Voluntary Medical Male Circumcision: A Cross-Sectional Study Comparing Circumcision Self-Report and Physical Examination Findings in Lesotho

2011 ◽  
Author(s):  
Anne G. Thomas ◽  
Bonnie R. Tran ◽  
Marcus Cranston ◽  
Malerato C. Brown ◽  
Rajiv Kumar ◽  
...  
Keyword(s):  
Physical Examination ◽  
Male Circumcision ◽  
Cross Sectional Study ◽  
Self Report ◽  
Voluntary Medical Male Circumcision ◽  
Sectional Study ◽  
Cross Sectional ◽  
Medical Male Circumcision

scholarly journals Voluntary Medical Male Circumcision: A Cross-Sectional Study Comparing Circumcision Self-Report and Physical Examination Findings in Lesotho

PLoS ONE ◽  
2011 ◽  
Vol 6 (11) ◽  
pp. e27561 ◽  
Author(s):  
Anne Goldzier Thomas ◽  
Bonnie Robin Tran ◽  
Marcus Cranston ◽  
Malerato Cecilia Brown ◽  
Rajiv Kumar ◽  
...  
Keyword(s):  
Physical Examination ◽  
Male Circumcision ◽  
Cross Sectional Study ◽  
Self Report ◽  
Voluntary Medical Male Circumcision ◽  
Sectional Study ◽  
Cross Sectional ◽  
Medical Male Circumcision

scholarly journals Prevalence and correlates of voluntary medical male circumcision adverse events among adult males in the Copperbelt Province of Zambia: A cross-sectional study

PLoS ONE ◽  
2021 ◽  
Vol 16 (9) ◽  
pp. e0256955
Author(s):  
Imukusi Mutanekelwa ◽  
Seter Siziya ◽  
Victor Daka ◽  
Elijah Kabelenga ◽  
Ruth L. Mfune ◽  
...  
Keyword(s):  
Adverse Events ◽  
Male Circumcision ◽  
Associated Factors ◽  
Cross Sectional Study ◽  
World Health ◽  
Voluntary Medical Male Circumcision ◽  
Adult Males ◽  
Sectional Study ◽  
Cross Sectional ◽  
Medical Male Circumcision

Background Voluntary Medical Male Circumcision (VMMC) is a key intervention in HIV/AIDS. Improving VMMC program uptake in Zambia requires careful monitoring of adverse events (AE) to inform program quality and safety. We investigate the prevalence of VMMC AE and their associated factors among adult males in Ndola, Copperbelt Province, Zambia. Methods We performed a cross-sectional study using secondary clinical data collected in 2015 using two validated World Health Organisation/Ministry of Health reporting forms. We reviewed demographics and VMMC surgical details from 391 randomly sampled adult males aged ≥18 years at Ndola Teaching Hospital, a specialised VMMC fixed site in Zambia. Non-parametric tests (Fisher’s exact test or Chi-square depending on assumptions being met) and logistic regression were conducted to determine the relationships between associated factors and VMMC AE. Results The overall VMMC AE prevalence was 3.1% (95% CI 1.60%– 5.30%) and most AEs occurred postoperatively. In decreasing order, the commonly reported VMMC AE included; bleeding (47.1%), swelling (29.4%), haematoma (17.6%), and delayed wound healing (5.9%). There was an inversely proportional relationship between VMMC volume (as measured by the number of surgeries conducted per VMMC provider) and AEs. Compared to the highest VMMC volume of 63.2% (247/391) as reference, as VMMC volume reduced to 35.0% (137/391) and then 1.8% (7/391), the likelihood of AEs increased by five times (aOR 5.08; 95% CI 1.33–19.49; p = 0.018) and then sixteen times (aOR 16.13; 95% CI 1.42–183.30; p = 0.025) respectively. Conclusions Our study found a low prevalence of VMMC AEs in Ndola city, Copperbelt Province of Zambia guaranteeing the safety of the VMMC program. We recommend more surgically proficient staff to continue rendering this service. There is a need to explore other high priority national/regional areas of VMMC program safety/quality, such as adherence to follow-up visits.

scholarly journals Voluntary Medical Male Circumcision and Sexual Practices among Sexually Active Circumcised Men in Mzuzu, Malawi: A Cross-Sectional Study

2019 ◽  
Author(s):  
Zimveka Jones Chatsika ◽  
Andrew Kumitawa ◽  
Vincent Samuel ◽  
Steven Chifundo Azizi ◽  
Vincent C Jumbe
Keyword(s):  
Protective Effect ◽  
Male Circumcision ◽  
Cross Sectional Study ◽  
Sexual Practices ◽  
Voluntary Medical Male Circumcision ◽  
Low Density ◽  
Sectional Study ◽  
Cross Sectional ◽  
Medical Male Circumcision ◽  
Risky Sexual Practices

Abstract Background Voluntary Medical Male Circumcision (VMMC) is one of the strategies being promoted to prevent sexual heterosexual transmission of HIV. It has been adopted by 14 countries with high HIV prevalence and low circumcision rates. The 60% protective efficacy of VMMC has come with misconceptions in some societies in Malawi, hence VMMC clients may opt for risky sexual practices owing to its perceived protective effect. The study estimated proportion of circumcised men engaging in risky sexual behaviors post-VMMC, assessed knowledge on VMMC protective effect and identified socio-demographic factors associated with risky sexual practices. Method A cross sectional study was conducted at two sites of Mzuzu city. Systematic random sampling was used to select 322 clients aged 18-49 who had undergone VMMC. The independent variables included age, location, occupation, religion, marital status and education. Outcome variables were non condom use, having multiple sexual partners and engaging in transactional sex. Data from questionnaires was analyzed using Pearson’s chi square test and logistic regression. Results Out of 322 respondents, 84.8% (273) understood the partial protection offered by VMMC in HIV prevention. Ninety-six percent of the participants self-reported continued use of condoms post VMMC. Overall 23.7% - 38.3% clients self-reported engaging in risky sexual practices post VMMC, 23.7% (76) had more than one sexual partner; 29.2% (94) paid for sex while 39.9% (n=187) did not use a condom. Residing in high density areas was associated with non-condom use, (p = 0.043). Being single (p <0.0001), and residing in low density areas (p = 0.004) was associated with engaging in transactional sex. Conclusion Risky sexual practices are evident among clients that have undergone VMMC. Messages on safer sexual practices and limitations of VMMC need to be emphasized to clients, especially unmarried or single and those residing in low density areas.

scholarly journals Voluntary Medical Male Circumcision and Sexual Practices among Sexually Active Circumcised Men in Mzuzu, Malawi: A Cross-Sectional Study

2019 ◽  
Author(s):  
Zimveka Jones Chatsika ◽  
Andrew Kumitawa ◽  
Vincent Samuel ◽  
Steven Chifundo Azizi ◽  
Vincent C Jumbe
Keyword(s):  
Protective Effect ◽  
Male Circumcision ◽  
Cross Sectional Study ◽  
Sexual Practices ◽  
Voluntary Medical Male Circumcision ◽  
Low Density ◽  
Sectional Study ◽  
Cross Sectional ◽  
Medical Male Circumcision ◽  
Risky Sexual Practices

Abstract Background: Voluntary Medical Male Circumcision (VMMC) is one of the strategies being promoted to prevent sexual heterosexual transmission of HIV. It has been adopted by 14 countries with high HIV prevalence and low circumcision rates. The 60% protective efficacy of VMMC has come with misconceptions in some societies in Malawi, hence VMMC clients may opt for risky sexual practices owing to its perceived protective effect. The study estimated proportion of circumcised men engaging in risky sexual behaviors post-VMMC, assessed knowledge on VMMC protective effect and identified socio-demographic factors associated with risky sexual practices. Method: A cross sectional study was conducted at two sites of Mzuzu city. Systematic random sampling was used to select 322 participants aged 18-49 who had undergone VMMC. The independent variables included age, location, occupation, religion, marital status and education. Outcome variables were non condom use, having multiple sexual partners and engaging in transactional sex. Data from questionnaires was analyzed using Pearson’s chi square test and logistic regression. Results: Out of 322 respondents, 84.8% (273) understood the partial protection offered by VMMC in HIV prevention. Ninety-six percent of the participants self-reported continued use of condoms post VMMC. Overall 23.7% - 38.3% participants self-reported engaging in risky sexual practices post VMMC, 23.7% (76) had more than one sexual partner; 29.2% (94) paid for sex while 39.9% (n=187) did not use a condom. Residing in high density areas was associated with non-condom use, (p = 0.043). Being single (p <0.001), and residing in low density areas (p = 0.004) was associated with engaging in transactional sex. Conclusion: Risky sexual practices are evident among participants that have undergone VMMC. Messages on safer sexual practices and limitations of VMMC need to be emphasized to clients, especially unmarried or single and those residing in low density areas.

scholarly journals Voluntary Medical Male Circumcision and Sexual Practices among Sexually Active Circumcised Men in Mzuzu, Malawi: A Cross-Sectional Study

2020 ◽  
Author(s):  
Zimveka Jones Chatsika ◽  
Andrew Kumitawa ◽  
Vincent Samuel ◽  
Steven Chifundo Azizi ◽  
Vincent C Jumbe
Keyword(s):  
Protective Effect ◽  
Male Circumcision ◽  
Cross Sectional Study ◽  
Sexual Practices ◽  
Voluntary Medical Male Circumcision ◽  
Low Density ◽  
Sectional Study ◽  
Cross Sectional ◽  
Medical Male Circumcision ◽  
Risky Sexual Practices

Abstract Background: Voluntary Medical Male Circumcision (VMMC) is one of the strategies being promoted to prevent sexual heterosexual transmission of HIV. It has been adopted by 14 countries with high HIV prevalence and low circumcision rates. The 60% protective efficacy of VMMC has come with misconceptions in some societies in Malawi, hence VMMC clients may opt for risky sexual practices owing to its perceived protective effect. The study estimated proportion of circumcised men engaging in risky sexual behaviors post-VMMC, assessed knowledge on VMMC protective effect and identified socio-demographic factors associated with risky sexual practices.Method: A cross sectional study was conducted at two sites of Mzuzu city. Systematic random sampling was used to select 322 participants aged 18-49 who had undergone VMMC. The independent variables included age, location, occupation, religion, marital status and education. Outcome variables were non condom use, having multiple sexual partners and engaging in transactional sex. Data from questionnaires was analyzed using Pearson’s chi square test and logistic regression. Results: Out of 322 respondents, 84.8% (273) understood the partial protection offered by VMMC in HIV prevention. Ninety-six percent of the participants self-reported continued use of condoms post VMMC. Overall 23.7% - 38.3% participants self-reported engaging in risky sexual practices post VMMC, 23.7% (76) had more than one sexual partner; 29.2% (94) paid for sex while 39.9% (n=187) did not use a condom. Residing in high density areas was associated with non-condom use, (p = 0.043). Being single (p <0.001), and residing in low density areas (p = 0.004) was associated with engaging in transactional sex. Conclusion: Risky sexual practices are evident among participants that have undergone VMMC. Messages on safer sexual practices and limitations of VMMC need to be emphasized to clients, especially unmarried or single and those residing in low density areas.

scholarly journals Voluntary Medical Male Circumcision and Sexual Practices among Sexually Active Circumcised Men in Mzuzu, Malawi: A Cross-Sectional Study

2020 ◽  
Author(s):  
Zimveka Jones Chatsika ◽  
Andrew Kumitawa ◽  
Vincent Samuel ◽  
Steven Chifundo Azizi ◽  
Vincent C Jumbe
Keyword(s):  
Protective Effect ◽  
Male Circumcision ◽  
Cross Sectional Study ◽  
Sexual Practices ◽  
Voluntary Medical Male Circumcision ◽  
Low Density ◽  
Sectional Study ◽  
Cross Sectional ◽  
Medical Male Circumcision ◽  
Risky Sexual Practices

Abstract Background: Voluntary Medical Male Circumcision (VMMC) is one of the strategies being promoted to prevent sexual heterosexual transmission of HIV. It has been adopted by 14 countries with high HIV prevalence and low circumcision rates. The 60% protective efficacy of VMMC has come with misconceptions in some societies in Malawi, hence VMMC clients may opt for risky sexual practices owing to its perceived protective effect. The study estimated proportion of circumcised men engaging in risky sexual behaviors post-VMMC, assessed knowledge on VMMC protective effect and identified socio-demographic factors associated with risky sexual practices. Method: A cross sectional study was conducted at two sites of Mzuzu city. Systematic random sampling was used to select 322 participants aged 18-49 who had undergone VMMC. The independent variables included age, location, occupation, religion, marital status and education. Outcome variables were non condom use, having multiple sexual partners and engaging in transactional sex. Data from questionnaires was analyzed using Pearson’s chi square test and logistic regression. Results: Out of 322 respondents, 84.8% (273) understood the partial protection offered by VMMC in HIV prevention. Ninety-six percent of the participants self-reported continued use of condoms post VMMC. Overall 23.7% - 38.3% participants self-reported engaging in risky sexual practices post VMMC, 23.7% (76) had more than one sexual partner; 29.2% (94) paid for sex while 39.9% (n=187) did not use a condom. Residing in high density areas was associated with non-condom use, (p = 0.043). Being single (p <0.001), and residing in low density areas (p = 0.004) was associated with engaging in transactional sex. Conclusion: Risky sexual practices are evident among participants that have undergone VMMC. Messages on safer sexual practices and limitations of VMMC need to be emphasized to clients, especially unmarried or single and those residing in low density areas.

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