Low uptake of male circumcision

ZIMBABWE has recorded a very low uptake of the voluntary medical male circumcision (VMMC) within and the country is failing to meet targets set every year, the Ministry of Health and Child Care has said.

BY FELUNA NLEYA
STAFF REPORTER

Speaking at a workshop hosted by the Population Services International (PSI) in Bulawayo last week, Ministry of Health and Child Care Matabeleland South provincial medical director Rudo Chikodzore said the male circumcision programme was lagging behind set targets.

“We are trying to scale up on the circumcision programme as we are working against our targets,” Chikodzore said. “We have been able to achieve only 4,8% of the target and this means we still have a long way to go.”

Last year, Zimbabwe had targeted to circumcise at least 115 000 men, but only managed to have 112 869 men go under the knife.

In 2010, the target was 20 000, but 11 123 were circumcised. In 2011, 36 742 were circumcised against a target of 60 000, while in 2012 only 20 775 against a target of 80 000.

Matabeleland South province is leading on male circumcision (MC) followed by Matabeleland North.

Chikodzore attributed the high figure in Matabeleland South to the work of a traditional group in the province involved in circumcision.

“Matabeleland South has high figures and this comes from Beitbridge where there is a traditional group who is into circumcision, that is why they have no problems embracing the programme,” Chikodzore said.

She said that high male circumcision should be able to turn around the high HIV prevalence.

“We should be able to avert 42% of new HIV infections through scaling up of MC between 2011-2015. If MC is scaled up, we will be able to avert 150 000 new infections,” Chikodzore said.

PSI director for VMMC Ngonidzashe Madidi attributed the low targets to men’s fears of the surgical procedure.

“Men have certain fears of the surgical procedure,” Madidi said. “Many men were shunning the programme because of it being surgical and men have the fear of injections. That is why there is a new method, the Prepex, where we use a device around the foreskin, thereby cutting blood supply to the end. The device is worn for seven days and is only used by adults of 18 years and above.”

Madidi said 161 men have undergone circumcision through the prepex method since March 31 this year.

PSI is using celebrities as brand ambassadors in order to lure more men to be circumcised. The ambassadors include Albert Nyathi who was circumcised last week, Jah Prayzah, Sulumani Chimbetu, Winky D and Fungisai Mashavave-Zvakavapano.

44 Responses to Low uptake of male circumcision

  1. EuropeanMan April 14, 2014 at 5:27 am #

    Low uptake because men are not stupid! Circumcision does pretty much nothing to prevent HIV. Only condoms and/or abstinence do.

  2. tee April 14, 2014 at 6:07 am #

    Never had of countries like ,England,France ,USA,talking about male circumcision to prevent spread of HIV……There is an exterior motive behind this so called circumcision campagn

  3. mikeltic1 April 14, 2014 at 6:07 am #

    Ndati HANDIDI nechidhuku changu mhani

  4. Tinashe April 14, 2014 at 6:32 am #

    I dont see any reason for setting targets when you say the program is Voluntary MMC because you are always gonna get disappointed. I personally, think that male circumcision will not win the battle against HIV because there is still the 40% chance of getting infected & with HIV we cant risk. some health education we are getting is not making it clear that you still need to use condoms correctly and always when you are engaging in risky sexual relationships. So you see, its only Condoms that are going to work for us.

    • BABA ZVAMBU April 14, 2014 at 8:05 am #

      I agree with you Tin Tin. Male circumcision does not work at all because you still have to use a condom for protection, so how does circumcision reduce HIV infection here? Does it mean here that you may not contract HIV if you are circumcised and not use a condom? They should rather talk about other benefits of MC other than HIV reduction, period!

    • AngelXY April 17, 2014 at 12:15 am #

      The reason they set targets is because if they don’t reach them, they wont receive any money from the donors. That is why they endorse it – simply to get their hands on the money. America is sponsoring this genital cutting campaign… they are simply trying to hijack the tradition in some parts of Africa and divert profits to their own wallets by pushing circumcision devices, surgical equipment and pharmaceuticals that go with it. So they distort the result in their studies to mislead people.

      So they tell you you are safe when you use a condom, now they tell you to cut off a part of your body and then still use a condom to be safe. Strange! Do they think people in Africa are idiots? HIV is transmitted 3 ways… by blood, male and female sexual fluids. Circumcision does not prevent contact with any of these fluids.

  5. Tinman April 14, 2014 at 6:45 am #

    Pane varikudya mari nemaforeskin edu. ko ivo vakuru vanotungamira VMMC yacho vakachecheudzwawo here? ngavabude pachena tizive tobva taenda kunochecheudzwawo.

  6. Gandanga April 14, 2014 at 7:03 am #

    The circumision of the female is deemed to be against human rights. The same argument can also be used by males. No to circumsion.

  7. Innocent April 14, 2014 at 7:24 am #

    40% risk yakawandisa varume.it’s just as good as 50 or 60%.ava vanhu ndivo varikutourayisa vanhu nekusataura chokwadi.

  8. kitsi April 14, 2014 at 8:14 am #

    Kikikik, it was never about HIV risk its just an experiment. We are being used and the carrot being dangled here is HIV and now cervical cancer to make sure that the woman also has a say in the male circumcision. Is it becoz we are poor???

  9. BANGAPAI April 14, 2014 at 8:21 am #

    “Last year, Zimbabwe had targeted to circumcise at least 115 000 men, but only managed to have 112 869 men go under the knife” hahahah huhuhuhuhuhu UNDER THE KNIFEEEE? IMI ITAI MUSHE…

  10. Don Wezhira April 14, 2014 at 9:03 am #

    These NGOs never fail to amaze! Not so long ago it was called genital mutilation in women and male circumcision a pagan practice. In SA there is a strong lobby to outlaw traditional initiation practice…Ngwarai vakomana soon some medical journal will publish findings that TB and other respiratory diseases amongst Africans are caused by the wide negroid nostrils..a campaign will be launched….isu toita ma ques ekundo checheudzwa mhuno…ndapererwa.

  11. Meso meso April 14, 2014 at 9:06 am #

    I agree with tee. Why only in Africa. Zvikanda zvedu varikutora vachiendesepi ????

    • skin bleach April 14, 2014 at 2:20 pm #

      zvikanda zviri kuenda kunogadziriswa ma cosmetics iwaya adai kunakisa vakadzi mazuvano…varume makosha ..

  12. soko April 14, 2014 at 9:21 am #

    Only a complete idiot will be circumcised for protection against HIV. Anyone marketing circumcision as a top defender against HIV should be arrested for deliberately misleading the daft amongst us and therefore endangering them and their wives. This lie leads to risky behaviour and more HIV infections.

  13. Irvin Tugwete April 14, 2014 at 9:23 am #

    The reasons given for circumcision are very shaky and the message in the campaign is not well thought out. Secondly it has compulsory HIV testing and if one is found to be HIV+ they deny you the service. Testing should be voluntary. Why are we still talking about the knife yet there is prepex.

  14. circu April 14, 2014 at 10:14 am #

    siyanai nezvombo zvevanhu
    m.youtube.com/watch?v=XrW5GuIZX84

  15. Get Informed April 14, 2014 at 10:22 am #

    Guys, let us get informed before we comment on such matters. There is a tendency for many to shoot from the hip and risk misleading many. For starters medical interventions are research based and they are premised on cost-effectiveness. For instance evidence shows that traditionally circumcising communities have low HIV and other STI prevalences. Studies have also shown that the cells of the foreskin are susceptible to viral infection. You can consult Dr google for more related evidence.

    There is no point in investing in MC in the UK simply because their HIV prevalence rates are almost insignificant making it cost-ineffective to put everyone under the knife. More so a large proportion of those who are infected with HIV do not contract it through sexual intercourse.

    Why MC not condoms? This is another area where you need to do a bit of research before drawing conclusions. We have had condoms for many decades before VMMC was introduced and we all know that it has not delivered 100%. So both MC and C do not give 100% results? We all know that in such situations there may be need for a multi-pronged strategy, which is exactly what is being pushed. The idea is to reduce chances by any means possible.

    I am yet to be circumcised but I am getting informed before I make a costly uninformed decision based on hearsay. Get informed today!

    • kitsi April 14, 2014 at 10:37 am #

      I am informed and I am not going to be circumcised especially if abstinence is still an option, I was told it is 100% efficient!!

      • Get Informed April 14, 2014 at 10:51 am #

        Abstinence is the first line of defense and I well advocate for it. However the reality is the majority of us adults cannot consistently abstain. For those who can we say go for it and we admire you. Those we cannot be faithful to one faithful partner and also be informed about other ways of protecting yourself such as use of condoms and MC.

        • tins April 14, 2014 at 12:05 pm #

          “Get Informed” is a shill based in America.

      • Mhofela April 14, 2014 at 12:49 pm #

        Me too man. Lets form a Society for the Prevention of Cruelty to Man(SPCM). Abstinence is the way to go. Look at the Arab community, HIV prevalence rate is next to nothing coz of their culture which prohibits promiscuous activities. Most men will regret in the near future and its difficult to restore the foreskin once removed. I cant compromise on that even if they take the most influential people like Obama to lead in their campaigns. Google will tell the side effects of circumcision.

    • Gutsie April 15, 2014 at 8:12 am #

      My friend, do not approach this subject with emotion. I have googled extensively about male circumcision. I have not seen a single paper where the results from the research were conclusive. In fact the programme is mainly based on a research done in Kenya were the results were grossly inconclusive and key data were not returned by participants, the was a high margin of error.

      Therefore to be circumcised or not shouldn’t be viewed in the context of HIV/AIDS prevention or reduction. Whether one likes it or not, abstinence and sticking to one partner are the only solutions to curtailing the scourge. It starts with ME! And everyone has a role to play. Have you ever asked yourself why experiments are done on the poor, particularly Africa? Poverty is another huge problem that compromises our health and safety as Africans resulting in too much fornication and extramarital endeavours. Good morals can help influence us in selecting the tenets of life that we need to follow. Hope this helps

    • Roland Day April 16, 2014 at 11:36 am #

      The so-called “research” that supports male circumcision to prevent HIV infection is completely fraudulent. It is a construct of the Jews who want to defend a religious practice that violates human rights by finding false medical reasons to do what should not be done.

      Africans have been duped.

    • ian April 17, 2014 at 2:28 am #

      You say “lets get informed”, and claim “For starters medical interventions are research based and they are premised on cost-effectiveness”. Medical research has its flaws, the HIV Medical Circumcision trials in Africa have been strongly criticised for having methodological flaws, and a number of those flaws favoured the circumcision group. The trials were run by DR’s from a Culture that favors circumcision. The premise of circumcision is totally flawed, that somehow the male foreskin is responsible for HIV infections, when in fact it is human behaviour that is responsible. Only changing human behaviour will lower HIV infections. As for circumcisions efficacy, look at the USA with highest circumcision rate in western world, it also has highest HIV rates in western world. The western countries with lowest HIV are Finland & Japan, both Non-circumcision cultures. When you say lets get informed, I say get fully informed with all the facts, not just the facts circumcision promoters who hide behind medical degrees and medical research.

  16. Madidi madidi April 14, 2014 at 10:41 am #

    Dr Madidi tinemi muchiirongwa kumusha tatova smart

  17. tiktak April 14, 2014 at 12:31 pm #

    still i think GOD created the foreskin for a purpose,i suspect for enhancement of pleasure, removal of the foreskin will also lower the pleasure thereis,research will prove me right.

    • Don Wezhira April 14, 2014 at 4:05 pm #

      Zvinhu zvaMwari zviri perfect, what can man improve? next vachatiudza kuti chekwai nzeve dzoku left to reduce prevalence ye menangitis according to some study somewhere which we never get to read for ourselves! Tonzwa vamwe vedu vakutoiti tapinda musmart…kwanai.

  18. Vakoma April 14, 2014 at 1:05 pm #

    Nhamo haiite. Because we don’t have money and jobs we are coerced to do and appreciate MC. HIV rate is going down not because of MC but because of behaviour change and condom use. In developed world there nothing like that, only in Africa. We are toys of these people. With money you can force people to do anything.

  19. codza tii April 14, 2014 at 1:19 pm #

    guyz itwai maudza vehukama.not only your wife.Hama dzose should know kuti wakachechedzwa.why?Because paunofa,madzisahwira anozviona.Hama dzinokuramba vachiti uri munyasarande/muchawa.Zvinopesanisa vasari nechitunha.

  20. pudza April 14, 2014 at 5:39 pm #

    dont b fooled guys.that so called foreskin has very sensitive cells that make sex pleasurable and by removing it they are actually reducing yo sex drive and hence reducing the frequency of yo intercose.this in the long run reduces promiscuity and hence new infections.we are just being used as guinea pigs.there is evidence whatsoever that point to a reduction in new hiv infections due to MC

  21. ele April 14, 2014 at 6:05 pm #

    MC is a human right abuse or violation, it is called mutilation of the genitals. After all the reasons being given to support it are weak and leaves a lot of questions unanswered. May be its just an experiment, why being so aggressive about that? Those who do it should be paid a lot of money as compensation

  22. gakarara April 14, 2014 at 6:19 pm #

    Say No to genital mutilation!

  23. pudza April 14, 2014 at 6:32 pm #

    I wil get circumcised kana foreskin yakubhadharwa.i have
    always been skeptical of project that are initiated by our gov.ngwarirai kuzoudzwa kuti we made a mistake like ESAP foreskin yaenda

  24. Innocent April 14, 2014 at 7:26 pm #

    the truth is,you cannot simply change form without altering function.udzai vanhu chokwadi, chirongwa chenyu chakadhakwa mhani.

  25. dhariken April 14, 2014 at 8:12 pm #

    ndo mafunnies ka aya ekuchekana.hanzi under the knife.hanzi it also helps,in the sense tht u dnt cum quickly.i doesnt work lyk tht….

  26. Kev April 14, 2014 at 9:21 pm #

    Imi chekanai mega ikoko. Yangu haina anobata! Flabagasted! Schupeti!

  27. mveredzembwa April 14, 2014 at 10:35 pm #

    kwahi inozogoneka kuita bonyora here?

  28. Ron Low April 15, 2014 at 5:13 am #

    Circumcision alters sex dramatically.

    Foreskin feels REALLY good.

  29. Hugh7 April 15, 2014 at 6:00 am #

    “We should be able to avert 42% of new HIV infections through scaling up of MC between 2011-2015. If MC is scaled up, we will be able to avert 150 000 new infections,” Chikodzore said.

    She’s dreaming. In 10 out of 18 countries for which USAID has figures (including Zimbabwe), more of the circumcised men have HIV than the non-circumcised. They did the survey twice in Zimbabwe, with the same outcome both times. Zimbabwe’s health system is in crisis. The money could be much better spent on enabling babies to reach adulthood.

    A study of the PrePex in Uganda found almost all (93%) of the 300 men it was used on complained of pain with the device. The smell of the rotting foreskin after it died but before it fell off was also a concern. They try to soften you up by saying it’s “non-surgical” but just because it doesn’t use a knife, doesn’t mean it’s not surgery.

    Circumcision has long been a “cure” in search of a disease, and HIV/AIDS is only the latest in a long list of failed excuses for it.

  30. Gary Harryman April 15, 2014 at 7:28 pm #

    Let’s take an adult look at Human Genital Anatomy #101 – Neurologically, the four most specialized pressure-sensitive cells in the human body are Meissner’s corpuscles for localized light touch and fast touch, Merkel’s disc cells for light pressure and tactile form and texture, Ruffini’s corpuscles for slow sustained pressure, deep skin tension, stretch, flutter and slip, and Pacinian corpuscles for deep touch and detection of rapid external vibrations. They are found only in the tongue, lips, palms, fingertips, nipples, and the clitoris, and in the crests of the Ridged Band at the tip of the male foreskin. These four specialized cell types process tens of thousands of information impulses per second and can sense texture, stretch, vibration, and movement at the micrometre level. These are the cells that allow blind people to “see” Braille with their fingertips. Cut them off and, male or female, it’s like trying to read Braille with your elbow as a veritable symphony of sensation is downgraded dramatically and the victim is sub-normalized for life. A woman can live without the sensitivity of the visible part of her clitoris, and a man can live without the mobile and most sensitive parts of his penis, but both are better off with their natural fine-touch parts intact – and so are their sexual partners. Google The Lost List and The Ridged Band.

  31. Gary Harryman April 15, 2014 at 7:39 pm #

    A circumcision scar is a mark of the perpetrator’s malice and the victim’s ignorance. Circumcision is medical quackery – a scam that leaves the victim marked as sub-normal for life.

  32. Gutsie April 16, 2014 at 7:47 pm #

    Let the powers that be not approach this subject with emotion. I have googled extensively about male circumcision. I have not seen a single paper where the results from the research were conclusive. In fact the programme is mainly based on a research done in Kenya where the results were grossly inconclusive and key data were not returned by participants, there was a high margin of error.

    Therefore to be circumcised or not shouldn’t be viewed in the context of HIV/AIDS prevention or reduction. Whether one likes it or not, abstinence and sticking to one partner are the only solutions to curtailing the scourge. It starts with ME! And everyone has a role to play. Have you ever asked yourself why experiments are done on the poor, particularly Africa? Poverty is another huge problem that compromises our health and safety as Africans resulting in too much fornication and extramarital endeavours. Good morals can help influence us in selecting the tenets of life that we need to follow. Hope this helps

  33. J. Douglas April 24, 2014 at 4:31 am #

    Please see the following link for brief summary (with linked references) of the ethical, legal and methodological flaws with past research informing the present campaign of circumcision-as-HIV-preventative in Africa, some of the adverse consequences of funding circumcision-as-HIV-preventative in Africa (coercion of men and boys to be circumcised; misdirection of limited medical resources from higher priority areas) and the absence of oversight of organisations promoting and facilitating male circumcision in Africa:

    http://www.academia.edu/5453317/Response_to_PEPFAR_Program_Expenditures_Form_Number_DS-4213_OMB_Control_Number_1405-0208_-_Revision_3

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