Showing posts with label medical devices. Show all posts
Showing posts with label medical devices. Show all posts

Thursday, 29 October 2015

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.
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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.
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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/

Thursday, 24 September 2015

2014-08-18 CDC - "Early Infant Male Circumcision: A Giant Leap toward an HIV-Free Generation in Botswana"

Excerpt:

Baby Tyrone was among the first infants in Botswana circumcised with one of two newly introduced medical devices for infants rolled out by the Ministry of Health earlier this year. Doctors and midwives were trained in January by experts from CDC. The new procedure is bloodless and requires no anesthesia or suturing.

Health officials say that not only will infant circumcision help protect boys from HIV when they become sexually active later in life, but that it also protects infants and boys from serious health complications such as urinary tract infections and paraphimosis, a condition that can lead to pain and swelling of the penis and may require surgery.
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The rollout of Early Infant Male Circumcision in Botswana may be one of several indications that the Safe Male Circumcision (SMC) program has turned a corner in Botswana. Between April 2013 and February 2014, the national SMC program recorded 42,679 circumcisions, about 85% of its annual target and 10,000 more than the previous year.

More targeted demand creation campaigns and a fleet of new mobile outreach clinics may help explain the recent upsurge in voluntary circumcisions in Botswana. Or perhaps it’s the promise of new SMC devices that make the procedure easier and faster.

The U.S. government through the U.S. President’s Emergency Plan for AIDS Relief (PEPFAR) has supported Botswana’s SMC program from its inception in 2009 with nearly $25 million and technical assistance over the past five years. In 2013, PEPFAR restructured its support to a single-partner model and chose Jhpiego, a development organization affiliated with Johns Hopkins University, as the single implementing partner for all CDC-funded activities related to the SMC program.

The Ministry of Health also plans to roll out the PrePex male circumcision device following the completion last year of a six-month pilot study sponsored by PEPFAR.
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“If we can integrate infant circumcision into the maternity wings and convince mothers that this is a good idea, this one can be a big win,” says Conrad Ntsuape, the national SMC Coordinator.

URL: http://www.cdc.gov/globalaids/success-stories/botswana_success.html