Journal
AIDS AND BEHAVIOR
Volume 20, Issue 11, Pages 2503-2513Publisher
SPRINGER/PLENUM PUBLISHERS
DOI: 10.1007/s10461-015-1079-x
Keywords
Voluntary medical male circumcision; Zambia; Women; Couples
Funding
- National Institutes of Health [R01MH095539]
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The World Health Organization has recommended the scale-up of voluntary medical male circumcision (VMMC) for HIV prevention in sub-Saharan Africa; however, men are often uninterested in undergoing VMMC. The Spear & Shield project enrolled 668 men and female partners from ten Zambian community health centers into parallel interventions promoting VMMC for HIV prevention or time-matched control conditions. A mediation model was utilized to examine the relationships between changes in women's acceptance of VMMC and men's readiness to undergo the procedure. Results demonstrated that, at 12 months post-intervention, a 5.9 % increase in the likelihood of undergoing VMMC among men in the experimental condition could be attributed to increased women's acceptance. From a public health perspective, involving women in VMMC promotion interventions such as the Spear & Shield project could significantly impact the demand for VMMC in Zambia.
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