Acceptability of Adult Male Circumcision for Sexually Transmitted Disease and HIV Prevention in Zimbabwe

Abstract

Worldwide over 35 cross-sectional and prospective studies1–6 various ecologic analyses and investigations of biologic plausibility sexually transmitted infection (STI) epidemiology and a longitudinal study of HIV-discordant heterosexual couples have identified lack of male circumcision as a significant risk factor for HIV acquisition. (However some crosssectional studies have found no correlation and in a Rwandan study women who reported that their current partners were circumcised had an increased risk of HIV.) In the regions of east and southern Africa where heterosexually spread HIV epidemics are especially severe large populations of men are uncircumcised pointing to a possible prevention intervention. Previous studies in 6 sub-Saharan African countries have explored men’s and women’s awareness of the potential health benefits of male circumcision and men’s willingness to undergo adult circumcision. Currently pilot programs to introduce safe affordable circumcision as part of male reproductive health services are being implemented or are planned in Botswana Haiti Kenya South Africa and Zambia. (excerpt)