Despite the fact that millions of men have been circumcised as part of global male circumcision programmes to prevent HIV, the uptake of male circumcision (MC) is falling short of expectations. This implies that the majority of males do not see HIV protection as a compelling reason to circumcise. Some males, for example, are circumcised for psychosocial reasons rather than for the primary public health goal of reducing HIV transmission. These incentives have not been investigated in depth to see if they have an impact on male circumcision as an HIV prevention technique. The goal of this study was to understand the psychosocial motivations for male circumcision in Swaziland and how they might affect the success of the mass male circumcision plan. In-depth individual face-to-face unstructured interviews were performed with 17 men seeking health care services at the Family Life Association of Swaziland clinic in Mbabane, Swaziland, using a qualitative study approach. All men above the age of 18 were eligible. According to the findings, some males are circumcised for psychosocial reasons rather than for HIV protection. Giving in to pressure from public health advocates, sexual partners, and colleagues; imagined sexual benefits of the operation; demonstrating one’s manhood; and using free and widely available male circumcision services are among these psychosocial factors. However, there is no guarantee that post-MC sexual behaviour will be safe. Nonetheless, these objectives should be emphasised in mass male circumcision efforts, together with proper health education, to complement HIV prevention in encouraging male circumcision and guaranteeing safe post-circumcision sexual behaviour.
Author (S) Details
University of South Africa, Department of Health Studies, South Africa and University of Swaziland, Department of General Nursing, Mbabane, Swaziland.
B. S. Nsibandze
University of Swaziland, Department of General Nursing, Mbabane, Swaziland.
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