Top

Published in:

Open Access 01-05-2017 | Original Paper

What Messages are Adolescent Voluntary Medical Male Circumcision (VMMC) Clients Getting and How? Findings From an Observational Study in Tanzania

Authors: Dorica Boyee, Erin Peacock, Marya Plotkin, Augustino Hellar, Hally Mahler, Elizabeth Edouard, Renatus Kisendi, Erick Mlanga, Emmanuel Njeuhmeli, Katherine Andrinopoulos

Published in: AIDS and Behavior | Issue 5/2017

Abstract

Uncircumcised adolescent males in sub-Saharan Africa are an important group to reach with voluntary medical male circumcision (VMMC) services due to high HIV burden occurring among this age group. Appropriateness of the content and delivery of sexual health and HIV prevention messages to adolescent VMMC clients has not been extensively described. A study was conducted in Tanzania to examine quality, delivery and content of messages provided to adolescent (aged 15–19) and adult (aged 20+) VMMC clients (n = 320). Results show that counseling of mixed age groups during group education lacked selected key messages, compared to more age-homogeneous groups. Additionally, adolescents received more comprehensive information in individual counseling compared to group education. We recommend that health care providers are provided with skills and job aides to assist them to segment VMMC clients by age; provide age-appropriate messages; and increase use of individual counseling as a means to communicate with adolescent clients.

Available only for authorised users

Idele P, Gillespie A, Porth T, Suzuki C, Mahy M, Kasedde S, et al. Epidemiology of HIV and AIDS among adolescents: current status, inequities, and data gaps. Journal of Acquired Immune Deficiency Syndrome. 2014;66:S144–53.CrossRef

UNAIDS. Global report: UNAIDS report on the global AIDS epidemic (2013). 2013.

Tanzania Commission for AIDS (TACAIDS), National Bureau of Statistics (NBS). HIV/AIDS Indicator Survey 2003–04. http://dhsprogram.com/pubs/pdf/AIS1/AIS1.pdf(2004). Accessed 12 April 2016.

TACAIDS. HIV/AIDS and Malaria Indicator Survey 2011-12 [Internet]. TACAIDS, ZAC, NBS, OCGS and ICF Intrenational. 2012. http://dhsprogram.com/pubs/pdf/AIS6/AIS6_05_14_09.pdf. Accessed 12 Apr 2016.

Kazaura MR, Masatu MC. Sexual practices among unmarried adolescents in Tanzania. BMC Public Health. 2009;9:373.CrossRefPubMedPubMedCentral

TACAIDS. Tanzania HIV/AIDS and Malaria Indicator Survey 2007–08. 2008.

Kalolo A, Kibusi SM. The influence of perceived behaviour control, attitude and empowerment on reported condom use and intention to use condoms among adolescents in rural Tanzania. Reproductive Health. Reproductive Health. 2015;12(1):105.CrossRefPubMedPubMedCentral

The United Republic of Tanzania Prime Minister's office. Tanzania third national multisectoral strategic framework for HIV and AIDS [Internet]. Dar es Salaam, Tanzania(2013). http://www.tacaids.go.tz/. Accessed 12 April 2016.

Bailey RC, Moses S, Parker CB, Agot K, Maclean I, Krieger JN, et al. Male circumcision for HIV prevention in young men in Kisumu, Kenya: a randomised controlled trial. Lancet. 2007;369(9562):643–56.CrossRefPubMed

10.

Kigozi G, Gray RH, Wawer MJ, Serwadda D, Makumbi F, Watya S, et al. The safety of adult male circumcision in HIV-infected and uninfected men in Rakai. Uganda. PLoS Medicine. 2008;5(6):0911–8.

11.

Auvert B, Taljaard D, Lagarde E, Sobngwi-Tambekou J, Sitta R, Puren A. Randomized, controlled intervention trial of male circumcision for reduction of HIV infection risk: the ANRS 1265 trial. PLoS Medicine. 2005;2(11):1112–22.CrossRef

12.

Tanzania Ministry of Health and Social Welfare (MoHSW). National Strategy for scaling up Male Circumcision for HIV prevention. 2010.

13.

Njeuhmeli E, Hatzold K, Gold E, Mahler H, Kripke K, Seifert-Ahanda K, et al. Lessons learned from scale-up of voluntary medical male circumcision focusing on adolescents: benefits, challenges, and potential opportunities for linkages with adolescent HIV, sexual, and reproductive health services. Journal of Acquired Immune Deficiciency Syndrome. 2014;66:S193–9.CrossRef

14.

Hatzold K, Mavhu W, Jasi P, Chatora K, Cowan FM, Taruberekera N, et al. Barriers and motivators to voluntary medical male circumcision uptake among different age groups of men in Zimbabwe: results from a mixed methods study. PLoS ONE. 2014;9(5):1–7.CrossRef

15.

Plotkin M, Castor D, Mziray H, Ku J, Mpuya E, Luvanda J. “‘Man, what took you so long?’” Social and individual male circumcision services in Tanzania. Global Health Science and Practice. 2013;1(1):108–16.CrossRefPubMedCentral

16.

MOHSW-HMIS. Tanzania health information management system. DHIS2 (2015). https://dhis.moh.go.tz/. Accessed 12 April 2016.

17.

Jhpiego Tanzania. MCHIP Tanzania VMMC End-of-Project Report. 2014.

18.

Kaufman MR, Smelyanskaya M, Van Lith LM, Mallalieu EC, Waxman A, Hatzhold K, et al. Adolescent Sexual and Reproductive Health Services and Implications for the Provision of Voluntary Medical Male Circumcision: results of a Systematic Literature Review. PLoS ONE. 2016;11(3):e0149892.CrossRefPubMedPubMedCentral

19.

Mchome Z, Richards E, Nnko S, Dusabe J, Mapella E, Obasi A. A “Mystery client” evaluation of adolescent sexual and reproductive health services in health facilities from two Regions in Tanzania. PLoS ONE. 2015;10(3):1–12.CrossRef

20.

Godia PM, Olenja JM, Lavussa JA, Quinney D, Hofman JJ, van den Broek N. Sexual reproductive health service provision to young people in Kenya; health service providers’ experiences. BMC Health Services Research. 2013;13(1):1.CrossRef

21.

Abdel-Tawab N, Saher S, El Nawawi N (editors). Breaking silence: Learning about youth sexual and reproductive health in Egypt. Cairo; 2013. http://www.popcouncil.org. Accessed 12 June 2016.

22.

Soon CN, Kaida A, Nkala B, Dietrich J, Cescon A, Gray G, et al. Adolescent experiences of HIV and sexual health communication with parents and caregivers in Soweto, South Africa. Journal of Social Aspects of HIV/AIDS. 2014;10(3–4):163–9.CrossRef

23.

Bastien S, Kajula L, Muhwezi W. A review of studies of parent-child communication about sexuality and HIV/AIDS in sub-Saharan Africa. Reproductive Health. 2011;8(1):1.CrossRef

24.

Buseh AG, Glass LK, McEmlurry B, Mkhabela M, Sukati N. Primary and preferred sources for HIV/AIDS and sexual risk behavior information among adolescents in Swaziland, Southern Africa. International Journal of Nursing Studies. 2002;39(5):525–38.CrossRefPubMed

25.

Langhaug LF, Cowan FM, Nyamurera T. PRRDSSG. Improving young people’s access to reproductive health care in rural Zimbabwe. AIDS Care. 2003;15(2):147–57.CrossRefPubMed

26.

Masatu MC, Kvåle G, Klepp K-I. Frequency and perceived credibility of reported sources of reproductive health information among primary school adolescents in Arusha. Tanzania. Scandnavian Journal of Public Health. 2003;31(3):216–23.CrossRef

27.

World Health Organization (WHO). Male circumcision under local anaesthesia. 2009.

28.

PEPFAR. PEPFAR’s Best practices for voluntary medical male circumcision site operations. 2012.

29.

Andrinopoulos K, Peacock E, Glick J, Perry L, Edouard E, Boyee D, et al. Integration of provider initiated testing and counseling for HIV with voluntary medical male circumcision services. 2013. http://www.jhsph.edu/research/centers-and-institutes/research-to-prevention/publications/Integration-hiv-vmmc.pdf. Accessed 12 April 2016.

30.

Patton GC, Coffey C, Sawyer SM, Viner RM, Haller DM, Bose K, et al. Global patterns of mortality in young people: a systematic analysis of population health data. Lancet. 2009;374(9693):881–92.CrossRefPubMed

31.

Chandra-mouli V, Lane C, Wong S. What does not work in adolescent sexual and reproductive health: a review of evidence on interventions commonly accepted as best practices. Global Health Science and Practice. 2015;3(3):1–8.CrossRef

32.

Denno DM, Hoopes AJ, Chandra-mouli V. Effective strategies to provide adolescent sexual and reproductive health services and to increase demand and community support. Journal Adolescent Health. 2015;56(1):S22–41.CrossRef

33.

Mavedzenge SN, Doyle AM, Ross DA. HIV prevention in young people in sub saharan Africa: a systematic review. Journal of Adolescent Health. 2011;49(6):568–86.CrossRef

34.

World Health Organization/Joint United Nations Programme on HIV/AIDS. Joint Strategic Action Framework to Accelerate the Scale-up of Voluntary Medical Male Circumcision for HIV prevention in Eastern and Southern Africa 2012–2016. 2011.

Title: What Messages are Adolescent Voluntary Medical Male Circumcision (VMMC) Clients Getting and How? Findings From an Observational Study in Tanzania
Authors: Dorica Boyee
Erin Peacock
Marya Plotkin
Augustino Hellar
Hally Mahler
Elizabeth Edouard
Renatus Kisendi
Erick Mlanga
Emmanuel Njeuhmeli
Katherine Andrinopoulos
Publication date: 01-05-2017
Publisher: Springer US
Published in: AIDS and Behavior / Issue 5/2017
Print ISSN: 1090-7165
Electronic ISSN: 1573-3254
DOI: https://doi.org/10.1007/s10461-016-1515-6

ACC 2024 Congress Coverage

Heart Failure Video

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

What Messages are Adolescent Voluntary Medical Male Circumcision (VMMC) Clients Getting and How? Findings From an Observational Study in Tanzania

Abstract

ACC 2024 Congress Coverage

Year in Review: Heart failure and cardiomyopathies

Semaglutide benefits people with type 2 diabetes and obesity-related heart failure

Incentivised to exercise

New intervention for STEMI-related cardiogenic shock

» View more highlights on the ACC 2024 congress hub page

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Please log in to get access to this content

Other articles of this Issue 5/2017

Impact of Human Resources on Implementing an Evidence-Based HIV Prevention Intervention

PrEP Awareness, Familiarity, Comfort, and Prescribing Experience among US Primary Care Providers and HIV Specialists

Willingness to Use Pre-Exposure Prophylaxis (PrEP): An Empirical Test of the Information-Motivation-Behavioral Skills (IMB) Model among High-Risk Drug Users in Treatment

Incidence and Predictors of HIV Infection Among Men Who Have Sex with Men Attending Public Sexually Transmitted Disease Clinics, New York City, 2007–2012

Reactions to Testing HIV Negative: Measurement and Associations with Sexual Risk Behaviour Among Young MSM Who Recently Tested HIV Negative

Minority Men Who Have Sex with Men Demonstrate Increased Risk for HIV Transmission

ACC 2024 Congress Coverage

Year in Review: Heart failure and cardiomyopathies

Semaglutide benefits people with type 2 diabetes and obesity-related heart failure

Incentivised to exercise

New intervention for STEMI-related cardiogenic shock

» View more highlights on the ACC 2024 congress hub page