Abstract
BackgroundSafe male child circumcision has been recently adopted as a potential strategy to prevent HIV/AIDS transmission in later life in Botswana.MethodsData used was derived from a cross-sectional survey, the Botswana AIDS Impact Survey (BAIS) IV, conducted in 2013. A total sample of 7984 respondents in ages 15–64 years who had successfully completed the individual questionnaire during the survey were selected and included for analysis. Both descriptive and multivariable analyses were used to explore factors associated with acceptability of child circumcision. Data was analysed using SPSS version 22 program.ResultsResults indicate that about 84 % of participants said they would circumcise their male children aged 18 years and below, while 93 % were aware of the safe male circumcision program. Bivariate analyses results show that acceptability of child circumcision was significantly associated with sex, age, education, religion, residence, HIV status of the parent, fathers circumcision status, father's intention to circumcise and parent's knowledge about the safe male circumcision program. Multivariable analyses results indicate positive association between respondent's HIV positive status (OR, 3.5), Men's circumcision status (OR, 3.7), men's intention to circumcise (OR, 9.3) and acceptability of child circumcision.ConclusionResults of this study indicate some relatively high acceptability levels for child circumcision. Some individual behavioural factors influencing acceptability of child circumcision were also identified. This study provides a proper understanding of factors associated with acceptability of child circumcision which will ultimately enhance the successful roll-out of the school going children circumcision program in Botswana.
Highlights
Safe male child circumcision has been recently adopted as a potential strategy to prevent Human immune virus (HIV)/AIDS transmission in later life in Botswana
This study used data derived from the 2013 Botswana AIDS Impact Survey (BAIS-IV), which is the fourth and latest of a series of nationally representative demographic surveys aimed at providing up to date information on the HIV /AIDS epidemic
The results of this study indicate a relatively high level of acceptability (84 %) of child circumcision in the general population of Botswana
Summary
Safe male child circumcision has been recently adopted as a potential strategy to prevent HIV/AIDS transmission in later life in Botswana. Child circumcision is routinely practised in most countries in the Middle East (in countries such as, Egypt, the Islamic Republic of Iran, Jordan, Lebanon, the Syrian Arab Republic, Turkey and Yemen), Israel [6,7,8], the USA [9] and some West African countries, including Senegal, Ghana and parts of Nigeria [10, 11]. This type of circumcision is done mainly for religious and cultural purposes.
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