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IJHSR. 2016; 6(9): 330-343


Correlates of Uptake of Voluntary Medical Male Circumcision among Young Adults in Zimbabwe.

Chamusingarevi Innocent, Mhlanga Maxwell, Ndaimani Augustine.

Abstract
Zimbabwe is among the top five high HIV burden countries and has adopted voluntary medical male circumcision (VMCC) as an intervention to reduce the incidence of HIV. Manicaland province which started the VMCC programme in 2009 only managed to achieve 8958(70%) minimum target for the year despite increased demand creation efforts.
The current study sought to identify factors determining uptake of Voluntary Medical Male Circumcision for HIV prevention among males aged 15 to 29 years in Manicaland province 2014. A 1:1 unmatched case- control study was conducted using systematically sampled 95 cases and 95 controls. Participant circumcision status was confirmed by a nurse trained in VMCC. Data was collected through interview schedules and key informant interviews of health workers involved in VMMC. Factors influencing uptake of VMMC in Manicaland were prior knowledge on the benefits of Medical Male circumcision (AOR=2.91: 95% CI=1.48 - 5.71: p=0.002) and staying within 15 kilometers from a circumcising Centre (AOR=3.37: 95% CI= 1.59 - 7.12: p=0.002). Fear of surgical complications, pain, infection, bleeding and other complications (AOR=0.43: 95% CI=0.22 - 0.84: p=0.013) and fear of HIV test before the procedure (AOR=0.41: 95% CI=0.19 - 0.87: p=0.02) were found to be barriers to uptake of VMMC.The study concludes that knowledge on benefits of MC and male circumcision reduces menís exposure to HIV infection and distance to male circumcision Centre was within 15 kilometers radius from place of residence facilitates the uptake of VMMC. Distance may impede or enhance utilization of a health service. The further a client is away from a service, the less the utilization of the service. Fear of surgical complications and fear of HIV test before the operation were found to be the barrier to uptake of VMMC. This is because that most of the people they are not aware of their HIV status and Zimbabwe is still struggling to increase HIV testing and counselling coverage both in rural areas and urban areas. Therefore there is need for task shifting, demand creation in VMMC and reduce indirect sources of fears of being diagnosed as HIV positive.

Key words: Case control, Correlates, Uptake, Voluntary medical male circumcision (VMMC), Zimbabwe.



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