Acceptability of Male Circumcision in HIV Prevention Among the Males aged 18 years and above in Mufulira Urban.
Keywords:
Acceptability, Male circumcision, Zambia
Abstract
Objectives and design: The overall aim of this study was to determine the acceptability of male circumcision in HIV prevention among the males aged 18 years and above in Mufulira urban. A cross sectional study was conducted in Mufulira urban in December, 2009. The study comprised face to face interviews of 407 respondents using a structured interview schedule and two Focus Group Discussions involving males aged 18 to 30 years and those aged 31 years and above respectively. Respondents were drawn from one high density area. The Township was purposively sampled. Systematic sampling was used to select the households. One randomly selected male aged 18 years or older was interviewed from each selected household using a structured interview schedule. Individuals for the FGDs were purposively selected to ensure homogeneity of the group. The chi-square test was used to compare the proportions. A result yielding a P value of less than 5 percent was considered to be statistically significant. Data from FGDs were analyzed using Content analysis. Results: The study revealed that only 18.7 percent of the respondents were circumcised. About 60.7 percent of the respondents expressed willingness to be circumcised if male circumcision could offer partial protection against the acquisition of HIV/AIDS. Though knowledge on male circumcision stood at 69 percent, only 26.3 percent of the respondents were specifically aware that male circumcision could reduce transmission of HIV from infected females. There was no significant association between knowledge and willingness to undergo male circumcision. Cultural beliefs in the study did not significantly influence willingness to undergo male circumcision. The only significant association was between improvement in genital hygiene and willingness to undergo male circumcision (OR= 2.06; CI [1.09, 3.87]). Conclusion: though the level of male circumcision in Mufulira urban is on the lower side, the procedure is perceived positively. Acceptability of the procedure in the area is high.References
1. WHO, UNAIDS. (2007). New Data on Circumcision and HIV Prevention: Policy and Program Implications. Geneva, WHO, UNAIDS.
2. Bailey, R.C., Nchinya, A., Chola, J.O., Moses, S., Parker, C.B., Agot, K., Maclean, L., Krieger, J.N., Williams, C.F. & Campbell, R. T. (2007). Male circumcision for HIV prevention in young men in Kisumu, Lancet. 369: 643656.
3. UNAID. (2005). AIDS in Africa: Three scenario to 2025, Geneva, INAIDS.
4. Caldwell, J.C. & Caldwell, P. (1996). The African AIDS Epidemic, Africa Science. 274: 62-3, 66-8.
5. Nnko, S., Washija, R., Urassa, M. & Boerma, J.T (2001). Dynamics of male circumcision practices in North West Tanzania. Sexually transmitted Diseases 28:214-8.
6. Kebaabetswe, P. , Lockman, S. , Mogwe, S. & Mandevu, R. (2003). Male circumcision an acceptable strategy for HIV prevention in Botswana. Sexually Transmitted Infections 79:214-219.
7. Largade, E., Emmanuel, A.B., Taljaard, C., Puren, T., Adrian, D., Rain — Taljaard, C,., Bertran, & Auvert, A.B.E. (2003). Acceptability of male circumcision as a tool for preventing HIV infection in a highly infected community in South Africa. AIDS Care 15: 315-327.
8. Kigozi, G., Stephen, W., Chelsea, B., Dennis, B., Kigundu, V., Wawert, M.J., David, S., Nalugonda, F., Kuwanuko, N., Melanie, C.; Ssempijja, V., Makumbia, F., & Gray, H.R. (2007). Male circumcision for HIV prevention, Rakai, Uganda. Sexual medicine 1 01 : 65-70.
9. Rain-Taljaard, R. , Largarde, E., Tajard, D.J, C, ampbell, C., MacPhan, C., Williams, B. & Auven, B. (2003). Potential for an intervention based on male circumcision in a South African with a high level of HIV infection. AIDS Care 15, 315-327.
10. PlusNews. (2006). Zambia: A Snip in time can save lives. PLUSNEWS, March 21, 2006. www. Plusnews. Org/AIDS report.
11. Lukobo, M. Feasibility of setting up male circumcision services in a Government health facility in Zambia. University of Chicago in Illinois. DrPH thesis 2003 7. I l . 10.
12. Central Statistical Office. (2006). Zambia sexual behavior survey 2005, Lusaka, CSO.
2. Bailey, R.C., Nchinya, A., Chola, J.O., Moses, S., Parker, C.B., Agot, K., Maclean, L., Krieger, J.N., Williams, C.F. & Campbell, R. T. (2007). Male circumcision for HIV prevention in young men in Kisumu, Lancet. 369: 643656.
3. UNAID. (2005). AIDS in Africa: Three scenario to 2025, Geneva, INAIDS.
4. Caldwell, J.C. & Caldwell, P. (1996). The African AIDS Epidemic, Africa Science. 274: 62-3, 66-8.
5. Nnko, S., Washija, R., Urassa, M. & Boerma, J.T (2001). Dynamics of male circumcision practices in North West Tanzania. Sexually transmitted Diseases 28:214-8.
6. Kebaabetswe, P. , Lockman, S. , Mogwe, S. & Mandevu, R. (2003). Male circumcision an acceptable strategy for HIV prevention in Botswana. Sexually Transmitted Infections 79:214-219.
7. Largade, E., Emmanuel, A.B., Taljaard, C., Puren, T., Adrian, D., Rain — Taljaard, C,., Bertran, & Auvert, A.B.E. (2003). Acceptability of male circumcision as a tool for preventing HIV infection in a highly infected community in South Africa. AIDS Care 15: 315-327.
8. Kigozi, G., Stephen, W., Chelsea, B., Dennis, B., Kigundu, V., Wawert, M.J., David, S., Nalugonda, F., Kuwanuko, N., Melanie, C.; Ssempijja, V., Makumbia, F., & Gray, H.R. (2007). Male circumcision for HIV prevention, Rakai, Uganda. Sexual medicine 1 01 : 65-70.
9. Rain-Taljaard, R. , Largarde, E., Tajard, D.J, C, ampbell, C., MacPhan, C., Williams, B. & Auven, B. (2003). Potential for an intervention based on male circumcision in a South African with a high level of HIV infection. AIDS Care 15, 315-327.
10. PlusNews. (2006). Zambia: A Snip in time can save lives. PLUSNEWS, March 21, 2006. www. Plusnews. Org/AIDS report.
11. Lukobo, M. Feasibility of setting up male circumcision services in a Government health facility in Zambia. University of Chicago in Illinois. DrPH thesis 2003 7. I l . 10.
12. Central Statistical Office. (2006). Zambia sexual behavior survey 2005, Lusaka, CSO.
Published
2025-09-10
How to Cite
1.
Chiwele G, Siziya S. Acceptability of Male Circumcision in HIV Prevention Among the Males aged 18 years and above in Mufulira Urban. Journal of Agricultural and Biomedical Sciences [Internet]. 10Sep.2025 [cited 14Sep.2025];1(2):57-4. Available from: https://journals.unza.zm/index.php/JABS/article/view/1546
Section
Biomedical Sciences
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