Medical Male Circumcision Recruiter Discussion Guide

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Presentation transcript:

Medical Male Circumcision Recruiter Discussion Guide

Male Circumcision is an Old Practice

Benefits of male circumcision Keep the penis clean and maintains hygiene Reduced risk of HIV by 60% Reduced risk of some STIs especially those that form wounds Prevents unretractable foreskin Prevents the problem of foreskin from being pulled back Prevents urinary infection in childhood Reduced risk of penile and cervical cancer MC basic facts

Risk of male circumcision Bleeding Infection Swelling Reaction to injection MC basic facts

HIV prevalence by frequency of male circumcision Low circumcision rate (<20% circumcised) High circumcision rate (>80% circumcised) Country HIV prevalence Sub-Saharan Africa Botswana 24.1 Benin 1.8 Malawi 14.1 Cameroon 5.4 Mozambique 16.1 Democratic Republic of Congo 3.2 Namibia 19.6 Gabon 7.9 Rwanda 3.1 Gambia 2.4 Swaziland 33.4 Ghana 2.3 Zambia 17.0 Guinea 1.5 Zimbabwe 20.1 Kenya 6.1 Liberia 5.9 Nigeria 3.9 Sierra Leone 1.6 1 Halperin DT, Bailey RC. 1999. Male circumcision and HIV infection: 10 years and counting. Lancet 354: 1813–1815. 2 UNAIDS. 2006. Report on the Global AIDS Epidemic. UNAIDS: Geneva, June. MC basic facts

HIV Entry Points on the Penis Source: McCoombe and Short. 2006. AIDS 2006 20: 1491–1495. MC basic facts

Septic penile cancer MC basic facts

How much will it hurt?

When can I have sex again?

When can I play soccer again?

The Male Circumcision Process 1 Registration 2 Circumsion counseling/HIV testing 3 Clinical exam 4 Surgical procedure 5 Recovery Room 6 Departure from clinic 7 Follow-up visits

Looking After Yourself After MMC Managing Pain – rest at least 2days & take medication on time, avoid traditional or other medications not prescribed by doctor Erection – should urinate immediately Avoid sex & masturbation for six weeks MC basic facts

Looking After Yourself After MMC Follow up check up will involve a physical examination to keep you safe. Bleeding-keep the penis elevated, avoid removing the bandage at home Infection- maintain hygiene avoid wetting the bandage Swelling- keep the penis elevated Contact clinic with any concerns MC basic facts

Excuses Pain Fertility Loss of Erection Witchcraft Time Bad Sex Heaven