a common vision between the source and the audience which is prerequisite for behavioral change. Conclusion The study concluded that community engagement and interpersonal communication which provide room for real-time feedback in any communicative event are the most preferred communication interventions for VMMC services among Yaos and Chewas.

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The influence of branding on the uptake of voluntary medical male circumcision: a case study of “Ndife Otsogola” in Lilongwe, Malawi

Cited by 2 publications

References 21 publications

The development of an explanatory model for voluntary medical male circumcision in KwaZulu-Natal, South Africa

The development of an explanatory model for voluntary medical male circumcision in KwaZulu-Natal, South Africa

Exploring culturally-preferred communication approaches for increased uptake of voluntary medical male circumcision (VMMC) services in rural Malawi

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