학술논문
Factors influencing neonatal male circumcision uptake among expecting couples in Zambia: formative findings.
Document Type
Academic Journal
Author
Mweemba O; Department of Health Promotion and Education, School of Public Health, University of Zambia, Lusaka, Zambia.; Rodriguez VJ; Department of Psychiatry and Behavioral Sciences, Miller School of Medicine, University of Miami, Miami, FL, USA.; Department of Psychology, University of Georgia, Athens, GA, USA.; Jones DL; Department of Psychiatry and Behavioral Sciences, Miller School of Medicine, University of Miami, Miami, FL, USA.; Desgraves JF; Department of Psychiatry and Behavioral Sciences, Miller School of Medicine, University of Miami, Miami, FL, USA.; Msimuko R; University Teaching Hospital, School of Medicine, University of Zambia, Lusaka, Zambia.; Mofya R; University Teaching Hospital, School of Medicine, University of Zambia, Lusaka, Zambia.; Kalebaila SK; University Teaching Hospital, School of Medicine, University of Zambia, Lusaka, Zambia.; Musonda-Chisangano MM; University Teaching Hospital, School of Medicine, University of Zambia, Lusaka, Zambia.; Mulavu M; Department of Health Promotion and Education, School of Public Health, University of Zambia, Lusaka, Zambia.; Zulu R; University Teaching Hospital, Lusaka, Zambia.; School of Medicine, University of Zambia, Lusaka, Zambia.; Dunleavy VO; Department of Communication Studies, School of Communication, University of Miami, Miami, FL, USA.; Bowa K; The School of Medicine and Health Sciences, University of Lusaka, Lusaka, Zambia.; Weiss SM; Department of Psychiatry and Behavioral Sciences, Miller School of Medicine, University of Miami, Miami, FL, USA.
Source
Publisher: Informa Healthcare Country of Publication: England NLM ID: 8915313 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1360-0451 (Electronic) Linking ISSN: 09540121 NLM ISO Abbreviation: AIDS Care Subsets: MEDLINE
Subject
Language
English
Abstract
Male circumcision is a protective HIV prevention strategy. However, uncircumcised Zambian men are reluctant to undergo voluntary medical male circumcision (VMMC). Tailored interventions are necessary to stimulate the uptake of early infant male circumcision (EIMC) and VMMC in Zambia. This feasibility study presents the formative process of utilising the PRECEDE framework in the development of a family-centred EIMC/VMMC intervention, Like Father Like Son, and its application in an existing VMMC intervention, Spear & Shield. We found that fear of the pain associated with EIMC procedures, foreskin disposal, beliefs in children's autonomy and rights, and men's dominance in health decision-making were factors affecting EIMC uptake. Perceived benefits for infants included improved hygiene, protection from HIV infection, and faster recovery. Reinforcing factors included female partners and fathers' MC status. The availability and access to EIMC services and information, skill and experience of health workers, and engagement and belief in traditional circumcision practices were factors enabling EIMC uptake. These individual, interpersonal, and structural factors positively and negatively influencing EIMC uptake in the Zambian clinic context were integrated into the intervention for expecting parents. Feedback from community advisory boards suggested the process was effective in developing a culturally tailored and acceptable EIMC/VMMC promotion intervention.