Welcome to Open Science
Contact Us
Home Books Journals Submission Open Science Join Us News
Evaluation of a Male Circumcision Communication Strategy for HIV Prevention in Botswana
Current Issue
Volume 3, 2015
Issue 2 (April)
Pages: 49-57   |   Vol. 3, No. 2, April 2015   |   Follow on         
Paper in PDF Downloads: 25   Since Aug. 28, 2015 Views: 2355   Since Aug. 28, 2015
Authors
[1]
Motshedisi Sabone, School of Nursing, University of Botswana, Gaborone, Botswana.
[2]
Mabel Magowe, School of Nursing, University of Botswana, Gaborone, Botswana.
[3]
Lesego Busang, African Comprehensive AIDS Partnership (ACHAP), Gaborone, Botswana.
[4]
Jonathan Moalosi, Ministry of Health, Gaborone, Botswana.
[5]
Benjamin Binagwa, African Comprehensive AIDS Partnership (ACHAP), Gaborone, Botswana.
[6]
Janet Mwambona, Ministry of Health, Gaborone, Botswana.
[7]
Frank Mwangemi, African Comprehensive AIDS Partnership (ACHAP), Gaborone, Botswana.
[8]
Conrad Ntsuape, Ministry of Health, Gaborone, Botswana.
Abstract
The purpose of this paper is to share communities’ response to an evaluation of a short-term communication strategy for the prevention of HIV in seven health districts of Botswana. Data were obtained from thirty six focus groups from urban and rural settings of Botswana. Ethical clearance was obtained from Ministry of Health and from participants. Data were analysed using content analysis for themes and categories. The results of the study indicate that communities’ response to the communication strategy was generally positive. Communication strategies that participants were exposed to included health education in health facilities, radio, television, billboards, road shows, traditional community public gatherings, posters, newspapers, and workshops. The most preferred were face-to-face strategies such as health facility talks, workshops, road shows and public meetings which provide opportunity for on-spot clarification. The findings of the study underscore the sensitivity of male circumcision and the need for health care providers to consider the ethical implications of their approach to different sectors of the community. With due acknowledgement of the study’s limitations, the findings can guide health care providers in providing information about circumcision, in counseling those who are considering circumcision and those who are not eligible for treatment, and in dispelling misconceptions surrounding male circumcision.
Keywords
HIV/AIDS Prevention, Communication Strategy, Male Circumcision Botswana
Reference
[1]
USAIDS, Global report. UNAIDS report on the global AIDS epidemic 2013. Retrieved from: http;//unaids/contentassets/documents/epidemiology/2013/gr2013/UNAIDS_G_
[2]
Ministry of Health Botswana, Safe male circumcision. An additional strategy for HIV prevention. Gaborone, Botswana, 2009.
[3]
National AIDS Coordination Agency (NACA), Botswana HIV/AIDS impact survey III results. Ministry of Health, Gaborone, Botswana, 2008. http://www.ncbi.nlm.nih.gov/m/pubmed/19370585/
[4]
Njeuhmeli, E.; Forcyther, S.; Reed, J.; Opuni, M.; Bollinger, L.; Heard, N.; Castor, D.; Stover, J.; Farley, T.; Menon, V.; Hankins, C. Voluntary medical male circumcision; modeling the impact and cost of expanding male circumcision for HIV prevention in Eastern and Southern Africa. PloS Med One 2011, Nov. 29. DOI:10.1371/journal.pmed.1001132.
[5]
Task Force on Circumcision, Report of the task force on circumcision. Pediatrics 1989, 84 (4), 388-391.
[6]
Bailey,R.C.; Moses, S.; Parker, C.B.; Agot, K.; Maclean, I.; Krieger, J.N.; Williams C.F.M.; Campbell, R.T; Ndinya-Achola, J.O. Male circumcision for HIV prevention in young men in Kisumu, Kenya: A randomized controlled trial. Lancet 2007, 369 (9562), 643-656.
[7]
Gray, R.H.; Kigozi, G.; Serwadda,D.; Makumbi, F.; Watya, S.; Nalugoda, F.; Kiwanuka, N.; Moulton, L.H.; Chaunhary, M.A.; Chen, M.Z.; Sewankambo, N.K.; Wabwire-Mangeh, F.; Bacon, M.C.; Williams, C.F.M.; Opendi, P. Reynolds, S.; Laeyendecker, O.; Quinn, T.C.; Wawer, M.J. Male circumcision for HIV prevention in men in Rakai, Uganda: A randomised trial. Lancet 2007, 369 (9562), 657-666.
[8]
Auvert, B.; Taljaard, D.; Lagarde, E.; Sobngwi-Tambekou, J.; Sitta, R.; Puren, A. Randomised, controlled intervention trial of male circumcision for reduction of HIV infection risk: the ANRS 1265 trial. PLoS Med 2005, 2 (11), e298.
[9]
Kebaabetswe, P.; Lockman, S.; Mogwe, S.; Mandevu, R.; Thior, I.; Essex, M.; Shapiro, R. L. Male circumcision: An acceptable strategy for HIV prevention in Botswana. Sexually Transmitted Infections 2003, 79 (3), 214–219.
[10]
Hsieh-Fang, H.; Shannon, S.E. Three approaches to qualitative content analysis. Qualitative Health Research 2005, 15 (9), 1277-1288.
[11]
Health Research for Action (HERA). Evaluation of the Norwegian health sector support to Botswana (Report). Belgium, 2012.
[12]
AIDSTAR-One, Voluntary male circumcision. AIDS Star-One 2013 – 05 – 17 (1). pdf., 2013. Retrieved from: http://aidstar-one.cpm/focus_area/prevention/pcb/biomedical_interventions/voluntary_medical+male_circumcision
[13]
Szabo, R.; Short, R. How does male circumcision protect against HIV infection? MBJ 2000, 320 (10), 1502-1594.
[14]
Herman-Roloff, A.; Otieno, N.; Agot, K.; Ndinya-Achola, J.; Bailey, R. C. Acceptability of medical male circumcision among uncircumcised men in Kenya one year after the launch of the national male circumcision program. Plos ONE 2011, 6 (5), e19814, Retrieved from: http://www.plosone.org/article/fetchObject.action?uri=info%3Adoi%2F10.1371%2Fjournal. pone.00198148representation=PDF
[15]
Westercamp N.; Bailey, R.C. Acceptability of male circumcision for prevention of HIV/AIDS in Sub-Saharan Africa: A review. AIDS Behavior 2007, 11, 341-355.
[16]
Lissouba, P.; Taljaard, D.; Rech, D.; Doyle, S.; Shabangu, D.; Nhlapo, C.; Otchere-Darko, J.; Mashingo, T.; Matson, C.; Lewis, D.; Billey, S.; Auvert, B. A model for the roll-out of comprehensive adult male circumcision services in African low-income settings of high HIV incidence: The ANRS 12126 Bophelo Pele Project. PLoS Med 2010, 7 (7), p. e1000309.
[17]
WHO & UNAIDS, Progress report in male circumcision scale-up: Country implementation and research update, June, 2010. http://www.who.int/hiv/pub/malecircumcision/MC_country_progress_June 2020.pdf.
[18]
Kigozi, G.; Gray, R.H.; Wawer, M.J.; Serwadda, D.; Makumbi, F.; Watya, S.; Nalugoda, F.; Kiwanuka, N.; Moulton, L.; Sewankambo, N.K.; Wabwire-Mangen, F.;Bacon, M.; Ridzon, R.; Opendi, P.; Sempijja, V.; Settuba, A.; Buwembo, D.; Kiggundu, V.; Anyokorit, M. The safety of adult male circumcision in HIV-infected and uninfected men in Rakai, Uganda. PLoS Medicine 2008, 5 (6), e116.
[19]
Taddio, A.; Pollock, N.; Gilbert-McLeod, C.; Ohlsson, K.; Koren, G. Combined analgesia and local anesthesia to minimize pain during circumcision. Arch Pediatr Adolesc Med 2000, 154 (6), 620-623.
[20]
Lenhart, J.G.; Lenhart, N.M.; Reid, A.; Chong, B.K. Local anesthesis for circumcision: Which technique is most effective? American Board of Family Practice 1997, 10 (1), 13-19.
[21]
Serour, F.; Mori, J.; Barr, J. Optimal regional anesthesia for circumcision. Anesth Analg 1994, 79, 129-131.
[22]
Adams, A.K.W. A qualitative study on the low utilization of male circumcision services in Kwaluseni, Swaziland. University of Armsterdam Masters Degree Thesis, 2012. Retrieved from http:/www.stopaidsnow.org/sites/stopaidsnow.org/files/filemanager/TasP_A_Qualitative_study_on_the_low_Utilization_of_Male
Open Science Scholarly Journals
Open Science is a peer-reviewed platform, the journals of which cover a wide range of academic disciplines and serve the world's research and scholarly communities. Upon acceptance, Open Science Journals will be immediately and permanently free for everyone to read and download.
CONTACT US
Office Address:
228 Park Ave., S#45956, New York, NY 10003
Phone: +(001)(347)535 0661
E-mail:
LET'S GET IN TOUCH
Name
E-mail
Subject
Message
SEND MASSAGE
Copyright © 2013-, Open Science Publishers - All Rights Reserved