Malawi Health Policy on Male Circumcision to prevent HIV Transmission.

Hi good people!

I hope you heard the demand by some donors as well as promotion by UN, WHO and UNAIDS opting for universal male circumcision as a preliquiste for continuity of HIV/AIDS Grants.

Although the stand of the current government since September, 2010 is NOT PROMOTING male circumcision (http://www.poz.com/rssredir/articles/malawi_no_male_circumcision_1_19114.shtml ) but some studies, among others;

http://paa2007.princeton.edu/download.aspx?submissionId=71928

http://webcache.googleusercontent.com/search?q=cache:8ceWa1VIT7QJ:www.malecircumcision.org/publications/documents/MC_scaleup_Dickson_CROI_2010.ppt+male+circumcision+and+HIV+prevention+in+Malawi&cd=3&hl=ja&ct=clnk&gl=jp

http://www.biomedcentral.com/1471-2458/10/209

http://www.labome.org/grant/r01/nr/traditional/male/traditional-male-circumcision-in-malawi-and-hiv-prevention-7647458.html have claimed the significant effect of male circumcision. On the other hand, (reaction?, coincidence?,…) the Global Fund has just denied Malawi Government to access HIV/AIDS funds from 2012 as their proposal was unsuccessful yet some countries within Sub-Saharan Africa have had smiled. Therefore, although the stand of Malawi Health Policy does not promote male circumcision, I think the medical field is too dynamic to remain silent and close our eyes as regards to this controversial topic.

Currently, the healthy system in Malawi does male circumcision based on mainly two reasons; namely religious ritual or medical reasons e.g phimosis. HIV/AIDS was not among the list of medical conditions for male circumcision. However, somes studies have shown significant reduction in HIV acquisition especially heterosexual portal of entry although the results are still challenged by other medical exeperts and health pundits interms of who is protected better (between partners) and how much risk between the partners. It remains a debatable issue in Malawi Health System although some feasibility studies in Malawian Hospitals was done in terms of workload (circumcision operation procedure) being absorbed currently as well as capacity and qualification/status of clinicians currently doing the procedure and at what level from health facility level (community hospital, rural hospital, district hospital to tertiary/teaching hospital). However some parameters are still in the dark like financial implications, acceptability by the community, religous beliefs, culture, conjugal duties (marriage), morals etc…..

So the million dollar question is, what is your comment on social, evidence-based studies, and economic point of view of this debate for the better motherland, Malawi?

Some web sites for details include:

www.nytimes.com/2009/08/24/health/policy/24circumcision.html

http://paa2007.princeton.edu/download.aspx?submissionId=71928

www.who/malecircumcisionforhivprevention

http://www.poz.com/rssredir/articles/malawi_no_male_circumcision_1_19114.shtml

http://www.turkishpress.com/news.asp?id=164691

http://allafrica.com/stories/201009290147.html

http://www.biomedcentral.com/1471-2458/10/209

http://webcache.googleusercontent.com/search?q=cache:8ceWa1VIT7QJ:www.malecircumcision.org/publications/documents/MC_scaleup_Dickson_CROI_2010.ppt+male+circumcision+and+HIV+prevention+in+Malawi&cd=3&hl=ja&ct=clnk&gl=jp

6 responses to this post.

  1. There is a lot of emotion and noise around this issue, but there are lots of things we don’t know, such how many intact (uncircumcised) men are comfortable with their condition and how many wish they’d been circumcised as infants, or how many circumcised men are resentful about the reduction of bodily integrity that was imposed on them, or how many circumcised men have had problems with their circumcision scar.
    Please participate in this survey, which is an attempt to answer these and many more questions. The survey is trying to remain neutral on the issue. Information is needed from both men and women.

    https://www.surveymonkey.com/s/6R2MTBF

    without any cynicism, I say, think of the children.

    Reply

  2. […] A  commentator in Malawi is now asking whether its officials’ public statements on circumcision had anything to do with the country failing to qualify for a Global Fund grant for HIV in 2012. Malawi’s application for ‘Round 10′ funding had included plans for mass circumcision, contradicting the officials’ statements. […]

    Reply

  3. […] A commentator in Malawi is now asking whether its officials’ public statements on circumcision had anything to do with the country failing to qualify for a Global Fund grant for HIV in 2012. Malawi’s application for “Round 10” funding had included plans for mass circumcision, contradicting the officials’ statements. […]

    Reply

  4. Posted by harrison on September 3, 2011 at 3:28 PM

    In Balaka region, where most men are circumcised, the HIV prevalence among men is 8.8 percent.

    In Rumphi region, where few men are circumcised, the HIV prevalence is 4.6 percent.

    Link: http://tinyurl.com/3olo3zm

    Dr Kachala, what do these numbers mean?

    Reply

  5. Good work!do update the post as I’ll be waiting for it!

    Reply

  6. I’m not that much of a online reader to be honest but your
    sites really nice, keep it up! I’ll go ahead and bookmark your site to come back later on. All the best

    Reply

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