"If You Are Not Circumcised, I Cannot Say Yes": The Role of Women in Promoting the Uptake of Voluntary Medical Male Circumcision in Tanzania.


Osaki, H; Mshana, G; Wambura, M; Grund, J; Neke, N; Kuringe, E; Plotkin, M; Mahler, H; Terris-Prestholt, F; Weiss, H; Changalucha, J; (2015) "If You Are Not Circumcised, I Cannot Say Yes": The Role of Women in Promoting the Uptake of Voluntary Medical Male Circumcision in Tanzania. PLoS One, 10 (9). e0139009. ISSN 1932-6203 DOI: 10.1371/journal.pone.0139009

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Abstract

Voluntary Medical Male Circumcision (VMMC) for HIV prevention in Tanzania was introduced by the Ministry of Health and Social Welfare in 2010 as part of the national HIV prevention strategy. A qualitative study was conducted prior to a cluster randomized trial which tested effective strategies to increase VMMC up take among men aged ≥20 years. During the formative qualitative study, we conducted in-depth interviews with circumcised males (n = 14), uncircumcised males (n = 16), and participatory group discussions (n = 20) with men and women aged 20-49 years in Njombe and Tabora regions of Tanzania. Participants reported that mothers and female partners have an important influence on men's decisions to seek VMMC both directly by denying sex, and indirectly through discussion, advice and providing information on VMMC to uncircumcised partners and sons. Our findings suggest that in Tanzania and potentially other settings, an expanded role for women in VMMC communication strategies could increase adult male uptake of VMMC services.

Item Type: Article
Faculty and Department: Faculty of Epidemiology and Population Health > Dept of Infectious Disease Epidemiology
Faculty of Public Health and Policy > Dept of Global Health and Development
Research Centre: Tropical Epidemiology Group
Social and Mathematical Epidemiology (SaME)
SaME Modelling & Economics
PubMed ID: 26402231
Web of Science ID: 361798100050
URI: http://researchonline.lshtm.ac.uk/id/eprint/2312456

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