Cargando…

Incorporating Voluntary Medical Male Circumcision Into Traditional Circumcision Contexts: Experiences of a Local Consortium in Zimbabwe Collaborating With an Ethnic Group

Employing voluntary medical male circumcision (VMMC) within traditional settings may increase patient safety and help scale up male circumcision efforts in sub-Saharan Africa. In Zimbabwe, the VaRemba are among the few ethnic groups that practice traditional male circumcision, often in suboptimal hy...

Descripción completa

Detalles Bibliográficos
Autores principales: Hove, Joseph, Masimba, Lewis, Murenje, Vernon, Nyadundu, Simon, Musayerenge, Brian, Xaba, Sinokuthemba, Nachipo, Brian, Chitimbire, Vuyelwa, Makunike, Batsirai, Holec, Marrianne, Chinyoka, Takarubuda, Mandisarisa, John, Balachandra, Shirish, Tshimanga, Mufuta, Barnhart, Scott, Feldacker, Caryl
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Global Health: Science and Practice 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6538129/
https://www.ncbi.nlm.nih.gov/pubmed/30926742
http://dx.doi.org/10.9745/GHSP-D-18-00352
_version_ 1783422133752299520
author Hove, Joseph
Masimba, Lewis
Murenje, Vernon
Nyadundu, Simon
Musayerenge, Brian
Xaba, Sinokuthemba
Nachipo, Brian
Chitimbire, Vuyelwa
Makunike, Batsirai
Holec, Marrianne
Chinyoka, Takarubuda
Mandisarisa, John
Balachandra, Shirish
Tshimanga, Mufuta
Barnhart, Scott
Feldacker, Caryl
author_facet Hove, Joseph
Masimba, Lewis
Murenje, Vernon
Nyadundu, Simon
Musayerenge, Brian
Xaba, Sinokuthemba
Nachipo, Brian
Chitimbire, Vuyelwa
Makunike, Batsirai
Holec, Marrianne
Chinyoka, Takarubuda
Mandisarisa, John
Balachandra, Shirish
Tshimanga, Mufuta
Barnhart, Scott
Feldacker, Caryl
author_sort Hove, Joseph
collection PubMed
description Employing voluntary medical male circumcision (VMMC) within traditional settings may increase patient safety and help scale up male circumcision efforts in sub-Saharan Africa. In Zimbabwe, the VaRemba are among the few ethnic groups that practice traditional male circumcision, often in suboptimal hygienic environments. ZAZIC, a local consortium, and the Zimbabwe Ministry of Health and Child Care (MoHCC) established a successful, culturally sensitive partnership with the VaRemba to provide safe, standardized male circumcision procedures and reduce adverse events (AEs) during traditional male circumcision initiation camps. The foundation for the VaRemba Camp Collaborative (VCC) was established over a 4-year period, between 2013 and 2017, with support from a wide group of stakeholders. Initially, ZAZIC supported VaRemba traditional male circumcisions by providing key commodities and transport to help ensure patient safety. Subsequently, 2 male VaRemba nurses were trained in VMMC according to national MoHCC guidelines to enable medical male circumcision within the camp. To increase awareness and uptake of VMMC at the upcoming August–September 2017 camp, ZAZIC then worked closely with a trained team of circumcised VaRemba men to create demand for VMMC. Non-VaRemba ZAZIC doctors were granted permission by VaRemba leaders to provide oversight of VMMC procedures and postoperative treatment for all moderate and severe AEs within the camp setting. Of 672 male camp residents ages 10 and older, 657 (98%) chose VMMC. Only 3 (0.5%) moderate infections occurred among VMMC clients; all were promptly treated and healed well. Although the successful collaboration required many years of investment to build trust with community leaders and members, it ultimately resulted in a successful model that paired traditional circumcision practices with modern VMMC, suggesting potential for replicability in other similar sub-Saharan African communities.
format Online
Article
Text
id pubmed-6538129
institution National Center for Biotechnology Information
language English
publishDate 2019
publisher Global Health: Science and Practice
record_format MEDLINE/PubMed
spelling pubmed-65381292019-06-26 Incorporating Voluntary Medical Male Circumcision Into Traditional Circumcision Contexts: Experiences of a Local Consortium in Zimbabwe Collaborating With an Ethnic Group Hove, Joseph Masimba, Lewis Murenje, Vernon Nyadundu, Simon Musayerenge, Brian Xaba, Sinokuthemba Nachipo, Brian Chitimbire, Vuyelwa Makunike, Batsirai Holec, Marrianne Chinyoka, Takarubuda Mandisarisa, John Balachandra, Shirish Tshimanga, Mufuta Barnhart, Scott Feldacker, Caryl Glob Health Sci Pract Field Action Reports Employing voluntary medical male circumcision (VMMC) within traditional settings may increase patient safety and help scale up male circumcision efforts in sub-Saharan Africa. In Zimbabwe, the VaRemba are among the few ethnic groups that practice traditional male circumcision, often in suboptimal hygienic environments. ZAZIC, a local consortium, and the Zimbabwe Ministry of Health and Child Care (MoHCC) established a successful, culturally sensitive partnership with the VaRemba to provide safe, standardized male circumcision procedures and reduce adverse events (AEs) during traditional male circumcision initiation camps. The foundation for the VaRemba Camp Collaborative (VCC) was established over a 4-year period, between 2013 and 2017, with support from a wide group of stakeholders. Initially, ZAZIC supported VaRemba traditional male circumcisions by providing key commodities and transport to help ensure patient safety. Subsequently, 2 male VaRemba nurses were trained in VMMC according to national MoHCC guidelines to enable medical male circumcision within the camp. To increase awareness and uptake of VMMC at the upcoming August–September 2017 camp, ZAZIC then worked closely with a trained team of circumcised VaRemba men to create demand for VMMC. Non-VaRemba ZAZIC doctors were granted permission by VaRemba leaders to provide oversight of VMMC procedures and postoperative treatment for all moderate and severe AEs within the camp setting. Of 672 male camp residents ages 10 and older, 657 (98%) chose VMMC. Only 3 (0.5%) moderate infections occurred among VMMC clients; all were promptly treated and healed well. Although the successful collaboration required many years of investment to build trust with community leaders and members, it ultimately resulted in a successful model that paired traditional circumcision practices with modern VMMC, suggesting potential for replicability in other similar sub-Saharan African communities. Global Health: Science and Practice 2019-03-22 /pmc/articles/PMC6538129/ /pubmed/30926742 http://dx.doi.org/10.9745/GHSP-D-18-00352 Text en © Hove et al. http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 International License (CC BY 4.0), 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/. When linking to this article, please use the following permanent link: https://doi.org/10.9745/GHSP-D-18-00352
spellingShingle Field Action Reports
Hove, Joseph
Masimba, Lewis
Murenje, Vernon
Nyadundu, Simon
Musayerenge, Brian
Xaba, Sinokuthemba
Nachipo, Brian
Chitimbire, Vuyelwa
Makunike, Batsirai
Holec, Marrianne
Chinyoka, Takarubuda
Mandisarisa, John
Balachandra, Shirish
Tshimanga, Mufuta
Barnhart, Scott
Feldacker, Caryl
Incorporating Voluntary Medical Male Circumcision Into Traditional Circumcision Contexts: Experiences of a Local Consortium in Zimbabwe Collaborating With an Ethnic Group
title Incorporating Voluntary Medical Male Circumcision Into Traditional Circumcision Contexts: Experiences of a Local Consortium in Zimbabwe Collaborating With an Ethnic Group
title_full Incorporating Voluntary Medical Male Circumcision Into Traditional Circumcision Contexts: Experiences of a Local Consortium in Zimbabwe Collaborating With an Ethnic Group
title_fullStr Incorporating Voluntary Medical Male Circumcision Into Traditional Circumcision Contexts: Experiences of a Local Consortium in Zimbabwe Collaborating With an Ethnic Group
title_full_unstemmed Incorporating Voluntary Medical Male Circumcision Into Traditional Circumcision Contexts: Experiences of a Local Consortium in Zimbabwe Collaborating With an Ethnic Group
title_short Incorporating Voluntary Medical Male Circumcision Into Traditional Circumcision Contexts: Experiences of a Local Consortium in Zimbabwe Collaborating With an Ethnic Group
title_sort incorporating voluntary medical male circumcision into traditional circumcision contexts: experiences of a local consortium in zimbabwe collaborating with an ethnic group
topic Field Action Reports
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6538129/
https://www.ncbi.nlm.nih.gov/pubmed/30926742
http://dx.doi.org/10.9745/GHSP-D-18-00352
work_keys_str_mv AT hovejoseph incorporatingvoluntarymedicalmalecircumcisionintotraditionalcircumcisioncontextsexperiencesofalocalconsortiuminzimbabwecollaboratingwithanethnicgroup
AT masimbalewis incorporatingvoluntarymedicalmalecircumcisionintotraditionalcircumcisioncontextsexperiencesofalocalconsortiuminzimbabwecollaboratingwithanethnicgroup
AT murenjevernon incorporatingvoluntarymedicalmalecircumcisionintotraditionalcircumcisioncontextsexperiencesofalocalconsortiuminzimbabwecollaboratingwithanethnicgroup
AT nyadundusimon incorporatingvoluntarymedicalmalecircumcisionintotraditionalcircumcisioncontextsexperiencesofalocalconsortiuminzimbabwecollaboratingwithanethnicgroup
AT musayerengebrian incorporatingvoluntarymedicalmalecircumcisionintotraditionalcircumcisioncontextsexperiencesofalocalconsortiuminzimbabwecollaboratingwithanethnicgroup
AT xabasinokuthemba incorporatingvoluntarymedicalmalecircumcisionintotraditionalcircumcisioncontextsexperiencesofalocalconsortiuminzimbabwecollaboratingwithanethnicgroup
AT nachipobrian incorporatingvoluntarymedicalmalecircumcisionintotraditionalcircumcisioncontextsexperiencesofalocalconsortiuminzimbabwecollaboratingwithanethnicgroup
AT chitimbirevuyelwa incorporatingvoluntarymedicalmalecircumcisionintotraditionalcircumcisioncontextsexperiencesofalocalconsortiuminzimbabwecollaboratingwithanethnicgroup
AT makunikebatsirai incorporatingvoluntarymedicalmalecircumcisionintotraditionalcircumcisioncontextsexperiencesofalocalconsortiuminzimbabwecollaboratingwithanethnicgroup
AT holecmarrianne incorporatingvoluntarymedicalmalecircumcisionintotraditionalcircumcisioncontextsexperiencesofalocalconsortiuminzimbabwecollaboratingwithanethnicgroup
AT chinyokatakarubuda incorporatingvoluntarymedicalmalecircumcisionintotraditionalcircumcisioncontextsexperiencesofalocalconsortiuminzimbabwecollaboratingwithanethnicgroup
AT mandisarisajohn incorporatingvoluntarymedicalmalecircumcisionintotraditionalcircumcisioncontextsexperiencesofalocalconsortiuminzimbabwecollaboratingwithanethnicgroup
AT balachandrashirish incorporatingvoluntarymedicalmalecircumcisionintotraditionalcircumcisioncontextsexperiencesofalocalconsortiuminzimbabwecollaboratingwithanethnicgroup
AT tshimangamufuta incorporatingvoluntarymedicalmalecircumcisionintotraditionalcircumcisioncontextsexperiencesofalocalconsortiuminzimbabwecollaboratingwithanethnicgroup
AT barnhartscott incorporatingvoluntarymedicalmalecircumcisionintotraditionalcircumcisioncontextsexperiencesofalocalconsortiuminzimbabwecollaboratingwithanethnicgroup
AT feldackercaryl incorporatingvoluntarymedicalmalecircumcisionintotraditionalcircumcisioncontextsexperiencesofalocalconsortiuminzimbabwecollaboratingwithanethnicgroup