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16 th ICASA CONFERENCE 4-8 th December Millennium Hall, Addis Ababa-Ethiopia

16 th ICASA CONFERENCE 4-8 th December Millennium Hall, Addis Ababa-Ethiopia. Attitudes and Acceptability of Male Circumcision: One Year after Launch of the National Male Circumcision Policy in Uganda Presenter: Robert Nangai

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16 th ICASA CONFERENCE 4-8 th December Millennium Hall, Addis Ababa-Ethiopia

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  1. 16th ICASA CONFERENCE4-8th December Millennium Hall, Addis Ababa-Ethiopia Attitudes and Acceptability of Male Circumcision:One Year after Launch of the National Male Circumcision Policy in Uganda Presenter: Robert Nangai Co-authors: Esther Kaggwa, Simon Ndizeye, Cheryl Lettenmaier, Ruth Museruka Health Communication Partnership

  2. Overview 1.2 million Ugandans living with HIV Over 130,000 new infections every year MC reduces the risk of HIV infection by 60% 25% of Ugandans currently circumcised Circumcising 4.2 million men in 5 years can avert 400,000 new infections Limited locations where MMC is available

  3. MMC Communication 2008 - 2010

  4. Study Methodology • Household survey in 31 districts • November – December, 2010 • Interviewed 2,896 individuals aged 15-54 years • Multi stage stratified sampling for young people aged 15-24 and adults 25-54 • Objectives: • To evaluate the reach and effects of HCP supported communication activities • To provide baseline measures for new communication activities

  5. Respondent Characteristics • 61% were aware of Uganda MC Policy • 21% of males had been circumcised (84% circumcised as babies) • 42% reported that their community approves of MC

  6. Exposure to MMC Messages N = 2896 All P < 0.05 45% exposed Males from urban areas with secondary of higher education more likely to be exposed

  7. Knowledge of a Place Offering Medical Male Circumcision Services All P < 0.05 N = 2,795

  8. Percent of Men & Women who Said Male Circumcision is Harmful • 29% thought MC is harmful • Rural, aged 15-17 years, lower SES, & primary or lower education more likely to say MC is harmful n = 402 N = 1275

  9. Percent of Men & Women who Said Male Circumcision is Beneficial 73% said MC is beneficial N = 2,082 N = 1275

  10. Factors Associated with Intention to Circumcise (Multivariate) **Not associated with intention to circumcise N = 1,041

  11. Conclusions & Recommendations Knowledge of a place offering MMC low High level of acceptance for MMC Exposure to MMC messages strongly associated with intention to circumcise Married, older men significantly less likely to intend to circumcise MMC communication should focus on older married men & identify services

  12. Acknowledgements Ministry of Health MC Working Group HCP MUSPH USAID

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