scholarly journals Voluntary Medical Male Circumcision: A Qualitative Study Exploring the Challenges of Costing Demand Creation in Eastern and Southern Africa

PLoS ONE ◽  
2011 ◽  
Vol 6 (11) ◽  
pp. e27562 ◽  
Author(s):  
Jane T. Bertrand ◽  
Emmanuel Njeuhmeli ◽  
Steven Forsythe ◽  
Sarah K. Mattison ◽  
Hally Mahler ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Southern Africa ◽  
Male Circumcision ◽  
Voluntary Medical Male Circumcision ◽  
Medical Male Circumcision ◽  
Demand Creation ◽  
Eastern And Southern Africa

scholarly journals Effectiveness of Demand creation promotions and demand creation personnel in creating demand for Voluntary Medical Male Circumcision in Chitungwiza district, Zimbabwe in 2016

2018 ◽  
Author(s):  
Taurai Matikiti ◽  
Tsitsi P Juru ◽  
Notion Gombe ◽  
Peter Nsubuga ◽  
Mufuta Tshimanga
Keyword(s):  
Male Circumcision ◽  
Service Providers ◽  
Sampling Technique ◽  
Professional Judgment ◽  
Voluntary Medical Male Circumcision ◽  
Age Group ◽  
Medical Male Circumcision ◽  
Hiv Prevention Intervention ◽  
Demand Creation ◽  
Eastern And Southern Africa

AbstractZimbabwe is one of the 14 countries in eastern and southern Africa that have adopted Voluntary Medical Male Circumcision (VMMC) as an HIV prevention intervention in response to WHO’s recommendation for countries with generalised high HIV epidemics and low VMMC prevalence. However, since 2013 when VMMC was scalled up in Zimbabwe, there was a general low uptake of the VMMC programme particularly on the target age group 20-29 years which has an immediate reduction in the HIV burden. The failure of VMMC uptake in the priority age group prompted the need to analyse the effectiveness of demand creation promotions and personnel used in creating demand for VMMC in Chitungwiza district, Zimbabwe. We employed judgmental sampling, a non-probability sampling technique where we interviewed VMMC clients (n=50) and service providers (n=10) using self administered questions, and community mobilisers (n=10) and demand creation teams (n=3) using face-to-face interviews based on their experience, knowledge and professional judgment. We also randomly analysed client records in the form of 50 Client Intake Forms (CIF) books. We found out that Community mobilisers and Demand creation officers were effective in mobilising clients in the age group 10-15 years and 16-30 years respectively. The use of clinicians (nurses) was also found to be useful in creating demand for VMMC. We also found out that intensifying campaigns during school holidays, the use of tent-based/caravan campaigns and the door to door campaigns were most effective strategies under demand creation promotions. We concluded that there is need to increase demand creation officers and qualified community mobilisers. To regulary train and motivate current community mobilisers as well as increasing the use of clinicians(nurses) in demand creation. We recommended the need to increase the number of mobile caravans and intensifying on the door to door campaigns in the district.

scholarly journals Messaging Circumstances and Economic Pressures as Influences on Linkage to Medical Male Circumcision following Community-Based HIV Testing for Men in Rural Southwest Uganda: A Qualitative Study

2018 ◽  
Vol 2018 ◽  
pp. 1-7 ◽  
Author(s):  
Hannah N. Gilbert ◽  
Monique A. Wyatt ◽  
Stephen Asiimwe ◽  
Bosco Turyamureeba ◽  
Elioda Tumwesigye ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Hiv Testing ◽  
Male Circumcision ◽  
Sub Saharan Africa ◽  
Voluntary Medical Male Circumcision ◽  
Hiv Education ◽  
Community Based ◽  
Medical Male Circumcision ◽  
Demand Creation

Voluntary medical male circumcision (MMC) reduces risk of HIV infection, but uptake remains suboptimal among certain age groups and locations in sub-Saharan Africa. We analysed qualitative data as part of the Linkages Study, a randomized controlled trial to evaluate community-based HIV testing and follow-up as interventions promoting linkage to HIV treatment and prevention in Uganda and South Africa. Fifty-two HIV-negative uncircumcised men participated in the qualitative study. They participated in semistructured individual interviews exploring (a) home HTC experience; (b) responses to test results; (c) efforts to access circumcision services; (d) outcomes of efforts; (e) experiences of follow-up support; and (f) local HIV education and support. Interviews were audio-recorded, translated, transcribed, and summarized into “linkage summaries.” Summaries were analysed inductively to identify the following three thematic experiences shaping men’s circumcision choices: (1) intense relief upon receipt of an unanticipated seronegative diagnosis, (2) the role of peer support in overcoming fear, and (3) anticipation of missed economic productivity. Increased attention to the timing of demand creation activities, to who delivers information about the HIV prevention benefits of MMC, and to the importance of missed income during recovery as a barrier to uptake promises to strengthen and sharpen future MMC demand creation strategies.

scholarly journals Voluntary Medical Male Circumcision: A Framework Analysis of Policy and Program Implementation in Eastern and Southern Africa

PLoS Medicine ◽  
2011 ◽  
Vol 8 (11) ◽  
pp. e1001133 ◽  
Author(s):  
Kim E. Dickson ◽  
Nhan T. Tran ◽  
Julia L. Samuelson ◽  
Emmanuel Njeuhmeli ◽  
Peter Cherutich ◽  
...  
Keyword(s):  
Southern Africa ◽  
Male Circumcision ◽  
Program Implementation ◽  
Voluntary Medical Male Circumcision ◽  
Framework Analysis ◽  
Medical Male Circumcision ◽  
Eastern And Southern Africa
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