Showing posts with label 2015. Show all posts
Showing posts with label 2015. Show all posts

Thursday, 29 October 2015

2015-10-06 Kisumu News (Kenya) - "Maseno Mission Hospital offers free medical male circumcision"

Cite as: Sosi, J (2015) Maseno Mission Hospital offers free medical male circumcision Kisumu News 06 October 2015 Full-text available at http://www.hivisasa.com/kisumu/health/83850 Accessed: 29 October 2015. Archived by Bodily Autonomy Watch at http://bodilyautonomywatch.blogspot.com/2015/10/2015-10-06-kisumu-news-kenya-maseno.html

Excerpt:

Maseno (A.C.K) Mission Hospital has urged the public to turn up for an ongoing free and voluntary medical male circumcision for those above the age of 10 years.

Mr.Joshua Kwendo Amburi, the amenity's public relations officer at the hospital has said willing men yet to undergo the noble exercise are encouraged come out. He also asked parents to take their male children over 10 years old to the health facility for the free medical exercise and not to wait for closure of schools as it is being conducted on a daily basis.

Mr.Amburi has also confirmed the accreditation of the National Health Insurance Fund (NHIF) cards to cater for outpatients' medical bills and urges more people to take up the comprehensive health cover.

Archived URL: https://web.archive.org/web/20151029072952/http://www.hivisasa.com/kisumu/health/83850

2015-09-29 Key Correspondents - "Chifamba’s story: “circumcision made me a happy man”"

Cite as: Majaha, D (2015) Chifamba’s story: “circumcision made me a happy man” Key Correspondents Full-text available at http://www.keycorrespondents.org/2015/09/29/chifambas-story-circumcision-made-me-a-happy-man/ Accessed: 29 October 2015. Archived by Bodily Autonomy Watch at http://bodilyautonomywatch.blogspot.com/2015/10/2015-09-29-key-correspondents-chifambas.html

Excerpt:

The revised Zimbabwe Policy Guidelines on Voluntary Medical Male Circumcision of 2014 estimated the number of circumcised men to be just 10 per cent. But in January 2015, Zimbabwe launched an ambitious US$100 million male circumcision programme which aims to get 80 per cent of Zimbabwean men (around 2 million men) circumcised voluntarily by 2018.

In order to increase male participation in circumcision, it will be provided alongside other male sexual and reproductive health services. But to achieve these ambitious targets, the government needs to ensure people have access to accurate information. According to the guidelines on male circumcision, “This shall entail broad community engagement, initially to introduce, and later to scale up male circumcision services.”

Zimbabwe has also introduced the non-surgical method of circumcision in some towns and centres. This consists of a device made of a plastic and rubber ring that stops the flow of blood to the part of the foreskin that is to be removed.
...
According to research commissioned by the University of Zimbabwe and Ministry of Health and Child Care, there are various reasons why some men in Zimbabwe shun the procedure. These include fear of poor wound healing and fear of knowing one’s HIV status, which is one of the standard tests done when providing voluntary male circumcision.

Allenah, 27, who grew up in a polygamous family, argues that male circumcision is alien to his culture. “My father was not circumcised but lived a healthy life with his three wives. This is against our culture,” he said.

Eunice, a married woman from Harare, says she is not comfortable with her husband getting circumcised. She is concerned that the idea of “being safe” is likely to influence him to become sexually active outside of the marriage.
...
Other Nathan Mutendi, a university student, believes circumcision is an unnecessary process as it is not as effective as wearing a condom when having sexual intercourse.

“I do not see the reason why I should get circumcised to protect myself from HIV and then later wear a condom which is proven to be more than 99 per cent safe,” says Mutendi.

But, as Dr Makaure explains: “There are incidents in which a condom is worn in a wrong way and, due to friction, breaks down. In such cases, uncircumcised men are at a higher risk than those who are circumcised.”

Archived URL: https://web.archive.org/web/20151029071737/http://www.keycorrespondents.org/2015/09/29/chifambas-story-circumcision-made-me-a-happy-man/

2015-09-28 The Star (Kenya) - "New drive for men, infant circumcision"

Cite as: Matete, F (2015) New drive for men, infant circumcision The Star 28 September 2015 Full-text available at http://www.the-star.co.ke/news/new-drive-men-infant-circumcision Accessed: 29 October 2015. Archived by Bodily Autonomy Watch at http://bodilyautonomywatch.blogspot.com/2015/10/2015-09-28-star-kenya-new-drive-for-men.html

THE government has launched the second phase of the drive for voluntary medical circumcision of men and infants.

Representative of the Parliamentary Health Committee chairperson MP Paul Koinange said the drive targets more than one million men and infants below 60 days in the next five years.

He spoke on Friday during the launch of the circumcision strategy and a clinical manual at Tom Mboya Labour College in Kisumu.

Koinange said the government wants to increase the proportion of circumcised boys and men aged between 15 and 49 from 91 per cent to 95 per cent.

He said the drive aims to circumcise at least 40 per cent of infant boys after birth by 2019.

The Health ministry National Strategy 2014-19 says a pilot study in Nyanza to assess safety and acceptability of medical circumcision showed it is safe and accepted.

Koinange said circumcision will be offered in certain health facilities as part of the package of infant care.

Infant circumcision ensures boys grow up with lower HIV-Aids risk.

Archived URL: https://web.archive.org/web/20151029070617/http://www.the-star.co.ke/news/new-drive-men-infant-circumcision

Saturday, 26 September 2015

2015-09-27 Eyewitness News (South Africa) - "EC authorities meet to curb initiation deaths"

Excerpt:

CAPE TOWN - Authorities in the Eastern Cape will today start a two-day summit aimed at curbing initiation deaths.

Officials rescued 23 initiates, some as young as 13-years-old from illegal schools in several villages near Mthatha earlier this week.

It is off season and normally young people don't go for circumcision until the school holidays.

During the winter season more than 30 young boys died, most of them from the Eastern Cape while undergoing the rite of passage.
...
Two months ago 158 children were rescued from an illegal school near Tzaneen after community members reported suspicious activity.

Government said it is looking to clamp down on illegal schools by possibly introducing new legislation.

Archived URL: https://archive.is/7Wb8F

Friday, 25 September 2015

2015-09-25 Kisumu County News (Kenya) - Nascop to launch second national circumcision strategy in Kisumu

Excerpt:

The National Aids and STI Control Programme (Nascop) is set to launch the second edition of the National Voluntary Medical Male Circumcision (VMMC) strategy in Kisumu on Friday.

The second national VMMC Strategy which covers from 2014-2019 will be launched at the Tom Mboya Labour College.

The secretary of the Inter Counties Task Force on VMMC, Isaac Oguma said in a statement that the strategy will guide in the implementation of VMMC activities for a five-year period.
...
 As a result of this program, the national coverage of male circumcision has increased from 85 percent in 2007 to 91 percent in 2012 against a national target of 94%.

In Kisumu County alone, nearly 200,000 males are targeted during the second phase.

URL: http://www.hivisasa.com/kisumu/health/81591

2015-09-24 South African Broadcasting Corporation - "Initiation school leaders urged to meet health requirements"

Excerpt:

Deputy President Cyril Ramaphosa has called on initiation school members to be approved by community leaders. He was addressing hundreds of people at the National Heritage Day celebrations at the Ramokgopa Stadium, in Limpopo on Saturday.

He made the plea after the recent spate of deaths of young males due to botched circumcisions. Ramaphosa says that initiation school leaders must also meet health requirements.

URL: http://www.sabc.co.za/news/a/088e250049f72af49640dfa53d9712f0/Initiation-school-leaders-urged-to-meet-health-requirements-20150924

Thursday, 24 September 2015

2015-09-21 PLoS One. - "Acceptability of Male Circumcision among College Students in Medical Universities in Western China: A Cross-Sectional Study"

Excerpt:

Author information

1 Guangxi Key Laboratory of AIDS Prevention and Treatment, School of Public Health, Guangxi Medical University, Nanning, Guangxi, 530021, China.
2 Department of Microbiology, Biochemistry, and Immunology, Morehouse School of Medicine, Atlanta, Georgia, 30310, United States of America.
3 The First Affiliated Hospital, Chongqing Medical University, Chongqing, 400016, China.
4 School of Public Health, Xinjiang Medical University, Xinjiang, 830011, China.
5 School of Public Health, Chongqing Medical University, Chongqing, 400016, China.
6 National Center for STD Control, Chinese Center for Disease Control and Prevention, Nanjing, 210042, China.
7 State Key Laboratory for Infectious Disease Prevention and Control (SKLID), Collaborative Innovation Center for Diagnosis and Treatment of Infectious Diseases, Beijing, 102206, China.
8 Guangxi Key Laboratory of AIDS Prevention and Treatment, School of Public Health, Guangxi Medical University, Nanning, Guangxi, 530021, China; Guangxi Medical Research Center, Guangxi Medical University, Nanning, Guangxi, 530021, China

Abstract
Background

Male circumcision (MC) has been shown to reduce the risk of female to male transmission of HIV. The goal of this survey was to explore MC’s acceptability and the factors associated with MC among college students in medical universities in western China.
Methods

A cross-sectional study was carried out in three provinces in western China (Guangxi, Chongqing and Xinjiang) to assess the acceptability of MC as well as to discover factors associated with the acceptability among college students in medical universities. A total of 1,790 uncircumcised male students from three medical universities were enrolled in this study. In addition, 150 students who had undergone MC were also enrolled in the survey, and they participated in in-depth interviews.
Results

Of all the uncircumcised participants (n = 1,790), 55.2% (n = 988) were willing to accept MC. Among those who accepted MC, 67.3% thought that MC could improve their sexual partners’ hygiene, 46.3% believed that HIV and sexually transmitted diseases (STDs) could be partially prevented by MC. The multivariable logistic regression indicates that MC’s acceptability was associated with three factors: the redundant foreskin (OR = 10.171, 95% CI = 7.629–13.559), knowing the hazard of having a redundant foreskin (OR = 1.597, 95% CI = 1.097–2.323), and enhancing sexual pleasure (OR = 1.628, 95% CI = 1.312–2.021). The in-depth interviews for subjects who had undergone MC showed that the major reason for having MC was the redundant foreskin (87.3%), followed by the benefits and the fewer complications of having MC done. In addition, most of these participants (65.3%) said that the MC could enhance sexual satisfaction.
Conclusions

MC’s acceptance among college students in medical universities is higher than it is among other populations in western China. An implementation of an MC programme among this population is feasible in the future.

PMID: 26390212

URL: http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0135706

2015-09-15 Glob Health Sci Pract. - "Covering the Last Kilometer: Using GIS to Scale-Up Voluntary Medical Male Circumcision Services in Iringa and Njombe Regions, Tanzania"

Excerpt:

Author information

1 Jhpiego, Dar Es Salaam, Tanzania.
2 Jhpiego, Baltimore, MD, USA.
3 Jhpiego, Baltimore, MD, USA.
4 United States Agency for International Development (USAID), Dar Es Salaam, Tanzania.
5 USAID, Washington, DC, USA.
6 Tanzania Ministry of Health and Social Welfare, Dar Es Salaam, Tanzania.

Abstract

Background: Based on the established protective effect of voluntary medical male circumcision (VMMC) in reducing female-to-male HIV transmission, Tanzania's Ministry of Health and Social Welfare (MOHSW) embarked on the scale-up of VMMC services in 2009. The Maternal and Child Health Integrated Project (MCHIP) supported the MOHSW to roll out VMMC services in Iringa and Njombe, 2 regions of Tanzania with among the highest HIV and lowest circumcision prevalence. With ambitious targets of reaching 264,990 males aged 10–34 years with VMMC in 5 years, efficient and innovative program approaches were necessary.

Program Description: Outreach campaigns, in which mobile teams set up temporary services in facilities or non-facility settings, are used to reach lesser-served areas with VMMC. In 2012, MCHIP began using geographic information systems (GIS) to strategically plan the location of outreach campaigns. MCHIP gathered geocoded data on variables such as roads, road conditions, catchment population, staffing, and infrastructure for every health facility in Iringa and Njombe. These data were uploaded to a central database and overlaid with various demographic and service delivery data in order to identify the VMMC needs of the 2 regions.

Findings: MCHIP used the interactive digital maps as decision-making tools to extend mobile VMMC outreach to “the last kilometer.” As of September 2014, the MOHSW with MCHIP support provided VMMC to 267,917 men, 259,144 of whom were men were aged 10–34 years, an achievement of 98% of the target of eligible males in Iringa and Njombe. The project reached substantially more men through rural dispensaries and non-health care facilities each successive year after GIS was introduced in 2012, jumping from 48% of VMMCs performed in rural areas in fiscal year 2011 to 88% in fiscal year 2012 and to 93% by the end of the project in 2014.

Conclusion: GIS was an effective tool for making strategic decisions about where to prioritize VMMC service delivery, particularly for mobile and outreach services. Donors may want to consider funding mapping initiatives that support numerous interventions across implementing partners to spread initial start-up costs.

PMID: 26374807

URL: http://www.ghspjournal.org/content/3/3/503.long

2015-09-14 PLoS One. - A Clinical Trial to Introduce Voluntary Medical Male Circumcision for HIV Prevention in Areas of High Prevalence in the Dominican Republic

Excerpt:

Author information

1 University of Illinois at Chicago, Chicago, Illinois, United States of America.
2 Clinica de Familia, La Romana, Dominican Republic.
3 HIV Vaccine Trials Unit, Instituto Dermatologico y Cirugia De Piel, Santo Domingo, Dominican Republic.

Abstract
Background

Voluntary Medical Male Circumcision (VMMC) is an effective strategy to reduce the risk of HIV infection. Studies conducted in the Dominican Republic (DR) suggest that acceptability of VMMC among men may be as high as 67%. The goal of this clinical trial was to assess the acceptability, uptake and safety for VMMC services in two areas of high HIV prevalence in the country.
Methods

This was a single-arm, non-randomized, pragmatic clinical trial. Study personnel received background information about the risks and benefits of VMMC and practical training on the surgical technique. A native speaking research assistant administered a questionnaire of demographics, sexual practices and knowledge about VMMC. One week after the surgery, participants returned for wound inspection and to answer questions about their post-surgical experience.
Results

539 men consented for the study. Fifty seven were excluded from participation for medical or anatomical reasons and 28 decided not to have the procedure after providing consent. A total of 454 men were circumcised using the Forceps Guided Method Under Local Anesthesia. The rate of adverse events (AE) was 4.4% (20% moderate, 80% mild). There were no serious AEs and all complications resolved promptly with treatment. Eighty eight percent of clients reported being “very satisfied” and 12% were “somewhat satisfied” with the outcome at the one-week postoperative visit.
Conclusions

Recruitment and uptake were satisfactory. Client satisfaction with VMMC was high and the rate of AEs was low. Roll out of VMMC in targeted areas of the DR is feasible and should be considered.
Trial Registration

ClinicalTrials.gov NCT02337179
...
Funding: This project was supported by the National Center for Advancing Translational Sciences, National Institutes of Health, through Grant UL1TR000050.

URL: http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0137376

2015-09-08 AIDS Behav. - Circumcision Status and Time to Sexual Debut Among Youth in Sub-Saharan Africa: Evidence from Six Demographic and Health Surveys

Author information

    1 Department of Geography, Western University

Abstract

This paper examines the relationship between circumcision status and timing of sexual debut among unmarried youth in Sub-Saharan Africa using Demographic and Health Surveys. Results from survival analysis indicate that the association between circumcision and timing of first sex is place and context specific. Compared to uncircumcised, circumcised men in Rwanda, Uganda and Namibia hasten sexual initiation, whilst circumcised youth in Ethiopia and Mali delayed sex initiation. In Togo however, we found parity in timing to sexual debut. Our multivariate results reveal that, knowledge of HIV/AIDS risk and educational level also feed into the association between circumcision and timing of sex initiation- implying that efforts to prevent new HIV infection through circumcision could benefit from a proper understanding of how diverse set of factors interact in specific contexts to shape youth's decisions to initiate early sex.

PMID: 26350790

URL: http://www.ncbi.nlm.nih.gov/pubmed/26350790

2015-09-24 eTurboNews - "Tourism clusters to be launched as part of this year’s World Tourism Day Celebrations"

Excerpt:

In a bid to strengthen service delivery,Uganda's Ministry of Tourism Wildlife & Antiquities (MTWA) is developing a framework under which regional clusters are to be formed.

In a communique from the Ministry inviting representatives from the different regions, to kick off this year’s World Tourism Day activities, a tourism cluster workshop has been scheduled for 25th and 26th of September 2015 at Gracious Palace Hotel in Lira district located in northern Uganda. The workshop is designed to develop capacity of the tourism clusters and to develop strategic work plans for implementation and in view of attracting funding.

Funded by (united Nations Development Programme) UNDP, the workshop shall also benchmark best practices from the South African experience and identify Unique Sales Propositions for each cluster .
...
So far the response has been positive with several clusters identifying unique selling products ranging from Bull fighting and Imbalu (male circumcision)

URL: http://www.eturbonews.com/64136/tourism-clusters-be-launched-part-year-s-world-tourism-day-celeb

Wednesday, 23 September 2015

2015-06-23 CDC reference circumcision-for-HIV/STI-prevention in health screening for migrants

Excerpt:

'Internationally, most countries do not track any of the three infections; however, the few publications and records available suggest case rates have declined worldwide over the past 50 years.
...
Additionally, HIV prevention strategies such as male circumcision may be playing a role, although definitive studies of this effect are still pending.'

URL: http://www.regulations.gov/#!documentDetail;D=CDC-2015-0045-0001

2015-09-23 Daily Monitor - Editorial: Check forced circumcision

Excerpt:

We reported last week about the forced circumcision of 25 pupils from Oderai Primary School in Soroti Sub-county, Soroti District in eastern Uganda. The exercise, which targeted pupils of 11 and 15 years, is said to have been facilitated by a non-governmental organisation.

The exercise was a traumatic one for the pupils some of whom had adverse reactions to the circumcision. According to their parents, one pupil disappeared while another refused to return to school.

The Ministry of Education should intervene in this matter to establish how the school administration managed to overstep their mandate to the extent of sanctioning such a life-changing medical procedure on underage individuals without their parents’ consent.

In fact, the entire district administration should be investigated because the school head claimed she released the pupils due to the involvement of district medical workers.
The official claim is that the district workers were merely doing their duty as per a government programme sanctioned by the district. However, if there are complications arising from this exercise, ultimately it is the parents who will bear the cost of medical bills and emotional trauma.
...
The hurried way in which the circumcision of the Soroti pupils was done raises questions about the objectives of those who carried it out. Is this a district wide exercise that they intended to carry out in other schools? Authorities in the ministries of Health and Education should come out and pronounce themselves clearly on this exercise.

URL: http://www.monitor.co.ug/OpEd/Editorial/Check-forced-circumcision/-/689360/2881298/-/rjd7hbz/-/index.html

2015-09-19 Daily Monitor (Uganda) - Parents protest forced circumcision of children

Cite as:  Onyango, J.E. (2015) Parents protest forced circumcision of children Daily Monitor 19 September 2015 Full-text available at http://www.monitor.co.ug/News/National/Parents-protest-forced-circumcision-of-children/-/688334/2876206/-/gvf444/-/index.html Accessed: 28 October 2015. Archived by Bodily Autonomy Watch at http://bodilyautonomywatch.blogspot.com/2015/09/2015-09-19-daily-monitor-uganda-parents.html

Excerpt:

Parents have protested the circumcision of their underage children studying at Oderai Primary School in Soroti sub-county, Soroti District.

At least 25 pupils were circumcised on Monday without consent of their parents and most of them have since not returned to school.

The exercise targeted children from Primary Three to Primary Seven aged between 11 to 15. They were circumcised at Soroti Health Centre III. The exercise was facilitated by Baylor Uganda, a non governmental organisation.

Parents said the circumcised children preferred to stay back at their respective homes because they are still feeling pain.

Archived URL: https://web.archive.org/web/20151028045624/http://www.monitor.co.ug/News/National/Parents-protest-forced-circumcision-of-children/-/688334/2876206/-/gvf444/-/index.html

2015-09-16 Daily Monitor (Uganda) - Baby loses penis during circumcision

Cite as: Basiime & Atuhaire (2015)  Baby loses penis during circumcision Daily Monitor 16 September 2015 Full-text available at http://www.monitor.co.ug/News/National/Baby-loses-penis-during-circumcision/-/688334/2871830/-/9w2t1t/-/index.html Accessed: 28 October 2015. Archived by Bodily Autonomy Watch at http://bodilyautonomywatch.blogspot.com/2015/09/2015-09-16-daily-monitor-uganda-baby.html
 
Excerpt:

Kabarole. A six-months-old baby in Fort Portal has lost his penis during circumcision, a procedure his mother claims she never authorised.
Ms Rosette Katushabe, a resident of Rwengoma village in Fort Portal municipality, says her baby was on September 2 circumcised by a sheikh without her consent.
...
Previous cases
In 2013, a 44-year-old lost his penis to a botched male medical circumcision procedure in a private clinic in Kawempe Division, Kampala. The man said the circumcision was free, but he had to pay shs20,000 for the drugs. He said he woke up three hours after the procedure to find his penis stiff and was removed days later at Mulago hospital when it darkened and began peeling off.

Archived URL: https://web.archive.org/web/20151028042614/http://www.monitor.co.ug/News/National/Baby-loses-penis-during-circumcision/-/688334/2871830/-/9w2t1t/-/index.html

2015-09-21 Global Fund - Results Report 2015

Cite as: Global Fund (2015) Results Report 2015 Global Fund 21 September 2015 Full-text available at http://www.theglobalfund.org/documents/publications/annual_reports/Corporate_2015ResultsReport_Report_en/ Accessed: 28 October 2015. Archived by Bodily Autonomy Watch at http://bodilyautonomywatch.blogspot.com/2015/09/httpwww.html

Except from the report:

Country Example – Kenya

With 1.6 million people living with HIV, Kenya has the fourthlargest number of people infected with the virus in the world. The number of new infections each year has dropped at a relatively slow pace. However, accelerated expansion of treatment has meant that many more people who contract HIV are staying alive.

About 700,000 people are now on HIV treatment in Kenya, and 53,000 women receive prevention of mother-to-child transmission services representing more than 70 percent coverage. Strong HIV testing campaigns have seen 75 percent of Kenyans test for the virus at least once. Fifty percent of people living with HIV in the country know their status. Also, expanded prevention efforts in providing voluntary medical male circumcision have led to 800,000 circumcisions.
Archived URL: https://web.archive.org/web/20151028041516/http://www.theglobalfund.org/documents/publications/annual_reports/Corporate_2015ResultsReport_Report_en/

2015-09-17 Zambia Daily Mail - "Zingeni Jere lauds benefits of male circumcision"

Cite as:  Zambia Daily Mail (2015) Zingeni Jere lauds benefits of male circumcision Zambia Daily Mail 17 September 2015 Full-text available at https://www.daily-mail.co.zm/?p=44014 Accessed: 28 October 2015. Archived by Bodily Autonomy Watch at http://bodilyautonomywatch.blogspot.com/2015/09/2015-09-17-zambia-daily-mail-zingeni.html

Excerpt:

Zingeni is among the 950,626 Zambian youths and men who have undergone the HIV prevention strategy across Zambia. The programme began in 2008.
According to research done by various organisations including the World Health Organisation (WHO), it has been revealed that male circumcision (MC) has helped reduce men’s risk of acquiring HIV by 60 percent.
...
The WHO 2015 Progress Brief on VMMC for HIV Prevention reports that nearly one million men have been medically circumcised since 2008 when VMMC started towards the end of 2014 as part of the massive scale-up of circumcision services in the country.
For the year 2014 alone, the report indicates that 315,168 men accessed the service.
From 2008 until 2014, a total number of 950,626 men have been circumcised, representing 49 percent of the country’s 2015 target of two million VMMCs.
URL: http://www.webcitation.org/6cbgqSCXf