scholarly journals Healthcare providers’ knowledge, attitudes and practices towards medical male circumcision and their understandings of its partial efficacy in HIV prevention: Qualitative research in KwaZulu-Natal, South Africa

2016 ◽  
Vol 53 ◽  
pp. 182-189 ◽  
Author(s):  
Cecilia Milford ◽  
Letitia Rambally ◽  
Joanne E. Mantell ◽  
Elizabeth A. Kelvin ◽  
Nzwakie F. Mosery ◽  
...  
Keyword(s):  
South Africa ◽  
Qualitative Research ◽  
Hiv Prevention ◽  
Male Circumcision ◽  
Healthcare Providers ◽  
Medical Male Circumcision ◽  
Attitudes And Practices ◽  
Kwazulu Natal ◽  
Knowledge Attitudes And Practices

scholarly journals Healthcare providers’ perceptions and understanding of voluntary medical male circumcision in KwaZulu-Natal, South Africa: A qualitative study

2021 ◽  
Vol 63 (1) ◽  
Author(s):  
Celenkosini T. Nxumalo ◽  
Gugu G. Mchunu
Keyword(s):  
South Africa ◽  
Male Circumcision ◽  
Healthcare Workers ◽  
Scale Up ◽  
Healthcare Providers ◽  
Structured Interview ◽  
Heterosexual Transmission ◽  
Voluntary Medical Male Circumcision ◽  
Medical Male Circumcision ◽  
Kwazulu Natal

Background: There is compelling evidence that voluntary medical male circumcision (VMMC) reduces the chances of heterosexual transmission of HIV infection. Healthcare workers are among the key influencers in terms of the scale-up of VMMC as they are often involved in mobilisation for uptake. There is a paucity of qualitative research on healthcare workers’ experiences, understanding and perceptions of VMMC; particularly in the South African rural primary healthcare context. This study was conducted to examine healthcare workers perceptions and understanding of VMMC in KwaZulu-Natal, South Africa.Methods: The study employed a qualitative approach using a phenomenographic design. A purposive sample of 15 doctors, nurses and clinical associates working in 6 different rural clinics in KwaZulu-Natal, South Africa, were interviewed in English in-depth using a semi-structured interview schedule. The interviews were audio-recorded, and transcribed. The results were analysed thematically using phenomenographic data analysis procedures.Results: Categories of description in participants’ perceptions and understanding of VMMC emerged. The findings of this study revealed that healthcare workers perceptions and understanding of VMMC were predominantly influenced by the hegemonic religious and cultural norms associated with male circumcision in KwaZulu-Natal, South Africa.Conclusion: The findings of this study suggest that tailored training to address healthcare workers misperceptions and poor understanding of VMMC is necessary to ensure that they become effective custodians for VMMC implementation.

scholarly journals Implementation of Adolescent-Friendly Voluntary Medical Male Circumcision Using a School Based Recruitment Program in Rural KwaZulu-Natal, South Africa

PLoS ONE ◽  
2014 ◽  
Vol 9 (5) ◽  
pp. e96468 ◽  
Author(s):  
Carl Montague ◽  
Nelisiwe Ngcobo ◽  
Gethwana Mahlase ◽  
Janet Frohlich ◽  
Cheryl Pillay ◽  
...  
Keyword(s):  
South Africa ◽  
Male Circumcision ◽  
Voluntary Medical Male Circumcision ◽  
Medical Male Circumcision ◽  
School Based ◽  
Kwazulu Natal

scholarly journals Knowledge, attitudes and practices on malaria transmission in Mamfene, KwaZulu-Natal Province, South Africa 2015

2017 ◽  
Vol 18 (1) ◽  
Author(s):  
Pinky N. Manana ◽  
Lazarus Kuonza ◽  
Alfred Musekiwa ◽  
Hluphi D. Mpangane ◽  
Lizette L. Koekemoer
Keyword(s):  
South Africa ◽  
Malaria Transmission ◽  
Attitudes And Practices ◽  
Kwazulu Natal ◽  
Knowledge Attitudes And Practices

scholarly journals Knowledge, attitudes and practices of male circumcision for Human Immunodeficiency Virus (HIV) prevention among voluntary counselling and testing clients in a centre in northern Namibia

2017 ◽  
Vol 3 (1) ◽  
pp. 42 ◽  
Author(s):  
Terthu K Ngodji ◽  
Jessica Rebert ◽  
Ehimario U Igumbor ◽  
Vistolina Nuuyoma
Keyword(s):  
Hiv Prevention ◽  
Hiv Infection ◽  
Male Circumcision ◽  
Cross Sectional ◽  
Voluntary Counselling ◽  
Attitudes And Practices ◽  
Health Related ◽  
High Level ◽  
Voluntary Counselling And Testing ◽  
Knowledge Attitudes And Practices

Background: There is compelling evidence that male circumcision (MC) is associated with reduced risk of contracting HIV. For this reason, MC is recommended for countries like Namibia where HIV prevalence is high and MC rates are low. Following this recommendation, a national MC campaign was considered to introduce MC as an additional HIV prevention strategy with the intention of rolling it out in communities where MC is not traditionally practised and where heterosexually transmitted HIV infection rates are high. Little is known about the acceptability of MC in traditionally non-circumcising communities in Northern Namibia.Objective: This study assessed the knowledge, attitudes and practices of MC among men presenting for voluntary counselling and testing (VCT) in a traditionally non-circumcising ethnic group in the northern Namibia.Methods: A cross-sectional descriptive study design was used. Semi-structured questionnaires were used to collect data from 331 Oshiwambo-speaking males aged 18 years and older, presenting for VCT services. Data was analysed using Epi-Info 2008, Version 3.5.1.Results: The self-reported prevalence of MC in the study sample was 15.4%, with 38% of those reporting being circumcised during their childhood (1-13 years) and 44% being circumcised for health-related reasons. Most respondents (n = 241, 74.4%) had heard that MC reduces the men’s risk of HIV infection. Up to 53.1% of the respondents had good knowledge regarding MC; moreover, the majority of the respondents (n = 194, 66.6%) reported that it is easier for uncircumcised men to acquire HIV infection. It was found that men aged 25 to 34 years were more willing to be circumcised than the other age groups.Conclusions: A high level of knowledge of MC was revealed. Accordingly, the idea of MC is likely to be accepted, especially if it is implemented to reduce the risk of HIV infection.

scholarly journals The development of an explanatory model for voluntary medical male circumcision in KwaZulu-Natal, South Africa

2021 ◽  
Vol 63 (1) ◽  
Author(s):  
Celenkosini T. Nxumalo ◽  
Gugu G. Mchunu
Keyword(s):  
South Africa ◽  
Male Circumcision ◽  
Primary Healthcare ◽  
Explanatory Model ◽  
Outcome Variable ◽  
Care Practice ◽  
Model Description ◽  
Voluntary Medical Male Circumcision ◽  
Medical Male Circumcision ◽  
Kwazulu Natal

Background: KwaZulu-Natal (KZN) remains the epicentre of the human immunodeficiency virus/acquired immunodeficiency syndrome (HIV/AIDS) epidemic in South Africa. The incidence of HIV infection in KZN necessitates cost-effective strategies to curb the spread of infection. Voluntary medical male circumcision (VMMC) has been adopted as an additional biomedical preventive strategy since 2010 in line with recommendations from the World Health Organization. Despite several attempts to scale-up VMMC to reach age specific targets to achieve immediate aversion of infections, the uptake of VMMC remains sub-optimal, particularly in KZN. The purpose of this study is to describe the processes that were followed in developing, describing and evaluating an explanatory model for VMMC in KZN, South Africa.Methods: A qualitative theory-generative phenomenographic study design was used to analyse the qualitative differences in primary healthcare stakeholders’ experiences, understanding and conceptions of VMMC in KZN, South Africa. The emerging results informed the development of the VMMC explanatory model for KZN, South Africa. The model development process followed four steps, namely (1) concept analysis, (2) construction of relational statements, (3) model description and (4) model evaluation. The criteria of relevance for the target audience – applicability, clarity, user friendliness and originality of work – were used to evaluate the model.Results: The model’s central premise is that the decision to undergo VMMC is shaped by a complex interplay of factors in the context or external environment of males (the extrinsic variable), which influences specific experiences, conceptions and understanding regarding VMMC (the influential/intrinsic variables). These collectively determine men’s responses to VMMC (the outcome variable).Conclusion: The model describes the process by which contextual, extrinsic and intrinsic variables interact to determine an individual male’s response to VMMC, thus providing a guide to primary healthcare providers on care, practice and policy interventions to support the uptake of VMMC in the rural primary healthcare context of KZN, South Africa.

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