AIDS and Behavior

, Volume 10, Issue 4, pp 377–385

Acceptability of Male Circumcision for Prevention of HIV Infection in Malawi

Authors

  • Rebecca C. Ngalande
    • Kamuzu College of Nursing
  • Judith Levy
    • Health Policy and Administration, School of Public HealthUniversity of Illinois at Chicago
  • Chrissie P. N. Kapondo
    • Kamuzu College of Nursing
    • Epidemiology and BiostatisticsSchool of Public Health, University of Illinois at Chicago
    • PhD Division of Epidemiology and BiostatisticsSchool of Public Health, University of Illinois at Chicago
Original Paper

DOI: 10.1007/s10461-006-9076-8

Cite this article as:
Ngalande, R.C., Levy, J., Kapondo, C.P.N. et al. AIDS Behav (2006) 10: 377. doi:10.1007/s10461-006-9076-8

Abstract

Numerous epidemiological and biological studies report male circumcision (MC) to have a significant protective effect against HIV-1 acquisition. This study assesses the acceptability of MC in four districts in Malawi, a country with high HIV-1 prevalence and low prevalence of MC. Thirty-two focus group discussions were conducted with 159 men and 159 women ages 16–80 years. Acceptability was lower in the north where the practice was little known, higher in younger participants and higher in central and southern districts where MC is practiced by a minority Muslim group (Yao). Barriers to circumcision included fear of infection and bleeding, cost, and pain. Facilitators included hygiene, reduced risk of STI, religion, medical conditions, and enhanced sexual pleasure. If MC services are introduced in Malawi, acceptance is likely to vary by region, but many parents and young men would use the services if they were safe, affordable and confidential.

Keywords

Male circumcisionHIV-1AcceptabilityMalawiAfrica

Copyright information

© Springer Science+Business Media, Inc. 2006