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. 2014 Sep;18(9):1776-84.
doi: 10.1007/s10461-014-0835-7.

Factors associated with parental non-adoption of infant male circumcision for HIV prevention in Sub-Saharan Africa: a systematic review and thematic synthesis

Webster Mavhu  1 , Zivai Mupambireyi, Graham Hart, Frances M Cowan
Affiliations

Factors associated with parental non-adoption of infant male circumcision for HIV prevention in Sub-Saharan Africa: a systematic review and thematic synthesis

Webster Mavhu et al. AIDS Behav. 2014 Sep.

Abstract
in English, Spanish

Infant male circumcision (IMC) may be more effective at preventing HIV than adult male circumcision as the procedure is carried out before the individual becomes sexually active. Successful scale-up will depend on identifying and overcoming parental concerns that may act as barriers for IMC. We conducted a systematic review to identify qualitative studies reporting on parental reasons for non-adoption of IMC for HIV prevention in sub-Saharan Africa. Thematic synthesis was subsequently conducted. Five descriptive themes were identified; these were later condensed into two main analytical themes: "poor knowledge" and "social constructs". While barriers and motivators are to some degree context specific, this review suggests that there are common themes that need to be addressed across the region if uptake of IMC for HIV prevention is to be widely adopted. Study findings are therefore likely to have broad implications for IMC roll out.

Circuncisión infantil (IMC) puede ser más eficaz en la prevención del VIH que MC adultos como el procedimiento se lleva a cabo antes de que el individuo llega a ser sexualmente activo. Escalado exitosa dependerá de identificar y superar las preocupaciones parentales que pueden actuar como barreras para IMC. Se realizó una revisión sistemática para identificar estudios cualitativos informando sobre las razones de los padres para la no adopción de IMC para la prevención del VIH en África subsahariana. Posteriormente se realizó la síntesis temática. Se identificaron cinco temas descriptivos; Éstos fueron posteriormente condensadas en dos temas principales de análisis: “pobre conocimiento” y “construcciones sociales”. Mientras que las barreras y motivadores son poco grado de contexto específico, esta revisión sugiere que existen temas comunes que deben abordarse en toda la región si la absorción de IMC para la prevención del VIH va a ser ampliamente adoptado. Resultados del estudio por lo tanto, son propensos a tener amplias implicaciones para despliegue IMC.

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