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AIDS Behav. 2017 May;21(5):1383-1393. doi: 10.1007/s10461-016-1515-6.

What Messages are Adolescent Voluntary Medical Male Circumcision (VMMC) Clients Getting and How? Findings From an Observational Study in Tanzania.

Author information

1
Jhpiego, Dar Es Salaam, Tanzania. dorica.boyee@jhpiego.org.
2
Tulane School of Public Health and Tropical Medicine, New Orleans, LA, USA.
3
Jhpiego, Dar Es Salaam, Tanzania.
4
Ministry of Health, Community Development, Gender, Elderly and Children, National AIDS Control Program, Dar Es Salaam, Tanzania.
5
USAID, Dar Es Salaam, Tanzania.
6
USAID, Washington, USA.

Abstract

Uncircumcised adolescent males in sub-Saharan Africa are an important group to reach with voluntary medical male circumcision (VMMC) services due to high HIV burden occurring among this age group. Appropriateness of the content and delivery of sexual health and HIV prevention messages to adolescent VMMC clients has not been extensively described. A study was conducted in Tanzania to examine quality, delivery and content of messages provided to adolescent (aged 15-19) and adult (aged 20+) VMMC clients (n = 320). Results show that counseling of mixed age groups during group education lacked selected key messages, compared to more age-homogeneous groups. Additionally, adolescents received more comprehensive information in individual counseling compared to group education. We recommend that health care providers are provided with skills and job aides to assist them to segment VMMC clients by age; provide age-appropriate messages; and increase use of individual counseling as a means to communicate with adolescent clients.

KEYWORDS:

Adolescent males; Counseling; HIV prevention; Sexual health; Voluntary medical male circumcision

PMID:
27557986
PMCID:
PMC5378739
DOI:
10.1007/s10461-016-1515-6
[Indexed for MEDLINE]
Free PMC Article

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