A model to promote the uptake of male circumcision as an HIV-preventive measure in high HIV and low male circumcision prevalence settings

Health SA Gesondheid

 
 
Field Value
 
Title A model to promote the uptake of male circumcision as an HIV-preventive measure in high HIV and low male circumcision prevalence settings
 
Creator Maibvise, Charles Mavundla, Thandisizwe R.
 
Subject — HIV; HIV prevention; male circumcision; male circumcision uptake; model development
Description Background: Human immunodeficiency virus (HIV) and acquired immunodeficiency syndrome (AIDS) remain the leading global burden of disease, especially in Southern Africa. As such, efforts to develop innovative preventive and curative measures continue to be a global priority. Of late, the World Health Organization recognised and recommended mass male circumcision (MC) as an adjunct HIV-preventive measure in 14 selected sub-Sahara African countries. However, despite efforts to promote the uptake of MC in these countries, the uptake remains significantly below set targets.Aim: The purpose of this article is to describe the process that was followed in developing, describing and evaluating a model to promote the uptake of MC as an HIV-preventive measure in high HIV and low MC settings.Setting: The model is designed for all settings of high HIV and low MC prevalence.Method: A theory-generative, qualitative, exploratory, descriptive and contextual research design was used. The process involved four distinct steps, namely concept analysis, description of relationship statements, and description and evaluation of the model using the criteria of clarity, simplicity, generality, accessibility and importance.Results: The central concept was identified as ‘promote the uptake of MC’, and three integral constituents were identified for the process, such as transforming men’s mindsets about MC, facilitating accessibility and utilisation of MC services, and maintaining a supportive social system. These formed the basis for the model.Conclusion: The model provides a framework of reference for healthcare providers in promoting the uptake of MC as an HIV-preventive measure in high HIV and low MC settings.
 
Publisher AOSIS Publishing
 
Contributor
Date 2019-02-11
 
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion — —
Format text/html application/epub+zip application/xml application/pdf
Identifier 10.4102/hsag.v24i0.1070
 
Source Health SA Gesondheid; Vol 24 (2019); 8 pages 2071-9736 1025-9848
 
Language eng
 
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Rights Copyright (c) 2019 Charles Maibvise, Thandisizwe R. Mavundla https://creativecommons.org/licenses/by/4.0
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