Acceptability of medical male circumcision in the traditionally circumcising communities in Northern Tanzania

Wambura, Mwita; Mwanga, Joseph R.; Mosha, Jacklin F.; Mshana, Gerry; Mosha, Frank; Changalucha, John
January 2011
BMC Public Health;2011 Supplement 4, Vol. 11 Issue Suppl 4, p373
Academic Journal
Background: Data from traditionally circumcising communities show that non-circumcised males and those circumcised in the medical settings are stigmatised. This is because traditional circumcision embodies local notions of bravery as anaesthetics are not used. This study was conducted to assess the acceptability of safe medical circumcision before the onset of sexual activity for HIV infection risk reduction in a traditionally circumcising community in Tanzania. Methods: A cross-sectional study was conducted among males and females aged 18-44 years in traditionally circumcising communities of Tarime District in Mara Region, North-eastern Tanzania. A face-to-face questionnaire was administered to females to collect information on the attitudes of women towards circumcision and the preferred age for circumcision. A similar questionnaire was administered to males to collect information on sociodemographic, preferred age for circumcision, factors influencing circumcision, client satisfaction, complications and beliefs surrounding the practice. Results: Results were available for 170 males and 189 females. Of the males, 168 (98.8%) were circumcised and 61 (36.3%) of those circumcised had the procedure done in the medical setting. Of those interviewed, 165 (97.1%) males and 179 (94.7%) females supported medical male circumcision for their sons. Of these, 107 (64.8%) males and 130 (72.6%) females preferred prepubertal medical male circumcision (12 years or less). Preference for prepubertal circumcision was significantly associated with non-Kurya ethnic group, circumcision in the medical setting and residence in urban areas for males in the adjusted analysis. For females, preference for prepubertal circumcision was significantly associated non-Kurya ethnic group and being born in urban areas in the adjusted analysis. Conclusions: There is a shift of preference from traditional male circumcision to medical male circumcision in this traditionally circumcising population. However, this preference has not changed the circumcision practices in the communities because of the community social pressure. Male circumcision national program should take advantage of this preference of medical male circumcision by introducing safe and affordable circumcision services and mobilising communities in a culturally sensitive manner to take up circumcision services.


Related Articles

  • CA: Corte Madera, CALIFORNIA.  // Advocate;11/11/86, Issue 459, p26 

    Reports that the National Organization of Circumcision Information Resource Centers has announced a decrease in the number of circumcisions on newborns in the U.S. in 1985. Circumcision as an unnecessary surgery.

  • Adolescent boys: who cares? Schmid, George P.; Dick, Bruce // Bulletin of the World Health Organization;Sep2008, Vol. 86 Issue 9, p659 

    The article focuses on the research study related to the attitude of men towards circumcision. It states in one of the few studies between 2001 and 2005, the Eastern Cape province of South Africa recorded 1748 hospital admissions, 177 deaths and 107 genital mutilations/amputations following...

  • Determinants and Policy Implications of Male Circumcision in the United States. Leibowitz, Arleen A.; Desmond, Katherine; Belin, Thomas // American Journal of Public Health;Jan2009, Vol. 99 Issue 1, p138 

    Objective. We sought to determine whether lack of state Medicaid coverage for infant male circumcision correlates with lower circumcision rates. Methods. We used data from the Nationwide Inpatient Sample on 417282 male newborns to calculate hospital-level circumcision rates. We used weighted...

  • Epidemiology of Circumcision-Related Mortality in Iran: A 10-year Survey. Hedjazi, Arya; Zarenezhad, Mohammad; Vahid Hosseini, Seyed Mohammad; Fereidooni, Mehran; Ghadipasha, Masoud; Rad, Bahram Samadi; Daghi, Jaber Ghareh; Shogaee, Ahmad; Hoseinzadeh, Amin // North American Journal of Medical Sciences;Nov2012, Vol. 4 Issue 11, p608 

    The article presents a study that investigates the epidemiology of circumcision in Iran. It states that the study uses circumcision-related mortality data provided by the Iranian Legal Medicine Organization from 2001-2010. The study also attempts to find out the exact causes of death resulting...

  • Genital Self-mutilation: Attempted Foreskin Reconstruction. Walter, Garry; Streimer, Jeffrey // British Journal of Psychiatry;Jan90, Vol. 156, p125 

    A non-psychotic adult attempted surgically to reconstruct a foreskin for himself. The patient's membership of an organisation which lobbies against circumcision was contributory.

  • The foreskin. Raab // Esquire;Jan2000, Vol. 133 Issue 1, p91 

    Provides insights on circumcision among men. Impact of uncircumcision on copulation; Functions of foreskin; Accounts on the relevance of circumcision in preventing diseases in generative organs.

  • Rituals of manhood in South Africa: circumcision at the cutting edge of critical intervention. van Vuuren, Chris J.; de Jongh, Michael // South African Journal of Ethnology;1999, Vol. 22 Issue 4, p142 

    Investigates the institution of male circumcision ritual in South Africa, and the dilemmas it faces. Increase in fatalities and hospitalization; Instances and the ethics of intervention; Need to understand initiation in terms of the discourses of tradition and identity.

  • The development of professional guidelines on the law and ethics of male circumcision. Mussell, R. // Journal of Medical Ethics;Jun2004, Vol. 30 Issue 3, p254 

    This paper does not attempt to lay out the arguments relating to male circumcision far non-medical reasons. Rather, the aim is to focus more on the process and the problems of a professional body (in this case the British Medical Association (BMA)) attempting to produce any consensus...

  • preputiotomy.  // Taber's Cyclopedic Medical Dictionary;2005, p1764 

    A definition of the term "preputiotomy" is presented. It refers to a state in which the prepuce of the penis is incised to relieve phimosis.


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics