PMID- 30926742
OWN - NLM
STAT- MEDLINE
DCOM- 20190904
LR  - 20240124
IS  - 2169-575X (Electronic)
IS  - 2169-575X (Linking)
VI  - 7
IP  - 1
DP  - 2019 Mar 22
TI  - Incorporating Voluntary Medical Male Circumcision Into Traditional Circumcision 
      Contexts: Experiences of a Local Consortium in Zimbabwe Collaborating With an 
      Ethnic Group.
PG  - 138-146
LID - 10.9745/GHSP-D-18-00352 [doi]
AB  - Employing voluntary medical male circumcision (VMMC) within traditional settings 
      may increase patient safety and help scale up male circumcision efforts in 
      sub-Saharan Africa. In Zimbabwe, the VaRemba are among the few ethnic groups that 
      practice traditional male circumcision, often in suboptimal hygienic 
      environments. ZAZIC, a local consortium, and the Zimbabwe Ministry of Health and 
      Child Care (MoHCC) established a successful, culturally sensitive partnership 
      with the VaRemba to provide safe, standardized male circumcision procedures and 
      reduce adverse events (AEs) during traditional male circumcision initiation 
      camps. The foundation for the VaRemba Camp Collaborative (VCC) was established 
      over a 4-year period, between 2013 and 2017, with support from a wide group of 
      stakeholders. Initially, ZAZIC supported VaRemba traditional male circumcisions 
      by providing key commodities and transport to help ensure patient safety. 
      Subsequently, 2 male VaRemba nurses were trained in VMMC according to national 
      MoHCC guidelines to enable medical male circumcision within the camp. To increase 
      awareness and uptake of VMMC at the upcoming August-September 2017 camp, ZAZIC 
      then worked closely with a trained team of circumcised VaRemba men to create 
      demand for VMMC. Non-VaRemba ZAZIC doctors were granted permission by VaRemba 
      leaders to provide oversight of VMMC procedures and postoperative treatment for 
      all moderate and severe AEs within the camp setting. Of 672 male camp residents 
      ages 10 and older, 657 (98%) chose VMMC. Only 3 (0.5%) moderate infections 
      occurred among VMMC clients; all were promptly treated and healed well. Although 
      the successful collaboration required many years of investment to build trust 
      with community leaders and members, it ultimately resulted in a successful model 
      that paired traditional circumcision practices with modern VMMC, suggesting 
      potential for replicability in other similar sub-Saharan African communities.
CI  - (c) Hove et al.
FAU - Hove, Joseph
AU  - Hove J
AD  - Zimbabwe Association of Church-Related Hospitals (ZACH), Harare, Zimbabwe.
FAU - Masimba, Lewis
AU  - Masimba L
AD  - Zimbabwe Association of Church-Related Hospitals (ZACH), Harare, Zimbabwe.
FAU - Murenje, Vernon
AU  - Murenje V
AD  - International Training and Education Center for Health (I-TECH), Harare, 
      Zimbabwe.
FAU - Nyadundu, Simon
AU  - Nyadundu S
AD  - Ministry of Health and Child Care, Harare, Zimbabwe.
FAU - Musayerenge, Brian
AU  - Musayerenge B
AD  - Ministry of Health and Child Care, Harare, Zimbabwe.
FAU - Xaba, Sinokuthemba
AU  - Xaba S
AD  - Ministry of Health and Child Care, Harare, Zimbabwe.
FAU - Nachipo, Brian
AU  - Nachipo B
AD  - Ministry of Health and Child Care, Harare, Zimbabwe.
FAU - Chitimbire, Vuyelwa
AU  - Chitimbire V
AD  - Zimbabwe Association of Church-Related Hospitals (ZACH), Harare, Zimbabwe.
FAU - Makunike, Batsirai
AU  - Makunike B
AD  - International Training and Education Center for Health (I-TECH), Harare, 
      Zimbabwe.
FAU - Holec, Marrianne
AU  - Holec M
AD  - International Training and Education Center for Health (I-TECH), Seattle, WA USA.
FAU - Chinyoka, Takarubuda
AU  - Chinyoka T
AD  - Representative of the VaRemba ethnic group, Harare, Zimbabwe.
FAU - Mandisarisa, John
AU  - Mandisarisa J
AD  - U.S. Centers for Disease Control and Prevention, Harare, Zimbabwe.
FAU - Balachandra, Shirish
AU  - Balachandra S
AD  - U.S. Centers for Disease Control and Prevention, Harare, Zimbabwe.
FAU - Tshimanga, Mufuta
AU  - Tshimanga M
AD  - Community Health Intervention Project (ZiCHIRe), Harare, Zimbabwe.
FAU - Barnhart, Scott
AU  - Barnhart S
AD  - International Training and Education Center for Health (I-TECH), Seattle, WA USA.
AD  - Department of Global Health, University of Washington, Seattle, WA, USA.
AD  - Department of Medicine, University of Washington, Seattle, WA, USA.
FAU - Feldacker, Caryl
AU  - Feldacker C
AD  - International Training and Education Center for Health (I-TECH), Seattle, WA USA. 
      cfeld@uw.edu.
AD  - Department of Global Health, University of Washington, Seattle, WA, USA.
LA  - eng
GR  - PEPFAR/PEPFAR/United States
GR  - U2G GH000972/GH/CGH CDC HHS/United States
PT  - Journal Article
PT  - Research Support, U.S. Gov't, P.H.S.
DEP - 20190329
PL  - United States
TA  - Glob Health Sci Pract
JT  - Global health, science and practice
JID - 101624414
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Child
MH  - Circumcision, Male/adverse effects/*ethnology
MH  - *Community Participation
MH  - Cooperative Behavior
MH  - *Culture
MH  - *Ethnicity
MH  - *Health Services, Indigenous
MH  - Humans
MH  - Infections/etiology/therapy
MH  - Leadership
MH  - Male
MH  - *Medicine, African Traditional
MH  - Middle Aged
MH  - Nurses, Male
MH  - Safety
MH  - Social Marketing
MH  - Stakeholder Participation
MH  - Trust
MH  - *Voluntary Programs
MH  - Young Adult
MH  - Zimbabwe
PMC - PMC6538129
EDAT- 2019/03/31 06:00
MHDA- 2019/09/05 06:00
PMCR- 2019/03/22
CRDT- 2019/03/31 06:00
PHST- 2018/09/17 00:00 [received]
PHST- 2019/02/12 00:00 [accepted]
PHST- 2019/03/31 06:00 [entrez]
PHST- 2019/03/31 06:00 [pubmed]
PHST- 2019/09/05 06:00 [medline]
PHST- 2019/03/22 00:00 [pmc-release]
AID - GHSP-D-18-00352 [pii]
AID - 10.9745/GHSP-D-18-00352 [doi]
PST - epublish
SO  - Glob Health Sci Pract. 2019 Mar 29;7(1):138-146. doi: 10.9745/GHSP-D-18-00352. 
      Print 2019 Mar 22.