1. Medical Male Circumcision Recruiter Discussion Guide

2. Male Circumcision is an Old Practice

4. 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

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

6. 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 Male circumcision and HIV infection: 10 years and counting. Lancet 354: 1813–1815.
2 UNAIDS Report on the Global AIDS Epidemic. UNAIDS: Geneva, June.
MC basic facts

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

10. Septic penile cancer
MC basic facts

11. How much will it hurt?

12. When can I have sex again?

13. When can I play soccer again?

14. The Male Circumcision Process1
Registration 2
Circumsion counseling/HIV testing 3
Clinical exam 4
Surgical procedure 5
Recovery Room 6
Departure from clinic 7
Follow-up visits

15. 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

16. 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

17. Excuses
Pain
Fertility
Loss of Erection
Witchcraft
Time
Bad Sex
Heaven