Knowledge, attitude and practices of males 10-49 years attending Ishaka Adventist Hospital on Safe Male circumcision

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Kampala International University, School of Health Sciences
Uganda Demographic and Health Survey conducted in 2016 asserted that only 26% of adults males in Uganda were circumcised and HIV prevalence among uncircumcised males was higher (6.7%) than in circumcised males (4.5%). Safe male circumcision could reduce the risk of new infections of HIV among males by 60% (WHO 2010) A quantitative cross-sectional descriptive study among males involved 44 males aged 10-49 that were selected through convenient sampling method focused on knowledge, attitudes and practices towards safe male circumcision among males 10-49 years attending Ishaka Adventist hospital in Ishaka-bushenyi municipality. Most males were Banyankole single aged 10-19(36.9%), with low formal education (54.4%) primary and (11.3%) none. 100% had heard about SMC, from radios (56.8%) and few from health workers (11.4%). They knew SMC for increasing sexual pleasure, and avoiding other STIs but not HIV. 68.2% did not know where they could get SMC services from. Males agreed (65.5%) and strongly agreed (31.8%) that Post SMC wound take long to heal, while 43.3 and 36.6 agreed and strongly agreed that circumcised males perform better sexually. Majority of males were comfortable with local anesthesia (79.5%), whereas as stitching and bandaging were opposes (29.5%) and (36.3%). 20.4% of males were circumcised, Majority of having been circumcised below 10 years (44.4%) by majorly religious leaders (55.5%). Those circumcise d receive pain management (66.6%) education on wound care (55.5%) and STIs screening (22.2%) while HIV screening by only 11.1%. There is considerably low knowledge on SMC where by those that know about SMC know it for other purposes like sexual pleasure and sexual performance but not HIV prevention, while envy a few that know about SMC do not know where they can access SMC services from. Negative attitudes being basically on wound healing that they fear that it takes long and HIV risk reduction that they disagree with. While stitching and bandaging post SMC wound were opposed, local anesthesia and pain management had strong support of males.
A research report submitted to Uganda Nurses and Midwives Examination Board in partial fulfilment for the requirements of award of a Diploma in Nursing Science
Knowledge, attitude and practices of males 10-49 years, Ishaka Adventist Hospital, Safe male circumcision