scholarly journals Increased Uptake of Voluntary Medical Male Circumcision (VMMC) Services among Older Men Following Mobile Technology Demand Creation in Shinyanga and Simiyu, Tanzania

2014 ◽  
Vol 6 (1) ◽  
Author(s):  
Godfrey J. Kundi ◽  
Lucy Mphuru ◽  
James McMahan ◽  
Paul Mwakipesile ◽  
Salli Mwanasalli ◽  
...  
Keyword(s):  
Mobile Technology ◽  
Male Circumcision ◽  
Older Men ◽  
Voluntary Medical Male Circumcision ◽  
Medical Male Circumcision ◽  
Demand Creation

scholarly journals Influence of Interpersonal Communication Partner on Uptake of Voluntary Medical Male circumcision among Married Men in Kenya

2020 ◽  
Vol 7 (7) ◽  
pp. 825-842
Author(s):  
Omukule Emojong'
Keyword(s):  
Interpersonal Communication ◽  
Male Circumcision ◽  
Significant Positive Correlation ◽  
Older Men ◽  
Demographic Characteristics ◽  
Voluntary Medical Male Circumcision ◽  
Medical Male Circumcision ◽  
Positive Correlation ◽  
Married Men ◽  
Communication Source

Background Studies have shown that male circumcision offers partial “vaccine” against heterosexually acquired HIV as a result WHO recommended it as one of the strategies to fight the AIDS scourge. Married and older men have registered low uptake of the “cut” in the targeted communities in Kenya. Considerable evidence suggests that communication inequality and choice of interpersonal information source are determinants in adoption of healthy behaviours such as adoption of male circumcision. This study aimed to examine how interpersonal communication source attributes (trust, similarity and expertise) may influence uptake of male circumcision among married men in Busia County, Kenya. Methods Voluntary medical male circumcision (VMMC) programme targets males aged up to 49 years. This study targeted married men aged between 20 and 49 years. Measures included socio-demographic characteristics, sources of VMMC information, perception on interpersonal source attributes of trust, expertise, and similarity between source and recipient. Sources regarded as trusted and expert were also measured including similarity dimensions of ethnicity, gender, age and marital status. A total of 377 participants completed the self-administered questionnaires, giving a response rate of 100%. Descriptive statistics tables such as those showing frequencies, mean and standard deviation of constructs were used. Due to the nature of the data collected, the Pearson Product-Moment Correlation Coefficient was computed to measure the relationship between socio-demographic characteristics and interpersonal communication source attribute. Results The Pearson Correlation computed revealed there existed a significant positive correlation between age and source trustworthiness and negative correlation with expertise. Marriage duration had a significant positive correlation with trustworthiness of source attribute. Trusted source was a friend. A health care provider was regarded as an expert source while similarity between source and recipient dimensions of age and ethnicity were given more weight. Health worker was the most popular source of VMMC information. Conclusion This study has revealed fundamental insights and provided evidence that the quality of the message carrier and demographic characteristics are critical factors to consider in implementing VMMC programme especially targeting married and older men who register low uptake. VMMC programmes using interpersonal channels must put more premium on the choice of the messenger as trust and expertise of source including similarity between communication partners is vital in the success of such communication interventions involving adoption of a sensitive cultural and sexual issue especially targeting married men.

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 Advertising for Demand Creation for Voluntary Medical Male Circumcision

2016 ◽  
Vol 72 ◽  
pp. S293-S296 ◽  
Author(s):  
Nicholas Wilson ◽  
Sasha Frade ◽  
Dino Rech ◽  
Willa Friedman
Keyword(s):  
Male Circumcision ◽  
Voluntary Medical Male Circumcision ◽  
Medical Male Circumcision ◽  
Demand Creation

scholarly journals Innovative Demand Creation for Voluntary Medical Male Circumcision Targeting a High Impact Male Population

2016 ◽  
Vol 72 ◽  
pp. S278-S284 ◽  
Author(s):  
Aggrey S. Semeere ◽  
Barbara Castelnuovo ◽  
Denis S. Bbaale ◽  
Agnes N. Kiragga ◽  
Joanita Kigozi ◽  
...  
Keyword(s):  
Male Circumcision ◽  
High Impact ◽  
Voluntary Medical Male Circumcision ◽  
Male Population ◽  
Medical Male Circumcision ◽  
Demand Creation

scholarly journals Innovative demand creation strategies to increase voluntary medical male circumcision uptake: a pragmatic randomised controlled trial in Zimbabwe

2021 ◽  
Vol 6 (Suppl 4) ◽  
pp. e006141
Author(s):  
Webster Mavhu ◽  
Melissa Neuman ◽  
Karin Hatzold ◽  
Stephen Buzuzi ◽  
Galven Maringwa ◽  
...  
Keyword(s):  
Randomised Controlled Trial ◽  
Interpersonal Communication ◽  
Male Circumcision ◽  
Controlled Trial ◽  
Final Analysis ◽  
Voluntary Medical Male Circumcision ◽  
Medical Male Circumcision ◽  
Demand Creation ◽  
Randomised Controlled ◽  
The Impact

IntroductionReaching men aged 20–35 years, the group at greatest risk of HIV, with voluntary medical male circumcision (VMMC) remains a challenge. We assessed the impact of two VMMC demand creation approaches targeting this age group in a randomised controlled trial (RCT).MethodsWe conducted a 2×2 factorial RCT comparing arms with and without two interventions: (1) standard demand creation augmented by human-centred design (HCD)-informed approach; (2) standard demand creation plus offer of HIV self-testing (HIVST). Interpersonal communication (IPC) agents were the unit of randomisation. We observed implementation of demand creation over 6 months (1 May to 31 October 2018), with number of men circumcised assessed over 7 months. The primary outcome was the number of men circumcised per IPC agent using the as-treated population of actual number of months each IPC agent worked. We conducted a mixed-methods process evaluation within the RCT.ResultsWe randomised 140 IPC agents, 35 in each arm. 132/140 (94.3%) attended study training and 105/132 (79.5%) reached at least one client during the trial period and were included in final analysis. There was no evidence that the HCD-informed intervention increased VMMC uptake versus no HCD-informed intervention (incident rate ratio (IRR) 0.87, 95% CI 0.38 to 2.02; p=0.75). Nor did offering men a HIVST kit at time of VMMC mobilisation (IRR 0.65, 95% CI 0.28 to 1.50; p=0.31). Among IPC agents that reported reaching at least one man with demand creation, both the HCD-informed intervention and HIVST were deemed useful. There were some challenges with trial implementation; <50% of IPC agents converted any men to VMMC, which undermined our ability to show an effect of demand creation and may reflect acceptability and feasibility of the interventions.ConclusionThis RCT did not show evidence of an effect of HCD-informed demand intervention or HIVST on VMMC uptake. Findings will inform future design and implementation of demand creation evaluations.Trial registration numberPACTR201804003064160.

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