Format

Send to

Choose Destination
See comment in PubMed Commons below
Qual Health Res. 2013 Jun;23(6):795-804. doi: 10.1177/1049732313482189. Epub 2013 Mar 20.

Contextual barriers and motivators to adult male medical circumcision in Rakai, Uganda.

Author information

1
Rakai Health Sciences Program, Rakai, Uganda. rssekubugu@rhsp.org

Abstract

Medical male circumcision (MMC) is a central component of HIV prevention. In this study we examined barriers to and facilitators of MMC in Rakai, Uganda. Interviews and focus groups with MMC acceptors, decliners, and community members were collected and analyzed iteratively. Themes were developed based on immersion, repeated reading, sorting, and coding of data using grounded theory. Pain, medical complications, infertility, lack of empirical efficacy, waiting time before resumption of sex, and religion were identified as obstacles to MMC acceptance. Prevention and healing of sexually transmitted infections (STIs), access to HIV and other ancillary care, penile hygiene, and peer influence were key motivators. Voluntary counseling and testing for HIV, partner influence, and sexual potency were both barriers and motivators. Individual and societal factors, such as pain and religion, might slow MMC scale up. Health benefits, such as HIV/STI prevention and penile hygiene, are essential in motivating men to accept MMC.

PMID:
23515302
DOI:
10.1177/1049732313482189
[Indexed for MEDLINE]
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for Atypon
    Loading ...
    Support Center