Women as Agents of Change: Male Circumcision and HIV Prevention in Kenya.

The recent promotion of male circumcision as a public health strategy is based on research evidence from three randomised control trials conducted in South Africa, Kisumu in Kenya, and Rakai in Uganda. The evidence suggests that male circumcision provides heterosexual men 50–60% protective benefit a...

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Publicado en:Sexuality & Culture Vol. 26; no. 3; pp. 1074 - 1090
Autores principales: Njoroge, Kezia Muthoni, Cattan, Mima, Chinouya, Martha, Ahlberg, Beth Maina
Formato: Artículo
Publicado: Springer Nature Jun2022
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Acceso en línea:Ver este registro en EBSCOhost
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        10.1007/s12119-021-09932-8
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        atl: Women as Agents of Change: Male Circumcision and HIV Prevention in Kenya.
      aug:
        au:
          Njoroge, Kezia Muthoni
          Cattan, Mima
          Chinouya, Martha
          Ahlberg, Beth Maina
        affil:
          Department of Health Systems Management, Kenya Methodist University, Meru, Kenya
          Department of Health and Life Sciences, Northumbria University, Newcastle, UK
          Liverpool School of Tropical Medicine, London, UK
          Department of Women's and Children's Health and Skaraborg Institute of Research and Development, Uppsala University, Uppsala, Sweden
      su:
        Public health
        Heterosexual men
        HIV infections
        Sexual assault
        Circumcision
        Kenya
      sug:
        subj:
          Kenya
          Public health
          Heterosexual men
          HIV infections
          Sexual assault
          Circumcision
      keyword:
        Focused ethnography
        Male circumcision
        Road license
        Voluntary medical male circumcision
        Wiping the soot
      ab: The recent promotion of male circumcision as a public health strategy is based on research evidence from three randomised control trials conducted in South Africa, Kisumu in Kenya, and Rakai in Uganda. The evidence suggests that male circumcision provides heterosexual men 50–60% protective benefit against HIV infection. For the Kikuyu people in Kenya, male circumcision is a cultural rite of passage from childhood to adulthood. The focus of this study was male circumcision practices in Muranga of Kenya and their implications on public health. There is a paucity of studies and reports on cultural practices of male circumcision in Kenya. This article discusses male circumcision meaning and associated changes with a central focus on women. A qualitative research design underpinned by an Interpretivist paradigm was employed. Focused ethnographic methodology captured the cultural context of the ritual and its meaning. Purposive and snowball sampling were used to select the study participants. Indepth interviews with 13 circumcision mentors, participant observations in three churches, and narratives writing with 43 male students from six schools were conducted. Data were analysed using thematic analysis. The findings suggest a changing circumcision ritual with women at the forefront of most of these changes in a male arena ritual. The church, hospital, and urbanisation emerged as the drivers of change, through which women aimed at protecting their sons from practices in the ritual, that they deemed harmful, such as harassment and sexual violence. The changes in the male circumcision ritual are significant to public health.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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      custom: Sexuality & Culture is a copyright of Springer, 2022. All Rights Reserved.
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