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://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: