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Factors Influencing Participation of Adults in Voluntary Medical Male Circumcision in Lindi Region, Tanzania

BACKGROUND: Voluntary Medical Male Circumcision (VMMC) is a surgical procedure done by a qualified medical personnel using anesthesia. In Tanzania, there is a gap between adult men who are not circumcised and adolescents. This calls for a review of the current situation of VMMC services in the commu...

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Autores principales: Mathias, Sadock Peter, Kahwa, Amos, Kimaro, Godfather, Ngadaya, Esther, Nchagwa, Hellen, Eric, Frank, Mfinanga, Sayoki, Mwombeki, Thereza, Kagaruki, Gibson, Mwenda, Lucy, Smeo, Japhet, Kapologwe, Ntuli, Mathania, Mary, Russa, Denis
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The East African Health Research Commission 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10388618/
https://www.ncbi.nlm.nih.gov/pubmed/37529503
http://dx.doi.org/10.24248/eahrj.v7i1.715
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author Mathias, Sadock Peter
Kahwa, Amos
Kimaro, Godfather
Ngadaya, Esther
Nchagwa, Hellen
Eric, Frank
Mfinanga, Sayoki
Mwombeki, Thereza
Kagaruki, Gibson
Mwenda, Lucy
Smeo, Japhet
Kapologwe, Ntuli
Mathania, Mary
Russa, Denis
author_facet Mathias, Sadock Peter
Kahwa, Amos
Kimaro, Godfather
Ngadaya, Esther
Nchagwa, Hellen
Eric, Frank
Mfinanga, Sayoki
Mwombeki, Thereza
Kagaruki, Gibson
Mwenda, Lucy
Smeo, Japhet
Kapologwe, Ntuli
Mathania, Mary
Russa, Denis
author_sort Mathias, Sadock Peter
collection PubMed
description BACKGROUND: Voluntary Medical Male Circumcision (VMMC) is a surgical procedure done by a qualified medical personnel using anesthesia. In Tanzania, there is a gap between adult men who are not circumcised and adolescents. This calls for a review of the current situation of VMMC services in the community at large in order to inform policymakers and stakeholders involved in the fight against HIV and other sexually transmitted diseases. The present study explored the factors influencing utilisation of VMMC services among adult males in Lindi Region, Tanzania. MATERIALS AND METHODS: A cross-sectional study was conducted among adults male (15-49 years). Data were collected by using a structured modified measure evaluation quantitative Version 2 questionnaire using a Tablet/Android device with an Open Data Kit (ODK) application (Google Inc. California, USA). RESULTS: The socio-demographic set up of the study participants was mainly composed of males less than 30yrs, single, unemployed, with primary education as the highest level of study and of a Muslim faith. Majority of the respondents (92%) recommended circumcision to a male family member who is not yet circumcised. The study showed that improved sexual performance (81%), penile hygiene (97%) and circumcision as a modern civilization (96%) to be the key factors that motivated respondents' utilisation of VMMC services. However, only 20.6% of the respondents could barely say that VMMC is a surgical procedure done by qualified medical personnel under anaesthesia. The major reasons for recommending the utilisation of VMMC services to their family members were the VMMC usefulness in preventing STIs (48.9%), cultural practices and norms (31.5%), improved penile hygiene (17.4%) and religious reasons (2.2%). CONCLUSION: VMMC is positively favoured by the local coastal communities of the Lindi region of Tanzania Mainland. Our findings may be inferred to reflect on the other neighbouring regions with similar sociocultural set ups such as Mtwara, Pwani, Rural Dar es Salaam and Tanga and the isles of Unguja and Pemba. Programs addressing VMMC may be well instituted in these local communities with high degree of favourability and success.
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spelling pubmed-103886182023-08-01 Factors Influencing Participation of Adults in Voluntary Medical Male Circumcision in Lindi Region, Tanzania Mathias, Sadock Peter Kahwa, Amos Kimaro, Godfather Ngadaya, Esther Nchagwa, Hellen Eric, Frank Mfinanga, Sayoki Mwombeki, Thereza Kagaruki, Gibson Mwenda, Lucy Smeo, Japhet Kapologwe, Ntuli Mathania, Mary Russa, Denis East Afr Health Res J Original Article BACKGROUND: Voluntary Medical Male Circumcision (VMMC) is a surgical procedure done by a qualified medical personnel using anesthesia. In Tanzania, there is a gap between adult men who are not circumcised and adolescents. This calls for a review of the current situation of VMMC services in the community at large in order to inform policymakers and stakeholders involved in the fight against HIV and other sexually transmitted diseases. The present study explored the factors influencing utilisation of VMMC services among adult males in Lindi Region, Tanzania. MATERIALS AND METHODS: A cross-sectional study was conducted among adults male (15-49 years). Data were collected by using a structured modified measure evaluation quantitative Version 2 questionnaire using a Tablet/Android device with an Open Data Kit (ODK) application (Google Inc. California, USA). RESULTS: The socio-demographic set up of the study participants was mainly composed of males less than 30yrs, single, unemployed, with primary education as the highest level of study and of a Muslim faith. Majority of the respondents (92%) recommended circumcision to a male family member who is not yet circumcised. The study showed that improved sexual performance (81%), penile hygiene (97%) and circumcision as a modern civilization (96%) to be the key factors that motivated respondents' utilisation of VMMC services. However, only 20.6% of the respondents could barely say that VMMC is a surgical procedure done by qualified medical personnel under anaesthesia. The major reasons for recommending the utilisation of VMMC services to their family members were the VMMC usefulness in preventing STIs (48.9%), cultural practices and norms (31.5%), improved penile hygiene (17.4%) and religious reasons (2.2%). CONCLUSION: VMMC is positively favoured by the local coastal communities of the Lindi region of Tanzania Mainland. Our findings may be inferred to reflect on the other neighbouring regions with similar sociocultural set ups such as Mtwara, Pwani, Rural Dar es Salaam and Tanga and the isles of Unguja and Pemba. Programs addressing VMMC may be well instituted in these local communities with high degree of favourability and success. The East African Health Research Commission 2023 2023-07-12 /pmc/articles/PMC10388618/ /pubmed/37529503 http://dx.doi.org/10.24248/eahrj.v7i1.715 Text en © The East African Health Research Commission 2023 https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are properly cited. To view a copy of the license, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Original Article
Mathias, Sadock Peter
Kahwa, Amos
Kimaro, Godfather
Ngadaya, Esther
Nchagwa, Hellen
Eric, Frank
Mfinanga, Sayoki
Mwombeki, Thereza
Kagaruki, Gibson
Mwenda, Lucy
Smeo, Japhet
Kapologwe, Ntuli
Mathania, Mary
Russa, Denis
Factors Influencing Participation of Adults in Voluntary Medical Male Circumcision in Lindi Region, Tanzania
title Factors Influencing Participation of Adults in Voluntary Medical Male Circumcision in Lindi Region, Tanzania
title_full Factors Influencing Participation of Adults in Voluntary Medical Male Circumcision in Lindi Region, Tanzania
title_fullStr Factors Influencing Participation of Adults in Voluntary Medical Male Circumcision in Lindi Region, Tanzania
title_full_unstemmed Factors Influencing Participation of Adults in Voluntary Medical Male Circumcision in Lindi Region, Tanzania
title_short Factors Influencing Participation of Adults in Voluntary Medical Male Circumcision in Lindi Region, Tanzania
title_sort factors influencing participation of adults in voluntary medical male circumcision in lindi region, tanzania
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10388618/
https://www.ncbi.nlm.nih.gov/pubmed/37529503
http://dx.doi.org/10.24248/eahrj.v7i1.715
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