Women partners need more counselling on male circumcision, Kenya.
Article Type: Report
Subject: Circumcision (Health aspects)
HIV (Viruses) (Risk factors)
HIV (Viruses) (Prevention)
Health counseling (Usage)
Health counseling (Influence)
Disease transmission (Risk factors)
Disease transmission (Prevention)
Pub Date: 05/01/2012
Publication: Name: Reproductive Health Matters Publisher: Elsevier Science Publishers Audience: General Format: Magazine/Journal Subject: Family and marriage; Health; Women's issues/gender studies Copyright: COPYRIGHT 2012 Reproductive Health Matters ISSN: 0968-8080
Issue: Date: May, 2012 Source Volume: 20 Source Issue: 39
Topic: Canadian Subject Form: Health counselling; Health counselling
Geographic: Geographic Scope: Kenya Geographic Code: 6KENY Kenya
Accession Number: 296571605
Full Text: A Kenyan study has found that more women than men feel HIV is a less serious threat after their male partner has been circumcised. The study assessed the impact of male circumcision on the sexual health, attitudes and behaviour of 51 long-term female partners of recently circumcised men, and matched their answers with that of their partners. There was a high level of agreement between men and their partners on male sexual function after circumcision and on circumcision beliefs. Ali female participants reported being pleased with their partner's decision to become circumcised, and all women were happy with their partner's sexual performance after circumcision. 91% of women found sex more enjoyable after the circumcision. There was a significant difference between men and women on perceived risk of HIV transmission: 51% of men and 76% of women felt that HIV was less of a threat, and 4% of men compared to 51% of women felt that condom use was less necessary. A greater number of women than men said after circumcision they were more likely to have more than one sexual partner (22% of women compared to 2% of men and 2% of couples interviewed together) and to have sex without a condom (28% of women against 2% of men and 2% of couples). Alongside the successful HIV risk compensation education interventions for men undergoing circumcision, there is an urgent need to educate women about the fact that male circumcision provides men with only partial protection and that they themselves still need protection. (1) Since 2008, more than 350,000 men have been circumcised in Nyanza province alone, and the government aims to circumcise 1.1 million men by 2013. (2)

(1.) Okeyo T, Westercamp N, Bailey R, et al. Perceptions on circumcision among female partners of recently circumcised men in Nyanza Province, Kenya. Abstract WEPE096. 16th lnternational Conference on AIDS and STIs in Africa, Addis Ababa, December 2011.

(2.) Kenya: Male circumcision--women need counselling too. IRIN PlusNews, 23 January 2012.

Doi: 10.1016/S0968-8080(12)39622-5
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