2026-04-16T19:43:33Z https://datacatalogue.cessda.eu/oai-pmh/v0/oai

3ecf67a2ca4557196b9be8935193e2173e6c0f14883441316e45aeb6a4c1e1a5 2025-12-08T02:09:05Z language:enopenaire_data

Acceptability and Feasibility of Early Infant Male Circumcision for HIV Prevention in Malawi Acceptability and Feasibility of Early Infant Male Circumcision for HIV Prevention in Malawi doi:10.17026/DANS-ZXX-YE63easy-dataset:68832 C. Chilimampunga 2016-03-31 DANS Data Station Social Sciences and Humanities 2017-04-19 Social SciencesVoluntary medical male circumcision (VMMC)Early infant male circumcision (EIMC)traditional circumcisers (ngalibas)ethnic/ religious groups in Malawi <p>Voluntary medical male circumcision (VMMC) has been successfully implemented in 14 countries as an additional HIV prevention intervention. As VMMC programs mature in most countries, the focus is now on how to sustain the HIV prevention gains realised from VMMC. As part of preparations for the sustainability phase, countries are either piloting or preparing to pilot early infant male circumcision (EIMC). This qualitative study explored the acceptability and feasibility of EIMC in Malawi in order to inform pilot implementation.</p><p>In 2016, 23 focus group discussions were held across Malawi with participants from several ethnicities and religions/faiths. Additionally, 21 key informant interviews were held with traditional and religious leaders, traditional circumcisers (ngalibas), policy-makers, programme managers and health-care workers.</p><p>Discussions highlighted the socio-cultural significance of MC in Malawi. Knowledge or experience of EIMC was poor although acceptability was high among most ethnic/religious groups and key informants. Participants identified EIMC's comparative HIV benefits although a few health-care workers expressed scepticism. All participants said EIMC should be offered within a clinical setting. In addition to fathers, maternal uncles and traditional leaders were deemed key decision-makers. Potential barriers to EIMC included concerns about procedure safety as well as cultural considerations. Key informants felt it was feasible to offer EIMC in Malawi. Participants' recommendations, including phased implementation, engagement of traditional leaders, use of external mobilisers and initially reaching out to influential parents, will be taken into account when designing a pilot EIMC program.</p> https://ssh.datastations.nl/oai doi:10.17026/DANS-ZXX-YE63 2025-12-03T01:00:46Z ddi:codebook:2_5