Contextual Barriers and Motivators to Adult Male Medical Circumcision in Rakai, Uganda
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Date
2013
Journal Title
Journal ISSN
Volume Title
Publisher
Qualitative health research
Abstract
Medical male circumcision (MMC) is a central component of HIV prevention. In this study we examined barriers to
and facilitators of MMC in Rakai, Uganda. Interviews and focus groups with MMC acceptors, decliners, and community
members were collected and analyzed iteratively. Themes were developed based on immersion, repeated reading,
sorting, and coding of data using grounded theory. Pain, medical complications, infertility, lack of empirical efficacy,
waiting time before resumption of sex, and religion were identified as obstacles to MMC acceptance. Prevention
and healing of sexually transmitted infections (STIs), access to HIV and other ancillary care, penile hygiene, and peer
influence were key motivators. Voluntary counseling and testing for HIV, partner influence, and sexual potency were
both barriers and motivators. Individual and societal factors, such as pain and religion, might slow MMC scale up.
Health benefits, such as HIV/STI prevention and penile hygiene, are essential in motivating men to accept MMC.
Description
Keywords
Africa, Sub-Saharan, Focus groups, HIV/AIDS prevention, Interviews, Semistructured, Research, Qualitative
Citation
Ssekubugu, R., Leontsini, E., Wawer, M. J., Serwadda, D., Kigozi, G., Kennedy, C. E., ... & Gray, R. H. (2013). Contextual barriers and motivators to adult male medical circumcision in Rakai, Uganda. Qualitative health research, 23(6), 795-804. DOI: 10.1177/1049732313482189