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Factors associated with HIV infection among sexually experienced adolescents in Africa: a pooled data analysis
Item type: Journal Article • Journal: African Journal of AIDS Research • Authors: Stella Babalola --- Johns Hopkins Bloomberg School of Public Health, United StatesThe article examines the factors associated with HIV status among adolescents aged 15–19 years in 13 African countries: Côte d'Ivoire, Democratic Republic of Congo, Guinea, Kenya, Liberia, Mali, Malawi, Rwanda, Sierra Leone, Swaziland, Tanzania, Zambia and Zimbabwe. The data were... -
Poverty, sexual behaviour, gender and HIV infection among young black men and women in Cape Town, South Africa
Item type: Journal Article • Journal: African Journal of AIDS Research • Authors: Nicoli Nattrass --- Centre for Social Science Research (CSSR), South Africa Brendan Maughan-Brown --- Southern Africa Labour and Development Research Unit, South Africa Jeremy Seekings --- Centre for Social Science Research (CSSR), South Africa Alan Whiteside --- Health Economics and HIV/AIDS Research Division (HEARD), South AfricaThis article contributes methodologically and substantively to the debate over the importance of poverty, sexual behaviour and circumcision in relation to HIV infection, using panel data on young black men and women in Cape Town, South Africa. Methodological challenges included... -
Why do male patients request circumcisions?
Item type: Journal Article • Journal: South African Family Practice • Authors: A Engelbrecht --- Dept Family Medicine, S Smith --- Dept Family Medicine,Background Circumcision has been performed for centuries. The popularity of the procedure waxed and waned during the ages. In South Africa, cultural circumcision is often regarded as the only way to attain full adulthood, and consequently many patients request circumcision... -
Community perception of traditional circumcision in a sub-region of the Transkei, Eastern Cape, South Africa
Item type: Journal Article • Journal: South African Family Practice • Authors: BL Meel --- Department of Forensic Medicine, Faculty of Health Sciences,The ritual of traditional male circumcisions (initiation) of young adults goes back generations among Xhosa people of South Africa. Xhosa tribe is committed to preserving the old cultural traditions. Recently, this ritual has been tarnished by serious complications that have... -
Circumcision weeks: making circumcision part of routine training and service delivery at district-level hospitals in South Africa
Item type: Journal Article • Journal: South African Family Practice • Authors: F Peters --- Pretoria West Hospital, TS Marcus --- Department of Family Medicine,Background: Medically safe, elective male circumcision supports traditional and cultural rites of passage by reducing the risk of adverse events and death among men undergoing initiation. It is a way of preventing penile conditions that arise from being uncircumcised. It... -
Evaluation of a project to reduce morbidity and mortality from traditional male circumcision in Umlamli, Eastern Cape, South Africa: outcome mapping
Item type: Journal Article • Journal: South African Family Practice • Authors: O Nwanze --- Division of Family Medicine and Primary Care, R Mash --- Division of Family Medicine and Primary Care,Background: Traditional circumcision is common among the amaXhosa in Umlamli, Eastern Cape. Circumcision is associated with high morbidity and mortality. The need to reduce complications was identified as a priority by the local community. The aim was to design, implement... -
License to cut and kill practice: a case report on botched circumcision in Mthatha region of South Africa
Item type: Journal Article • Journal: South African Family Practice • Authors: Banwari L Meel --- Department of Forensic Medicine, South AfricaThe objective of this letter is to highlight the problem of deaths related with traditional circumcisions in the Mthatha region of South Africa. Mr. XY, a schoolboy, died as a result of traditional circumcision. He went to a traditional surgeon... -
Voluntary medical male circumcision for HIV prevention in fishing communities in Uganda: the influence of local beliefs and practice
Item type: Journal Article • Journal: African Journal of AIDS Research • Authors: Martin Mbonye --- MRC/UVRI Uganda Research Unit on AIDS, Uganda Monica Kuteesa --- MRC/UVRI Uganda Research Unit on AIDS, Uganda Janet Seeley --- MRC/UVRI Uganda Research Unit on AIDS, Uganda Jonathan Levin --- School of Public Health, Faculty of Health Sciences, South Africa Helen Weiss --- MRC Tropical Epidemiology Group, United Kingdom Anatoli Kamali --- MRC/UVRI Uganda Research Unit on AIDS, UgandaLocal beliefs and practices about voluntary medical male circumcision (VMMC) may influence uptake and effectiveness. Data were gathered through interviews with 40 people from four ethnically mixed fishing communities in Uganda. Some men believed that wound healing could be promoted... -
Improving voluntary medical male circumcision standards adherence and post-procedure follow-up in Uganda: A mixed methods study
Item type: Journal Article • Journal: African Journal of AIDS Research • Authors: Sarah Smith Lunsford --- EnCompass LLC, USA John Byabagambi --- University Research Co., LLC, Uganda Zachariah Falconer-Stout --- EnCompass LLC, USA Esther Karamagi --- University Research Co., LLC, UgandaVoluntary medical male circumcision (VMMC) has been demonstrated to reduce the transmission of HIV by 60%. Scaling up VMMC services requires that they be of high quality, socially accepted, and effective. We evaluated an intervention aimed at improving VMMC standards... -
Cultural competence: a framework for promoting voluntary medical male circumcision among VaRemba communities in Zimbabwe
Item type: Journal Article • Journal: African Journal of AIDS Research • Authors: Kemist Shumba --- Department of Science and Technology (DST)\-National Research Foundation (NRF) Centre of Excellence, Human Development, South Africa Musara Lubombo --- Centre for Communication, Media & Society, South AfricaAlmost a decade after the formal introduction of voluntary medical male circumcision (VMMC) as an important technology for HIV prevention, its implementation is still fraught with acceptability challenges. This is especially true among ethnic groups where male circumcision is conducted... -
Delivering culturally sensitive, sexual health education in western Kenya: a phenomenological case study
Item type: Journal Article • Journal: African Journal of AIDS Research • Authors: Gary Lacey --- Independent Researcher, AustraliaWhile generic programmes have been created to raise sexual health awareness, these cannot always be applied to communities whose cultures and circumstances make them especially vulnerable to infection. Taking a phenomenological approach, this paper examines the circumstances of the Gusii... -
Factors associated with the take-up of voluntary medical male circumcision amongst learners in rural KwaZulu-Natal
Item type: Journal Article • Journal: African Journal of AIDS Research • Authors: Gavin George --- Health Economics and HIV/AIDS Research Division (HEARD), South Africa Kaymarlin Govender --- Health Economics and HIV/AIDS Research Division (HEARD), South Africa Sean Beckett --- Health Economics and HIV/AIDS Research Division (HEARD), South Africa Carl Montague --- Centre for the AIDS Programme of Research in South Africa (CAPRISA), South Africa Janet Frohlich --- Centre for the AIDS Programme of Research in South Africa (CAPRISA), South AfricaVoluntary medical male circumcision (VMMC) is an integral part of South Africa’s HIV prevention programme. School-going males, in particular, are considered a cost-effective target population. However, ambitious policy targets have not been achieved due to the plateau in demand for... -
Associations between female genital mutilation/cutting and HIV: a review of the evidence
Item type: Journal Article • Journal: African Journal of AIDS Research • Authors: Yetunde A Noah Pinheiro --- Consultant, Population Council, KenyaApart from its known association with short- and long-term adverse physical, psychological, and sexual sequelae, female genital mutilation/cutting (FGM/C) could be associated with increased susceptibility to HIV. Some experts propose that FGM/C increases risk of genital trauma and bleeding. Given... -
The influence of branding on the uptake of voluntary medical male circumcision: a case study of “Ndife Otsogola” in Lilongwe, Malawi
Item type: Journal Article • Journal: African Journal of AIDS Research • Authors: Patrick Makono --- , Malawi Peter Mhagama --- , Malawi Chimwemwe Tsitsi --- , MalawiBackground: “Ndife Otsogola” [We are forward thinkers] is the voluntary male medical circumcision (VMMC) campaign in Malawi that is part of the HIV and AIDS health promotion strategy. In 2012, the government of Malawi and its VMMC stakeholders developed communication... -
Parental decision-making in infant and child male circumcision: a case study in two townships in Gauteng, South Africa
Item type: Journal Article • Journal: African Journal of AIDS Research • Authors: Eurica Palmer --- , South Africa Lochner Marais --- , South Africa Michelle Engelbrecht --- , South AfricaParental decision-making in infant and child male circumcision is influenced by complex, interrelated factors on many levels. Several studies have highlighted reasons for the acceptance and non-acceptance of child male circumcision. This study investigates the factors that influence parental decision-making... -
Psychosocial coping mechanisms among uncircumcised Pokot women in North-Eastern Uganda
Item type: Journal Article • Journal: Journal of Psychology in Africa • Authors: Noah Kalengo --- Makerere University, Uganda Alone Isabirye --- Kyambogo University, Uganda John Bukusuba --- Makerere University, Uganda Laban K Musinguzi --- Makerere University, Uganda Janestic Mwende Twikirize --- Makerere University, UgandaUncircumcised women continue to be stigmatised with their rights and social status contested in communities where the practice is cherished. This study explored the circumcision refusal coping skills of women from the Pokot community, North-Eastern Uganda. Informants were 25 uncircumcised... -
Male circumcision and its association with HIV infection and sexually transmitted diseases: evidence from 18 demographic and health surveys in sub-Saharan Africa
Item type: Journal Article • Journal: SAHARA-J: Journal of Social Aspects of HIV/AIDS • Authors: Samson Gebremedhin --- Hawassa University, EthiopiaThe study aimed to assess the association between male circumcision and HIV infection and STDs. The issue is controversial as various studies reported conflicting findings. A cross-sectional comparative study based on the secondary data of 18 Demographic Health Surveys (DHS),... -
Early infant male circumcision for human immunodeficiency virus prevention: knowledge and attitudes of women attending a rural hospital in Swaziland, Southern Africa
Item type: Journal Article • Journal: SAHARA-J: Journal of Social Aspects of HIV/AIDS • Authors: Prudence Jarrett --- , , UK Merav Kliner --- , , UK John Walley --- , , UKSwaziland has the highest prevalence of human immunodeficiency virus (HIV) in the world at 26% of the adult population. Medical male circumcision (MMC) has been shown to reduce the risk of acquiring HIV from heterosexual sex by up to 60%... -
Perceived influence of value systems on the uptake of voluntary medical male circumcision among men in Kweneng East, Botswana
Item type: Journal Article • Journal: SAHARA-J: Journal of Social Aspects of HIV/AIDS • Authors: Thandisizwe R. Mavundla --- Department of Health Studies, College of Human Sciences, University of South Africa, South Africa Fungai Mbengo --- School of Nursing and Midwifery, Edith Cowan University, Australia Khanyenda Bruce Ngomi --- Department of Health Studies, College of Human Sciences, University of South Africa, South AfricaBotswana is one of the countries in Eastern and Southern Africa significantly impacted by the Human Immunodeficiency Virus (HIV). To control the spread of HIV, the government in 2009 rolled out the voluntary medical male circumcision (VMMC) programme as an... -
‘If you are found taking medicine, you will be called names and considered less of a man’: young men’s engagement with HIV treatment and care during ulwaluko (traditional initiation and circumcision) in the Eastern Cape Province of South Africa
Item type: Journal Article • Journal: SAHARA-J: Journal of Social Aspects of HIV/AIDS • Authors: L. Gittings --- University of Cape Town, South Africa R. Hodes --- University of Cape Town, South Africa C. Colvin --- University of Cape Town, South Africa S. Mbula --- Mzantsi Wakho, South Africa P. Kom --- Mzantsi Wakho, South AfricaThis paper explores how HIV-positive abakhwetha (young male initiates) undergoing ulwaluko (traditional Xhosa initiation and circumcision) engage with HIV-related biomedical care and treatment. Health-focused life history narratives (n = 36), semi-structured interviews (n = 32) and analysis of health facility files (n = 41) with adolescent... -
Early infant male circumcision: Potential for changing adverse gender norms associated with traditional male circumcision among circumcising communities in Kenya
Item type: Journal Article • Journal: African Journal of AIDS Research • Authors: Jacob Onyango --- , Kenya Marylyn Ochillo --- , Kenya Eunice Omanga --- , Kenya Ohaga Spala --- , Kenya Gift-Noelle Wango --- , Kenya Edwin Lwanya --- , Kenya Kawango Agot --- , KenyaIntroduction: Traditional male circumcision (TMC) inculcates masculine-dominance norms in young men. Early infant male circumcision (EIMC) and medical male circumcision (MMC) can potentially minimise these adverse gender norms. We explored the perceptions about EIMC and MMC among communities practising TMC...
