Circumcised men’s perceptions, understanding and experiences of voluntary medical male circumcision in KwaZulu-Natal, South Africa

Background: KwaZulu-Natal, South Africa, has rolled out voluntary medical male circumcision (VMMC) in response to recommendations that regions with a high human immunodeficiency virus (HIV) prevalence adopt VMMC as an additional HIV prevention strategy. There is a paucity of South African data on th...

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Main Authors: Celenkosini T. Nxumalo, Gugu G. Mchunu
Format: Article
Language:English
Published: AOSIS 2020-05-01
Series:South African Family Practice
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Online Access:https://safpj.co.za/index.php/safpj/article/view/5083
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author Celenkosini T. Nxumalo
Gugu G. Mchunu
author_facet Celenkosini T. Nxumalo
Gugu G. Mchunu
author_sort Celenkosini T. Nxumalo
collection DOAJ
description Background: KwaZulu-Natal, South Africa, has rolled out voluntary medical male circumcision (VMMC) in response to recommendations that regions with a high human immunodeficiency virus (HIV) prevalence adopt VMMC as an additional HIV prevention strategy. There is a paucity of South African data on the motivators, barriers and experiences of adult male candidates regarding VMMC. This study was conducted to analyse circumcised men’s perceptions, understanding and experiences of VMMC in KwaZulu-Natal, South Africa. Methods: A qualitative phenomenographic design was used. Ethical clearance was obtained from the Biomedical Research Ethics Committee of the University of KwaZulu-Natal (BE 627/18). Data were collected from 12 circumcised male candidates. Individual interviews were conducted and recorded by using an audiotape. Data were transcribed verbatim and analysed manually. Results: Participants’ perceptions regarding VMMC are health related and appear to be the motivators for the uptake of medical circumcision. Circumcised men in this study appeared to misunderstand VMMC in terms of healing and performance time and the nature of the procedure. Negative experiences in terms of quality of care received were reported. Conclusion: The study findings imply that practice interventions to promote demand generation for VMMC in KwaZulu-Natal, South Africa, should incorporate the perceptions and experiences of male candidates regarding the procedure. Tailored messaging to address misunderstanding related to the nature of VMMC should also be provided. Regular in-service training on standardised VMMC implementation practices should be provided to ensure the delivery of optimum quality VMMC services.
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spelling doaj-art-ecccf16526ae4a19975b4fa7b1f2c0f42025-08-20T03:47:10ZengAOSISSouth African Family Practice2078-61902078-62042020-05-01621e1e810.4102/safp.v62i1.50834040Circumcised men’s perceptions, understanding and experiences of voluntary medical male circumcision in KwaZulu-Natal, South AfricaCelenkosini T. Nxumalo0Gugu G. Mchunu1Department of Nursing, School of Nursing and Public Health, University of KwaZulu-Natal, DurbanDepartment of Nursing, School of Nursing and Public Health, University of KwaZulu-Natal, DurbanBackground: KwaZulu-Natal, South Africa, has rolled out voluntary medical male circumcision (VMMC) in response to recommendations that regions with a high human immunodeficiency virus (HIV) prevalence adopt VMMC as an additional HIV prevention strategy. There is a paucity of South African data on the motivators, barriers and experiences of adult male candidates regarding VMMC. This study was conducted to analyse circumcised men’s perceptions, understanding and experiences of VMMC in KwaZulu-Natal, South Africa. Methods: A qualitative phenomenographic design was used. Ethical clearance was obtained from the Biomedical Research Ethics Committee of the University of KwaZulu-Natal (BE 627/18). Data were collected from 12 circumcised male candidates. Individual interviews were conducted and recorded by using an audiotape. Data were transcribed verbatim and analysed manually. Results: Participants’ perceptions regarding VMMC are health related and appear to be the motivators for the uptake of medical circumcision. Circumcised men in this study appeared to misunderstand VMMC in terms of healing and performance time and the nature of the procedure. Negative experiences in terms of quality of care received were reported. Conclusion: The study findings imply that practice interventions to promote demand generation for VMMC in KwaZulu-Natal, South Africa, should incorporate the perceptions and experiences of male candidates regarding the procedure. Tailored messaging to address misunderstanding related to the nature of VMMC should also be provided. Regular in-service training on standardised VMMC implementation practices should be provided to ensure the delivery of optimum quality VMMC services.https://safpj.co.za/index.php/safpj/article/view/5083voluntary medical male circumcisionbarriersmotivatorscircumcised male candidatesexperiencesperceptionshiv preventionuptake
spellingShingle Celenkosini T. Nxumalo
Gugu G. Mchunu
Circumcised men’s perceptions, understanding and experiences of voluntary medical male circumcision in KwaZulu-Natal, South Africa
South African Family Practice
voluntary medical male circumcision
barriers
motivators
circumcised male candidates
experiences
perceptions
hiv prevention
uptake
title Circumcised men’s perceptions, understanding and experiences of voluntary medical male circumcision in KwaZulu-Natal, South Africa
title_full Circumcised men’s perceptions, understanding and experiences of voluntary medical male circumcision in KwaZulu-Natal, South Africa
title_fullStr Circumcised men’s perceptions, understanding and experiences of voluntary medical male circumcision in KwaZulu-Natal, South Africa
title_full_unstemmed Circumcised men’s perceptions, understanding and experiences of voluntary medical male circumcision in KwaZulu-Natal, South Africa
title_short Circumcised men’s perceptions, understanding and experiences of voluntary medical male circumcision in KwaZulu-Natal, South Africa
title_sort circumcised men s perceptions understanding and experiences of voluntary medical male circumcision in kwazulu natal south africa
topic voluntary medical male circumcision
barriers
motivators
circumcised male candidates
experiences
perceptions
hiv prevention
uptake
url https://safpj.co.za/index.php/safpj/article/view/5083
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