Obtaining a male circumcision prevalence rate of 80% among adults in a short time
| Autor: | Tebogo Molomo, Reathe Rain-Taljaard, Cornelius Monkwe, Esaie Marshall, Dumazile Xaba, Bertran Auvert, Dirk Taljaard, Florence Hlatswayo, Adrian Puren, Motlalepule Tsepe, Pascale Lissouba |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Adult
Male Gerontology Health Knowledge Attitudes Practice Time Factors Adolescent Population Psychological intervention Prevalence Observational Study Developing country HIV Infections Health Promotion Motivational Interviewing Immunodeficiency Syndrome South Africa Young Adult 03 medical and health sciences 0302 clinical medicine prevention Environmental health male circumcision Humans Medicine Prospective Studies 030212 general & internal medicine Young adult Prospective cohort study education education.field_of_study 030505 public health business.industry public health demand creation HIV General Medicine Middle Aged Patient Acceptance of Health Care Circumcision Male uptake Africa Observational study 0305 other medical science business Research Article |
| Zdroj: | Medicine |
| ISSN: | 0025-7974 |
| Popis: | World Health Organization recommends a target for the male circumcision prevalence rate of 80%. This rate will have a substantial impact on the human immunodeficiency virus-acquired immunodeficiency syndrome epidemic in Eastern and Southern Africa. The objective of the study was to assess whether an innovative intervention can lead to an increased voluntary male medical circumcision (VMMC) uptake among adults in a short time. This prospective observational study of a demand generation intervention was conducted in the township of Orange Farm (South Africa) in August to November 2015. In this community male circumcision prevalence rate among adults was stable between 2010 and 2015 at 55% and 57%, despite regular VMMC campaigns at community level and the presence of a VMMC clinic that offered free VMMC. The intervention took place in a random sample of 981 households where 522 men aged 18 to 49 years accepted to participate in the study. Among the 226 uncircumcised men, 212 accepted to be enrolled in the intervention study. A personal male circumcision adviser trained in interpersonal communication skills was assigned to each uncircumcised participant. The male circumcision advisers were trained to explain the risks and benefits of VMMC, and to discuss 24 possible reasons given by men for not being circumcised. Participants were then followed for 9 weeks. Each participant had a maximum of 3 motivational interviews at home. Participants who decided to be circumcised received financial compensation for their time equivalent to 2.5 days of work at the minimum South African salary rate. Among the 212 uncircumcised men enrolled in the intervention, 69.8% (148/212; 95% confidence interval [CI]; 63.4%–75.7%) agreed to be circumcised, which defines the uptake of the intervention. The male circumcision prevalence rate of the sample increased from 56.7% (296/522) to 81.4% (425/522; 77.9%–84.6%), P |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|