Unpacking early infant male circumcision decision-making using qualitative findings from Zimbabwe
| Autor: | Karin Hatzold, Ismail Ticklay, Frances M. Cowan, Webster Mavhu, Kumbirai Chatora, Shamiso Fernando, Owen Mugurungi, Getrude Ncube, Roy Dhlamini, Collin Mangenah |
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| Jazyk: | angličtina |
| Předmět: |
0301 basic medicine
Adult Male Parents Zimbabwe Pediatrics medicine.medical_specialty Adolescent Population Decision Making Psychological intervention Developing country Context (language use) wa_395 HIV Infections Developmental psychology 03 medical and health sciences Fathers 0302 clinical medicine medicine Humans 030212 general & internal medicine education Qualitative Research Interventions ws_430 Aged Aged 80 and over education.field_of_study wa_30 business.industry Public health wj_100 Public Health Environmental and Occupational Health Infant Grandparent Focus Groups Middle Aged 030112 virology Focus group Circumcision Male Early infant male circumcision Female business Qualitative Qualitative research Research Article Decision-making |
| Zdroj: | BMC International Health and Human Rights |
| ISSN: | 1472-698X |
| DOI: | 10.1186/s12914-016-0111-1 |
| Popis: | BACKGROUND\ud \ud Early infant male circumcision (EIMC) has been identified as a key HIV prevention intervention. Exploring the decision-making process for adoption of EIMC for HIV prevention among parents and other key stakeholders is critical for designing effective demand creation interventions to maximize uptake, roll out and impact in preventing HIV. This paper describes key players, decisions and actions involved in the EIMC decision-making process.\ud \ud METHODS\ud \ud Two complementary qualitative studies explored hypothetical and actual acceptability of EIMC in Zimbabwe. The first study (conducted 2010) explored hypothetical acceptability of EIMC among parents and wider family through focus group discussions (FGDs, n = 24). The follow-up study (conducted 2013) explored actual acceptability of EIMC among parents through twelve in-depth interviews (IDIs), four FGDs and short telephone interviews with additional parents (n = 95). Short statements from the telephone interviews were handwritten. FGDs and IDIs were audio-recorded, transcribed and translated into English. All data were thematically coded.\ud \ud RESULTS\ud \ud Study findings suggested that EIMC decision-making involved a discussion between the infant's parents. Male and female participants of all age groups acknowledged that the father had the final say. However, discussions around EIMC uptake suggested that the infant's mother could sometimes covertly influence the father's decision in the direction she favoured. Discussions also suggested that fathers who had undergone voluntary medical male circumcision were more likely to adopt EIMC for their sons, compared to their uncircumcised counterparts. Mothers-in-law/grandparents were reported to have considerable influence. Based on study findings, we describe key EIMC decision makers and attempt to illustrate alternative outcomes of their key actions and decisions around EIMC within the Zimbabwean context.\ud \ud CONCLUSIONS\ud \ud These complementary studies identified critical players, decisions and actions involved in the EIMC decision-making process. Findings on who influences decisions regarding EIMC in the Zimbabwean context highlighted the need for EIMC demand generation interventions to target fathers, mothers, grandmothers, other family members and the wider community. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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