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Factors influencing neonatal male circumcision uptake among expecting couples in Zambia: formative findings.

Authors :
Mweemba O
Rodriguez VJ
Jones DL
Desgraves JF
Msimuko R
Mofya R
Kalebaila SK
Musonda-Chisangano MM
Mulavu M
Zulu R
Dunleavy VO
Bowa K
Weiss SM
Source :
AIDS care [AIDS Care] 2024 Apr; Vol. 36 (4), pp. 528-535. Date of Electronic Publication: 2023 Jul 05.
Publication Year :
2024

Abstract

Male circumcision is a protective HIV prevention strategy. However, uncircumcised Zambian men are reluctant to undergo voluntary medical male circumcision (VMMC). Tailored interventions are necessary to stimulate the uptake of early infant male circumcision (EIMC) and VMMC in Zambia. This feasibility study presents the formative process of utilising the PRECEDE framework in the development of a family-centred EIMC/VMMC intervention, Like Father Like Son, and its application in an existing VMMC intervention, Spear & Shield. We found that fear of the pain associated with EIMC procedures, foreskin disposal, beliefs in children's autonomy and rights, and men's dominance in health decision-making were factors affecting EIMC uptake. Perceived benefits for infants included improved hygiene, protection from HIV infection, and faster recovery. Reinforcing factors included female partners and fathers' MC status. The availability and access to EIMC services and information, skill and experience of health workers, and engagement and belief in traditional circumcision practices were factors enabling EIMC uptake. These individual, interpersonal, and structural factors positively and negatively influencing EIMC uptake in the Zambian clinic context were integrated into the intervention for expecting parents. Feedback from community advisory boards suggested the process was effective in developing a culturally tailored and acceptable EIMC/VMMC promotion intervention.

Details

Language :
English
ISSN :
1360-0451
Volume :
36
Issue :
4
Database :
MEDLINE
Journal :
AIDS care
Publication Type :
Academic Journal
Accession number :
37408444
Full Text :
https://doi.org/10.1080/09540121.2023.2223900