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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Understanding and addressing socio-cultural barriers to medical male circumcision in traditionally non-circumcising rural communities in sub-Saharan Africa
Culture, Health and Sexuality, Volume 15, No. 9, Year 2013
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Description
Given recent clinical trials establishing the safety and efficacy of adult medical male circumcision (MMC) in Africa, attention has now shifted to barriers and facilitators to programmatic implementation in traditionally non-circumcising communities. In this study, we attempted to develop a fuller understanding of the role of cultural issues in the acceptance of adult circumcision. We conducted four focus-group discussions with 28 participants in Mutoko, Zimbabwe, and 33 participants in Vulindlela, KwaZulu-Natal, South Africa, as well as 19 key informant interviews in both settings. We found the concept of male circumcision to be an alien practice, particularly as expressed in the context of local languages. Cultural barriers included local concepts of ethnicity, social groups, masculinity and sexuality. On the other hand, we found that concerns about the impact of HIV on communities resulted in willingness to consider adult male circumcision as an option if it would result in lowering the local burden of the epidemic. Adult MMC-promotional messages that create a synergy between understandings of both traditional and medical circumcision will be more successful in these communities. © 2013 Taylor & Francis.
Authors & Co-Authors
Khumalo-Sakutukwa, Gertrude N.
United States, San Francisco
Ucsf School of Medicine
Lane, Tim
United States, San Francisco
Ucsf School of Medicine
Van-Rooyen, Heidi E.
South Africa, Pietermaritzburg
Hiv/aids Sti and tb Unit of the Human Sciences Research Council
Chingono, Alfred H.
Zimbabwe, Harare
University of Zimbabwe
Humphries, Hilton R.
South Africa, Pietermaritzburg
Hiv/aids Sti and tb Unit of the Human Sciences Research Council
Timbe, Andrew
Zimbabwe, Harare
University of Zimbabwe
Fritz, Katherine E.
United States, Columbia
International Center for Research on Women
Chirowodza, Admire C.
South Africa, Pietermaritzburg
Hiv/aids Sti and tb Unit of the Human Sciences Research Council
Morin, Stephen F.
United States, San Francisco
Ucsf School of Medicine
Statistics
Citations: 41
Authors: 9
Affiliations: 4
Identifiers
Doi:
10.1080/13691058.2013.807519
ISSN:
13691058
e-ISSN:
14645351
Research Areas
Infectious Diseases
Sexual And Reproductive Health
Study Locations
South Africa
Zimbabwe
Participants Gender
Male