期刊论文详细信息
BMC Public Health
Policy environment and male circumcision for HIV prevention: Findings from a situation analysis study in Tanzania
Research Article
Gerry Mshana1  John Changalucha1  Mwita Wambura1  Jacklin F Mosha1  Frank Mosha1  Joseph R Mwanga1 
[1] National Institute for Medical Research, P.O. Box 1462, Mwanza, Tanzania;
关键词: Medically performed male circumcision;    HIV infection;    AIDS;    policy environment;    Tanzania;   
DOI  :  10.1186/1471-2458-11-506
 received in 2010-12-08, accepted in 2011-06-28,  发布年份 2011
来源: Springer
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【 摘 要 】

BackgroundMale circumcision (MC) has been shown to be effective against heterosexual acquisition of HIV infection and is being scaled up as an additional strategy against HIV in several countries of Africa. However, the policy environment (whether to formulate new specific policy on MC or adapts the existing ones); and the role of various stakeholders in the MC scale up process in Tanzania was unclear. We conducted this study as part of a situation analysis to understand the attitudes of policy makers and other key community and health authority decision makers towards MC, policy and regulatory environment, and the readiness of a health system to accommodate scaling up of MC services.MethodsWe conducted 36 key informants' interviews with a broad range of informants including civil servants, religious leaders, cultural and traditional gatekeepers and other potential informants. Study informants were selected at the national level, regional, district and community levels to represent both traditionally circumcising and non-circumcising communities.ResultsStudy informants had positive attitudes and strong beliefs towards MC. Key informants in traditionally non-circumcising districts were willing to take their sons for medically performed MC. Religious leaders and traditional gatekeepers supported MC as it has been enshrined in their holy scripts and traditional customs respectively. Civil servants highlighted the need for existence of enabling policy and regulatory environment in the form of laws, regulations and guidelines that will ensure voluntary accessibility, acceptability, quality and safety for those in need of MC services. Majority of informants urged the government to make improvements in the health system at all levels to ensure availability of adequate trained personnel, infrastructure, equipment, and supplies for MC scale up, and insisted on the involvement of different MC stakeholders as key components in effective roll out of medically performed MC programme in the country.ConclusionsFindings from the situation analysis in Tanzania have shown that despite the absence of a specific policy on MC, basic elements of enabling policy environment at national, regional, district and community levels are in place for the implementation of MC scale up programme.

【 授权许可】

CC BY   
© Mwanga et al; licensee BioMed Central Ltd. 2011

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