Utilization of safe male circumcision among adult men in a fishing community in rural Uganda

Lubogo, Mutaawe; Anguzu, Ronald; Wanzira, Humphrey; Shour, Abdul R.; Mukose, Aggrey; Nyabigambo, Agnes; Tumwesigye, Nazarius Mbona

doi:10.4314/ahs.v19i3.40

Cited by 5 publications

(8 citation statements)

References 34 publications

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“…documented a rate of 53.8% among youth aged 15–24 years in Kasensero, Rakai district (n = 134); the proportion of circumcised youth was higher among HIV-negative males (n = 122; 58%) than HIV-positive males (n = 12; 27.9%) [ 38 ]. The lowest prevalence was documented in a study by Lubogo et al [ 64 ]; 8.4% (31/369) of the participants had been circumcised in a safe male circumcision designated health facility. Factors associated with circumcision included peer support (AOR = 5.88; 95%CI = 1.66–20.00) and perceived procedural safety of circumcision (AOR = 6.8; 95% CI = 2.16–21.17).…”

Section: Resultsmentioning

confidence: 91%

HIV epidemic in fishing communities in Uganda: A scoping review

et al. 2021

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Background Fishing communities in many Sub-Saharan African countries are a high-risk population group disproportionately affected by the HIV epidemic. In Uganda, literature on HIV in fishing communities has grown extensively since the first country’s documented case of HIV in a fishing community in 1985. The current study describes the status of the HIV burden, prevention, and treatment in Ugandan fishing communities. Method This scoping review was conducted based on the York Framework outlined by Arksey and O’Malley. We searched the PubMed, Embase, and Web of Science databases to identify relevant quantitative and qualitative studies on HIV incidence, HIV prevalence, HIV-related risk factors, HIV testing, antiretroviral therapy coverage and adherence, and interventions to improve treatment outcomes and reduce HIV risk factors. Results & conclusion We identified 52 papers and 2 reports. Thirty-four were quantitative, 17 qualitative, and 3 had a mixed-methods design. Eleven studies reported on the prevalence of HIV and 8 on HIV incidence; 9 studies documented factors associated with HIV incidence or HIV positive status; 10 studies reported on HIV testing coverage and/or associated factors; 7 reported on antiretroviral therapy coverage/adherence/outcomes; and 1 study reported on the impact of combination HIV interventions in fishing communities. This scoping review revealed a significant lack of evidence in terms of what works in HIV prevention and for improving adherence to ART, in contrast to the relatively large amount of evidence from observational quantitative and qualitative studies on HIV prevalence, incidence and related risk factors in Ugandan fishing communities. Intervention studies are urgently needed to fill the current evidence gaps in HIV prevention and ART adherence.

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Section: Resultsmentioning

confidence: 91%

HIV epidemic in fishing communities in Uganda: A scoping review

et al. 2021

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“…In our quantitative analysis, we summarized continuous variables using mean and standard deviation, and used percentages for the categorical variables. We defined the outcome (uptake of VMMC) as getting circumcised under the VMMC program by a trained medical worker, 6 , 19 which we measured on a binary scale as a proportion. Information on perceptions on VMMC, fears associated with VMMC, and misconceptions about VMMC were assessed using a Likert scale and later collapsed into binary responses.…”

Section: Methodsmentioning

confidence: 99%

Factors Influencing the Uptake of Voluntary Medical Male Circumcision Among Boda-Boda Riders Aged 18–49 Years in Hoima, Western Uganda

Tusabe¹,

Muyinda²,

Nangendo³

et al. 2022

HIV

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Introduction We asseSssed factors influencing the uptake of voluntary medical male circumcision (VMMC) among boda-boda riders aged 18–49 years in Hoima, western Uganda. Despite high levels of awareness about availability and benefits of VMMC, uptake was still low. Methods We employed the convergent parallel mixed methods design among boda-boda riders in Hoima district between August and September 2020. We administered a structured questionnaire to 316 boda-boda riders to determine factors associated with uptake of VMMC. We also conducted eight focus group discussions (FGDs) and six key informant interviews (KIIs) to explore perceptions of VMMC. To determine factors associated with VMMC, we conducted modified Poisson regression analysis at 5% level of significance. We identified sociocultural barriers and facilitators for VMMC using thematic content analysis. Results Uptake of VMMC was at 33.9% (95% CI 28.6–39.1) and was associated with higher level of education, adjusted prevalence ratio (APR) 1.63, (95% CI 1.12–2.40); concern about being away from work, APR 0.66 (95% CI 0.49–0.88); and the belief that VMMC does not diminish sexual performance, APR 1.78 (95% CI 1.08–2.9). Facilitators of uptake of VMMC were health education and awareness creation, improved penile hygiene, and perceived sexual functioning; and reduced chances of HIV and sexually transmitted infections (STIs). On the other hand, the barriers to uptake were fear of pain and compulsory HIV testing, healing duration, financial loss during the healing period, fear of sexual misbehavior after circumcision, interruption of God’s creation, and fear of loss of male fertility. Conclusion Although VMMC is largely perceived as protective against HIV and other STIs, deliberate measures using multiple strategies should be put in place to address the barriers to its uptake among this key population.

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“…Evidence from prior studies shows that interventions that offer social spaces that allow men to project non-normative masculine characteristics such as vulnerability and weakness while retaining their social status [15] and those that provide men with an opportunity to discuss HIV-related issues, including HIV testing, with fellow men [16] can improve HIV testing rates among men. However, only a few interventions have targeted men in fishing communities with interventions aimed to improve HIV testing or linkage to HIV care through men-tomen interventions [17,18]. The objective of this study was to assess the feasibility and acceptability of a peer-led oral HIV self-testing (HIVST) intervention to improve HIV testing and linkage to HIV care among young people (15-24 years) and adult men (25+ years) in Kasensero fishing community along the shores of Lake Victoria in rural Uganda.…”

Section: Introductionmentioning

confidence: 99%

Feasibility and acceptability of a pilot, peer-led HIV self-testing intervention in a hyperendemic fishing community in rural Uganda

et al. 2020

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BackgroundNovel interventions are needed to reach young people and adult men with HIV services given the low HIV testing rates in these population sub-groups. We assessed the feasibility and acceptability of a peer-led oral HIV self-testing (HIVST) intervention in Kasensero, a hyperendemic fishing community (HIV prevalence: 37-41%) in Rakai, Uganda. MethodsThis study was conducted among young people (15-24 years) and adult men (25+ years) between May and August 2019. The study entailed distribution of HIVST kits by trained "peer-leaders," who were selected from existing social networks and trained in HIVST distribution processes. Peer-leaders received up to 10 kits to distribute to eligible social network members (i.e. aged 15-24 years if young people or 25+ years if adult man, not tested in the past 3 months, and HIV-negative or of unknown HIV status at enrolment). The intervention was evaluated against the feasibility benchmark of 70% of peer-leaders distributing up to 70% of the kits that they received; and the acceptability benchmark of >80% of the respondents self-testing for HIV. ResultsOf 298 enrolled into the study at baseline, 56.4% (n = 168) were young people (15-24 years) and 43.6% (n = 130) were adult males (25+ years). Peer-leaders received 298 kits and distributed 296 (99.3%) kits to their social network members. Of the 282 interviewed at follow-up, 98.2% (n = 277) reported that they used the HIVST kits. HIV prevalence was 7.4% (n = 21). Of the 57.1% (n = 12) first-time HIV-positives, 100% sought confirmatory HIV

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Utilization of safe male circumcision among adult men in a fishing community in rural Uganda

Cited by 5 publications

References 34 publications

HIV epidemic in fishing communities in Uganda: A scoping review

HIV epidemic in fishing communities in Uganda: A scoping review

Factors Influencing the Uptake of Voluntary Medical Male Circumcision Among Boda-Boda Riders Aged 18–49 Years in Hoima, Western Uganda

Feasibility and acceptability of a pilot, peer-led HIV self-testing intervention in a hyperendemic fishing community in rural Uganda

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