Knowledge of and Acceptability to Promote Male Circumcision as part of HIV Prevention Strategy Among Second Years Medical Students at University of Namibia-Windhoek

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DOI: 10.21522/TIJPH.2013.08.03.Art009

Authors : Ntumba A, L. Kazembe

Abstract:

Background: The Voluntary Medical Male Circumcision (VMMC) was recommended as part of HIV prevention strategy after the randomized controlled trials conducted in three African countries including South Africa, Kenya and Uganda. Sub-Saharan Africa is more affected by HIV. The ABC (Abstinence, being faithful and condom use) messages seemed not to reduce HIV, hence adding more HIV prevention strategies is recommended. Since VMMC had proven to reduce HIV transmission, the knowledge of people in this matter is paramount.

Aims: This study was designated to evaluate the knowledge and acceptability of VMMC among 51 second years medical students.

Materials and Methods: A cross-sectional study was conducted among second years medical students in 2016, both boys and girls were enrolled in the study.

Results: The results showed that all medical students have good to excellent knowledge of MC; 33% have good knowledge, 49% very good knowledge and 18% excellent knowledge of MC. All participants (100%) accepted to promote MC as part of HIV prevention strategy.

Conclusion: The knowledge of the second years medical students was good to excellent, making it easy for MC promotion for HIV prevention.

Keywords: Circumcision, HIV, prevention, Medical students, Windhoek, Namibia.

References:

[1].  Chikutsa, A. (2011). Contextualizing the adoption of MC as an HIV prevention strategy in Zimbabwe. Retrieved December 17, 2012, from http://uaps2011princeton.edu/papers/110446.

[2].  Dévieux et al (2015). Knowledge, Attitudes, Practices and Beliefs about Medical Male Circumcision (MMC) among a Sample of Health Care Providers in Haiti.

http://dx.doi.org/10.1371/journal.pone.0134667.

[3].  Hoffman J.R., Arendse K.D., Larbi C., Johnson N. & Vivian L. M. H (2015). Perceptions on male circumcision as a preventive measure against HIV infection and considerations in scaling up of the services: a qualitative study among police officers in Dar es Salaam. Tanzania. Published online: 02 March 2015.

[4].  Ikwegbue J.N, Ross A. & Ogbonnaya H. (2015). Rural Zulu women's knowledge of and attitudes towards medical male circumcision. Afr J Prim Health Care Fam Med. 2015; 7(1): 775.

[5].  Lissouba et al (2010). Knowledge, attitudes and practices of women towards male circumcision after three years of roll-out in Orange Farm, South Africa. pag.ias2011.org/Abstracts.aspx?AID=935.

[6].  Lukobo MD & Bailey RC (2007). Acceptability of male circumcision for prevention of HIV infection in Zambia. AIDS Care. 2007;19(4):471–477. http://dx.doi.org/10.1080/09540120601163250 [PubMed].

[7].  Mavhu et al (2011). Prevalence and factors associated with knowledge of and willingness for male circumcision in rural Zimbabwe. Tropical Medicine and International Health. volume 16 no 5 pp 589–597 may 2011 doi:10.1111/j.1365-3156.2011.02744.x.

[8].  Milford C, Rambally L, Mantell JE, Kelvin EA, Mosery NF & Smit JA (2016). Healthcare providers' knowledge, attitudes and practices towards medical male circumcision and their understandings of its partial efficacy in HIV prevention: Qualitative research in KwaZulu-Natal, South Africa. Int J Nurs Stud. 2016 Jan; 53:182-9. doi: 10.1016/j.ijnurstu.2015.07.011. Epub 2015 Aug 1.

[9].  Mubekapi C. (2013). Knowledge, Attitudes and Practices of Male Circumcision as an HIV Prevention Method among Males in a Mine, Geita, Tanzania. Copyright © 2013 Stellenbosch University.

[10].  Mndzele S.L. & Tegegn G.A. (2015). Knowledge, attitude and acceptance of voluntary medical male circumcision among male students attending Botswana University. Journal of Public Health and Epidemiology. Vol. 7(1), pp.6-14, January 2015.

[11].  MOHSS (Ministry of Health and Social Services), Government of Namibia. (2005). Report of the 2014 National HIV Sentinel Survey. Ministry of Health and Social Services, Windhoek (Namibia).

[12].  Mugwanya k. k., Baeten J. M., Nakku-Joloba E., Katabira E., Celum C., Tisch D & Whalen C. (2010). Knowledge and attitudes about male circumcision for HIV-1 prevention among heterosexual HIV-1 serodiscordant partnerships in Kampala, Uganda. AIDS Behav. 2010 Oct;14(5):1190-7. doi: 10.1007/s10461-010-9696-x.

[13].  Naidoo PV, Dawood F, Driver C, Narainsamy M, Ndlovu S, Ndlovu V. (2012). Knowledge, attitudes and perceptions of pharmacy and nursing students towards male circumcision and HIV in a KwaZulu-Natal University, South Africa. Afr J Prm Health Care Fam Med. 2012;4(1), Art. #327, 7 pages. http://dx.doi.org/10.4102/phcfm. v4i1.327.

[14].  Robert C Bailey, Stephen Moses, Corette B Parker et al (2007). Male circumcision for HIV prevention in young men in Kisumu, Kenya: a randomised controlled trial. www.thelancet.com vol 369 February 2007.


[15].  Sengwayo S.F., Colvin J. C., Newell M & Imrie J. (2009). Men’s knowledge, attitudes and beliefs about medical male circumcision: A qualitative study in rural northern KwaZulu-Natal, South Africa.

[16].  Online available:

http://www.academia.edu/7353297.

[17].  Tarimo E.A., Francis J.M., Kakoko D., Munseri P., Bakari M & Sandstrom E. (2012). Perceptions on male circumcision as a preventive measure against HIV infection and considerations in scaling up of the services: a qualitative study among police officers in Dar es Salaam-Tanzania. PMID: 22812484 [PubMed - indexed for MEDLINE] PMCID: PMC3416658.

[18].  UNAIDS, (2006). Male Circumcision: Africa’s Unprecedented Opportunity. http://www.unaidsrstesa.or/site/default/files/malecircumsicion/mc_africa-opp-en.pdf.

[19].  UNAIDS (2015). Report on the Global AIDS Epidemic. Geneva. Switzerland.

[20].  Westercamp N & Bailey RC (2007). Acceptability of male circumcision for prevention of HIV/AIDS in sub-Saharan Africa: a review. AIDS Behav. 2007;11(3):341–355. [PMC free article] [PubMed].