Exploring factors influencing integration of traditional and medical male circumcision methods at Ingquza Hill Local Municipality, Eastern Cape: A socio-ecological perspective
Background: Medical male circumcision (MMC) and traditional male circumcision (TMC) are reportedly having negative and positive outcomes in the Eastern Cape province. Researchers show contradictory remedies; some advocate for abolishment of TMC and others call for the integration of both methods. A...
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| Format: | Article |
| Language: | English |
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AOSIS
2019-08-01
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| Series: | African Journal of Primary Health Care & Family Medicine |
| Subjects: | |
| Online Access: | https://phcfm.org/index.php/phcfm/article/view/1948 |
| _version_ | 1828240593036247040 |
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| author | Sandile Prusente Nelisiwe Khuzwayo Yandisa Sikweyiya |
| author_facet | Sandile Prusente Nelisiwe Khuzwayo Yandisa Sikweyiya |
| author_sort | Sandile Prusente |
| collection | DOAJ |
| description | Background: Medical male circumcision (MMC) and traditional male circumcision (TMC) are reportedly having negative and positive outcomes in the Eastern Cape province. Researchers show contradictory remedies; some advocate for abolishment of TMC and others call for the integration of both methods.
Aim: This study aimed to explore factors influencing the integration of TMC and MMC at different socio-ecological levels.
Setting: The study was conducted at Ingquza Hill Local Municipality in the Eastern Cape province.
Methods: An explorative qualitative study design, using in-depth interviews (IDIs) and focus group discussions (FGDs), was employed in this study. Purposive sampling was used to select the participants. A framework analysis approach was used to analyse the data, and the themes were developed in line with the socio-ecological model.
Results: Four main themes emerged from the data as important in influencing the integration of TMC and MMC methods. These included: (1) individual factors, related to circumcision age eligibility and post-circumcision behaviour; (2) microsystem factors, related to alcohol and drug abuse, peer pressure, abuse of initiates, and family influence; (3) exosystem factors, related to financial gains associated with circumcision and the role of community forums; and (4) macrosystem factors, related to stigma and discrimination, and male youth dominance in circumcision practices.
Conclusion: Male circumcision in this area is influenced by complex factors at multiple social levels. Interventions directed at all of these levels are urgently needed to facilitate integration of the TMC and MMC methods. |
| first_indexed | 2024-04-12T21:43:48Z |
| format | Article |
| id | doaj.art-e73d1e3e385f465aaee942bfe89b7557 |
| institution | Directory Open Access Journal |
| issn | 2071-2928 2071-2936 |
| language | English |
| last_indexed | 2024-04-12T21:43:48Z |
| publishDate | 2019-08-01 |
| publisher | AOSIS |
| record_format | Article |
| series | African Journal of Primary Health Care & Family Medicine |
| spelling | doaj.art-e73d1e3e385f465aaee942bfe89b75572022-12-22T03:15:42ZengAOSISAfrican Journal of Primary Health Care & Family Medicine2071-29282071-29362019-08-01111e1e1110.4102/phcfm.v11i1.1948644Exploring factors influencing integration of traditional and medical male circumcision methods at Ingquza Hill Local Municipality, Eastern Cape: A socio-ecological perspectiveSandile Prusente0Nelisiwe Khuzwayo1Yandisa Sikweyiya2School of Nursing and Public Health, University of KwaZulu-Natal, DurbanSchool of Nursing and Public Health, University of KwaZulu-Natal, DurbanGender and Health Research Unit, South African Medical Research Council, Pretoria, South Africa; and, School of Public Health, University of the Witwatersrand, JohannesburgBackground: Medical male circumcision (MMC) and traditional male circumcision (TMC) are reportedly having negative and positive outcomes in the Eastern Cape province. Researchers show contradictory remedies; some advocate for abolishment of TMC and others call for the integration of both methods. Aim: This study aimed to explore factors influencing the integration of TMC and MMC at different socio-ecological levels. Setting: The study was conducted at Ingquza Hill Local Municipality in the Eastern Cape province. Methods: An explorative qualitative study design, using in-depth interviews (IDIs) and focus group discussions (FGDs), was employed in this study. Purposive sampling was used to select the participants. A framework analysis approach was used to analyse the data, and the themes were developed in line with the socio-ecological model. Results: Four main themes emerged from the data as important in influencing the integration of TMC and MMC methods. These included: (1) individual factors, related to circumcision age eligibility and post-circumcision behaviour; (2) microsystem factors, related to alcohol and drug abuse, peer pressure, abuse of initiates, and family influence; (3) exosystem factors, related to financial gains associated with circumcision and the role of community forums; and (4) macrosystem factors, related to stigma and discrimination, and male youth dominance in circumcision practices. Conclusion: Male circumcision in this area is influenced by complex factors at multiple social levels. Interventions directed at all of these levels are urgently needed to facilitate integration of the TMC and MMC methods.https://phcfm.org/index.php/phcfm/article/view/1948male circumcisionsocial acceptancediscriminationhealthculture |
| spellingShingle | Sandile Prusente Nelisiwe Khuzwayo Yandisa Sikweyiya Exploring factors influencing integration of traditional and medical male circumcision methods at Ingquza Hill Local Municipality, Eastern Cape: A socio-ecological perspective African Journal of Primary Health Care & Family Medicine male circumcision social acceptance discrimination health culture |
| title | Exploring factors influencing integration of traditional and medical male circumcision methods at Ingquza Hill Local Municipality, Eastern Cape: A socio-ecological perspective |
| title_full | Exploring factors influencing integration of traditional and medical male circumcision methods at Ingquza Hill Local Municipality, Eastern Cape: A socio-ecological perspective |
| title_fullStr | Exploring factors influencing integration of traditional and medical male circumcision methods at Ingquza Hill Local Municipality, Eastern Cape: A socio-ecological perspective |
| title_full_unstemmed | Exploring factors influencing integration of traditional and medical male circumcision methods at Ingquza Hill Local Municipality, Eastern Cape: A socio-ecological perspective |
| title_short | Exploring factors influencing integration of traditional and medical male circumcision methods at Ingquza Hill Local Municipality, Eastern Cape: A socio-ecological perspective |
| title_sort | exploring factors influencing integration of traditional and medical male circumcision methods at ingquza hill local municipality eastern cape a socio ecological perspective |
| topic | male circumcision social acceptance discrimination health culture |
| url | https://phcfm.org/index.php/phcfm/article/view/1948 |
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