Acceptability of Early Infant Male Circumcision as an HIV Prevention Intervention in Zimbabwe A Qualitative Perspective 英文参考文献.docVIP

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Acceptability of Early Infant Male Circumcision as an HIV Prevention Intervention in Zimbabwe A Qualitative Perspective 英文参考文献.doc

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Acceptability of Early Infant Male Circumcision as an HIV Prevention Intervention in Zimbabwe A Qualitative Perspective 英文参考文献

AcceptabilityofEarlyInfantMaleCircumcisionasanHIV PreventionInterventioninZimbabwe:AQualitative Perspective WebsterMavhu1,5*,KarinHatzold2,SusanM.Laver3,JudithSherman4,BrendaR.Tengende1 ,Collin Mangenah1,LisaF.Langhaug5,GrahamHart5,FrancesM.Cowan1,5 1Zimbabwe AIDS Prevention Project, Department of Community Medicine, University of Zimbabwe, Harare, Zimbabwe, 2Population Services International, Harare, Zimbabwe,3CollaboratingCentreforOperationalResearchandEvaluation(CCORE),UNICEF,Harare,Zimbabwe,4UNICEF,Harare,Zimbabwe,5ResearchDepartmentof InfectionandPopulationHealth,CentreforSexualHealthandHIVResearch,UniversityCollegeLondon,London,UnitedKingdom Abstract Background:Earlyinfantmalecircumcision(EIMC)issimpler,saferandmorecost-effectivethanadultcircumcision.Insub- SaharanAfrica,thereareconcernsaboutacceptabilityofEIMCwhichcouldaffectuptake.In2009aquantitativesurveyof 2,746 rural Zimbabweans (aged 18–44) indicated that 60% of women and 58% of men would be willing to have their newbornsoncircumcised.WillingnesswasassociatedwithknowledgeofHIVandmalecircumcision.Thisqualitativestudy wasconductedtobetterunderstandthisissue. Methods: In 2010, 24 group discussions were held across Zimbabwe with participants from seven ethnic groups. Additionally, key informant interviews were held with private paediatricians who offer EIMC (n=2) plus one traditional leader.Discussionswereaudio-recorded,transcribed,translatedintoEnglish(wherenecessary),codedusingNVivo8and analysedusinggroundedtheoryprinciples. Results: Knowledge of the procedure was poor. Despite this, acceptability of EIMC was high among parents from most ethnicgroups.DiscussionssuggestedthatfatherswouldmaketheultimatedecisionregardingEIMCalthoughmothersand extended family can have (often covert) influence. Participants’ concerns centred on: safety, motive behind free service provision plus handling and disposal of the discarded foreskin. Older men from the dominant traditionally circumcising population strongly opposed E