Determinants of Male Circumcision for HIV/AIDS Prevention in East Central Uganda

Type Journal Article - African Journal of Reproductive Health
Title Determinants of Male Circumcision for HIV/AIDS Prevention in East Central Uganda
Author(s)
Volume 20
Issue 1
Publication (Day/Month/Year) 2016
Page numbers 80-87
URL http://www.ajrh.info/admin/12389900798187/vol_20_no_1_march_2016_article_9.pdf
Abstract
Safe Male Circumcision (SMC) is one the effective strategies for reducing HIV transmission. The paper examines factors
associated with SMC for HIV prevention, based on 4,979 males from East Central Uganda. Data were analysed using chi-squared
tests and multinomial logistic regression. Older males aged 31 years and above (p < 0.001), from predominantly noncircumcising
districts (Buyende - p < 0.001, Kaliro p < 0.01, and Kamuli - p < 0.01); who had neither used condoms (p = 0.03)
nor tested for HIV (p < 0.001) were less likely to circumcise for HIV prevention. Males who were assessed in 2012 (p < 0.001)
three years after program implementation were more likely to circumcise for HIV for HIV prevention. Males that did not take
measures to prevent HIV infection were less likely to undertake SMC and are therefore highly vulnerable to infection. These
(together with older males, and males from non-circumcising districts) should be targeted for promotion of SMC alongside other
HIV preventive measures. For better results, the benefits SMC for children as well as adults require emphasis. Wider coverage of
SMC services should entail adequate equipping of public and where feasible, private facilities and appropriate training of health
personnel countrywide

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