Assessment of Knowledge, Attitudes and Practices of Men towards Voluntary Male Medical Circumcision: Study of Men between 15 to 49 Years at Rundu State Hospital

Volume 2, Issue 3, June 2017     |     PP. 15-62      |     PDF (827 K)    |     Pub. Date: July 31, 2017
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Author(s)

Ntombizodwa Makurira Nyoni, Department of Health Sciences, Zimbabwe Open University, Harare, Zimbabwe
Sikukumwa Ellion, Faculty of Education, Department of Mathematics and Science, University of Namibia, Windhoek, Namibia

Abstract
Abstract: This paper presented evidence from 50 self administered-questionnaires and interviews with a sample of Rundu men who participated in a mixed descriptive research study. The purpose of this study was to describe the knowledge, attitude and practice of men who came for voluntary male medical circumcision: A case of men aged 15 to 49 years in Rundu. The study also explored the factors that hindered the men not to go for VMMC. A survey was carried out with a sample size of 50 men who are between the ages of 15 to 49 years, who visited Rundu Hospital and were uncircumcised. Despite genuine interest in circumcision, stumbling blocks in the decision-making process deterred men from undergoing the surgery. The following were revealed during the study The high cost of travelling long distance to get the service for VMMC, Men were often hesitant to give high priority to circumcision because of fear of the surgery and also the long periods of wound recovering, had limited access to accurate information on medical circumcision, which they could have used to allay their fears, Some of the barriers were identified in their decision-making process especially their beliefs of MMC being performed in winter have deep roots in their behaviour. Moreover, unavailability of health care facilities in the marginalized areas of Kavango East Region is a barrier to service provision and also inadequate service provision meant that some men who attempted to get circumcised were turned away by the clinic. The correlation matrix was used to shows the direction and strength of the correlation between knowledge, attitude and practice. The correlation between knowledge and attitude showed a strong positive correlation. Therefore the knowledge men have on medical circumcision as HIV prevention strategy influences the attitude men have on male circumcision. The correlation between attitude and practice showed a positive correlation. The correlation coefficient being 0.783 and the p-value at 0.000 which is less than the benchmarked 0.05. also, the correlation between knowledge and practice showed a positive correlation of 0.783 and the p-value lies at 0.000, that is, it has correlation significance at 5% level of significance. Thus implying that at 5% level of significance, return on attitude is linearly related to practise. Finally, the study suggested some recommendations that can address some of the challenges hindering men to get MMC services. These are: dissemination of accurate and factual information, highlighting MC health benefits in STI and HIV prevention particularly in communities with lower level of education.

Keywords
Knowledge, Attitudes, Practices

Cite this paper
Ntombizodwa Makurira Nyoni, Sikukumwa Ellion, Assessment of Knowledge, Attitudes and Practices of Men towards Voluntary Male Medical Circumcision: Study of Men between 15 to 49 Years at Rundu State Hospital , SCIREA Journal of Clinical Medicine. Volume 2, Issue 3, June 2017 | PP. 15-62.

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