Evaluation of a safer male circumcision training programme for Ndebele traditional surgeons and nurses in Gauteng, South Africa
If you would like to obtain a copy of this Research Output, please contact Hanlie Baudin at firstname.lastname@example.org.
The aim of this study was to assess the safety of traditional male circumcision practices among Ndebele traditional surgeons following a five days training by direct observation of circumcision procedures. The sample included eight Ndebele traditional surgeons and traditional nurses and 86 initiates (abakhwetwa) from two districts in Gauteng province in South Africa.
A structured observations tool was administered by a trained research doctor during circumcisions and (wound) care of the initiates of the trained traditional surgeons. Results indicate that from the observations of 86 traditional male circumcisions a high number (37%) of adverse events were recorded (excessive bleeding, excessive skin removed and damage to the penis) and in six cases the use of one instrument for the circumcision was observed.
Before scaling up and/or considering integration traditional male circumcision services into medical male circumcision services in South Africa, a careful strategy to minimize unnecessary morbidity, and fundamental improvements on current traditional male circumcision techniques, are required. In addition, legislation and control of traditional male circumcision in Gauteng province, where the study took place, are recommended to make traditional male circumcision safer and to prevent adverse events to happen.
Related Research Outputs:
- Evaluation of a safer male circumcision training programme for Ndebele traditional surgeons and nurses in Gauteng, South Africa: using direct observation of circumcision procedures
- Attitudes of preinitiates towards traditional male circumcision in the context of HIV in the Eastern Cape, South Africa
- Knowledge, attitudes and beliefs about male circumcision and HIV by traditional and medical providers of male circumcision and traditionally and medically circumcised men in Mpumalanga, South Africa
- Prevention of mother to child transmission: a report of an assessment of a pilot programme in fifteen health facilities in Gauteng province
- Evaluation of the impact of the life orientation programme on HIV/AIDS in Gauteng schools: pilot study
- HIV/AIDS/STI/TB knowledge, beliefs and practices of traditional healers in KwaZulu-Natal, South Africa
- A controlled study of an HIV/AIDS/STI/TB intervention with traditional healers in KwaZulu-Natal, South Africa
- Traditional healing and STI/HIV/AIDS/TB in South Africa: a participants' manual for tradtional health practitioners, community health workers and nurses
- Traditional healing and STI/HIV/AIDS/TB in South Africa: a trainers' manual for tradtional health practitioners, community health workers and nurses
- Traditional circumcision during manhood initiation rituals in the Eastern Cape, South Africa: a pre-post intervention evaluation
- Traditional male circumcision intervention report
- The prevalence and nature of circumcision among adult men and its relationship to HIV infection in South Africa: results from a national survey in 2002
- Traditional healers and nurses: a qualitative study on their role on sexually transmitted infections including HIV and AIDS in KwaZulu-Natal, South Africa
- Patients consulting traditional health practitioners in the context of HIV/AIDS in urban areas in KwaZulu-Natal, South Africa
- Evaluation of a safer male circumcision training programme for traditional surgeons and nurses in the Eastern Cape, South Africa
- Use of traditional complementary and alternative medicine for HIV patients in KwaZulu-Natal, South Africa
- Traditional male circumcision remains a dangerous business
- Needle prick injuries as a risk factor for hospital-acquired infection among nurses in a Gauteng hospital
- Knowledge and experiences of Needle Prick Injuries (NPI) among nursing students at a university in Gauteng, South Africa
- Social aspects of male circumcision as a biomedical strategy for HIV prevention