Academic Journal

Women as Agents of Change: Male Circumcision and HIV Prevention in Kenya.

Bibliographic Details
Title: Women as Agents of Change: Male Circumcision and HIV Prevention in Kenya.
Authors: Njoroge, Kezia Muthoni, Cattan, Mima, Chinouya, Martha, Ahlberg, Beth Maina
Source: Sexuality & Culture; Jun2022, Vol. 26 Issue 3, p1074-1089, 16p
Subject Terms: Public health, Heterosexual men, HIV infections, Sexual assault, Circumcision
Geographic Terms: Kenya
Abstract: The recent promotion of male circumcision as a public health strategy is based on research evidence from three randomised control trials conducted in South Africa, Kisumu in Kenya, and Rakai in Uganda. The evidence suggests that male circumcision provides heterosexual men 50–60% protective benefit against HIV infection. For the Kikuyu people in Kenya, male circumcision is a cultural rite of passage from childhood to adulthood. The focus of this study was male circumcision practices in Muranga of Kenya and their implications on public health. There is a paucity of studies and reports on cultural practices of male circumcision in Kenya. This article discusses male circumcision meaning and associated changes with a central focus on women. A qualitative research design underpinned by an Interpretivist paradigm was employed. Focused ethnographic methodology captured the cultural context of the ritual and its meaning. Purposive and snowball sampling were used to select the study participants. Indepth interviews with 13 circumcision mentors, participant observations in three churches, and narratives writing with 43 male students from six schools were conducted. Data were analysed using thematic analysis. The findings suggest a changing circumcision ritual with women at the forefront of most of these changes in a male arena ritual. The church, hospital, and urbanisation emerged as the drivers of change, through which women aimed at protecting their sons from practices in the ritual, that they deemed harmful, such as harassment and sexual violence. The changes in the male circumcision ritual are significant to public health. [ABSTRACT FROM AUTHOR]
Copyright of Sexuality & Culture is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  – Url: https://dx.doi.org/doi:10.1007/s12119-021-09932-8
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  Data: Women as Agents of Change: Male Circumcision and HIV Prevention in Kenya.
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  Data: <searchLink fieldCode="AR" term="%22Njoroge%2C+Kezia+Muthoni%22">Njoroge, Kezia Muthoni</searchLink><br /><searchLink fieldCode="AR" term="%22Cattan%2C+Mima%22">Cattan, Mima</searchLink><br /><searchLink fieldCode="AR" term="%22Chinouya%2C+Martha%22">Chinouya, Martha</searchLink><br /><searchLink fieldCode="AR" term="%22Ahlberg%2C+Beth+Maina%22">Ahlberg, Beth Maina</searchLink>
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  Data: Sexuality & Culture; Jun2022, Vol. 26 Issue 3, p1074-1089, 16p
– Name: Subject
  Label: Subject Terms
  Group: Su
  Data: <searchLink fieldCode="DE" term="%22Public+health%22">Public health</searchLink><br /><searchLink fieldCode="DE" term="%22Heterosexual+men%22">Heterosexual men</searchLink><br /><searchLink fieldCode="DE" term="%22HIV+infections%22">HIV infections</searchLink><br /><searchLink fieldCode="DE" term="%22Sexual+assault%22">Sexual assault</searchLink><br /><searchLink fieldCode="DE" term="%22Circumcision%22">Circumcision</searchLink>
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  Data: <searchLink fieldCode="DE" term="%22Kenya%22">Kenya</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: The recent promotion of male circumcision as a public health strategy is based on research evidence from three randomised control trials conducted in South Africa, Kisumu in Kenya, and Rakai in Uganda. The evidence suggests that male circumcision provides heterosexual men 50–60% protective benefit against HIV infection. For the Kikuyu people in Kenya, male circumcision is a cultural rite of passage from childhood to adulthood. The focus of this study was male circumcision practices in Muranga of Kenya and their implications on public health. There is a paucity of studies and reports on cultural practices of male circumcision in Kenya. This article discusses male circumcision meaning and associated changes with a central focus on women. A qualitative research design underpinned by an Interpretivist paradigm was employed. Focused ethnographic methodology captured the cultural context of the ritual and its meaning. Purposive and snowball sampling were used to select the study participants. Indepth interviews with 13 circumcision mentors, participant observations in three churches, and narratives writing with 43 male students from six schools were conducted. Data were analysed using thematic analysis. The findings suggest a changing circumcision ritual with women at the forefront of most of these changes in a male arena ritual. The church, hospital, and urbanisation emerged as the drivers of change, through which women aimed at protecting their sons from practices in the ritual, that they deemed harmful, such as harassment and sexual violence. The changes in the male circumcision ritual are significant to public health. [ABSTRACT FROM AUTHOR]
– Name: Abstract
  Label:
  Group: Ab
  Data: <i>Copyright of Sexuality & Culture is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1007/s12119-021-09932-8
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      – Code: eng
        Text: English
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        PageCount: 16
        StartPage: 1074
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      – SubjectFull: Kenya
        Type: general
      – SubjectFull: Public health
        Type: general
      – SubjectFull: Heterosexual men
        Type: general
      – SubjectFull: HIV infections
        Type: general
      – SubjectFull: Sexual assault
        Type: general
      – SubjectFull: Circumcision
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            NameFull: Cattan, Mima
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            NameFull: Chinouya, Martha
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            – D: 01
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              Text: Jun2022
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              Y: 2022
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