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Acceptability of medical male circumcision (MMC) among health care providers in Port-au-Price, Haiti

142nd APHA Annual Meeting and Exposition (November 15 - November 19, 2014): http://www.apha.org/events-and-meetings/annual
Tuesday, November 18, 2014

Anshul Saxena, BDS, MPH , Dept. of Health Promotion and Disease Prevention, Robert Stempel College of Public Health and Social Work, Florida International University, Miami, FL
Stéphanie Gaston, MA , Les Centres GHESKIO, Port-au-Prince, Haiti
Michèle Jean-Gilles, Ph.D. , Dept. of Health Promotion and Disease Prevention, Robert Stempel College of Public Health and Social Work, Florida International University, Miami, FL
Rhonda Rosenberg, Ph.D. , Dept. of Health Promotion and Disease Prevention, Robert Stempel College of Public Health and Social Work, Florida International University, Miami, FL
Marie-Marcelle Deschamps, MD , Les Centres GHESKIO, Port-au-Prince, Haiti
Purnima Madhivanan, MBBS, MPH, Ph.D. , Dept. of Epidemiology, Robert Stempel College of Public Health and Social Work, Florida International University, Miami, FL
Harry Théodore, MD , Les Centres GHESKIO, Port-au-Prince, Haiti
Jeffrey Klausner, MD, MPH , UCLA-David Geffen School of Medicine, Division of Infectious Diseases and Program in Global Health, San Francisco, CA
Jessy G. Dévieux, Ph.D. , Dept. of Health Promotion and Disease Prevention, Robert Stempel College of Public Health and Social Work, Florida International University, Miami, FL
Jean William Pape, MD , Les Centres GHESKIO, Port-au-Prince, Haiti
  
Background: Medical male circumcision (MMC) is uncommon in Haiti.  Haiti has the highest number of people living with HIV in the Caribbean, the second most affected region in the world.  MMC can benefit the population by lowering the risk of HIV infection, other STIs and male and female genital cancers.

Methods: A cross sectional survey was administered in 2013 to health providers attending training at the GHESKIO centers, Haiti.  Participants filled out a culturally adapted multiple–choice questionnaire designed to assess their attitudes, knowledge and willingness to provide MMC.

Results: Of the 153 health providers, 27.5% were males ; 31% physicians, 50% nurses  and 19%  auxiliary personnel, with an average of 5.4 (SD = 5.8) years of work experience.  Among the physicians and nurses, only 28% had ever assisted with a MMC procedure and 64% said they would require training to perform one.  Around 70%  thought that male patients at their health facilities would accept MMC for the prevention of HIV/STI's, and 58%  responded that infancy was the best age for MMC. Around 84%  had not heard of any complications or adverse events following MMC and 65%  thought a general surgeon as the most able to perform MMC.

Conclusions: MMC is an acceptable  intervention for HIV, STIs and genital cancers among health  providers in Haiti. They  should be trained to perform MMC given its known health benefits.

Learning Areas:

Assessment of individual and community needs for health education
Planning of health education strategies, interventions, and programs
Public health or related education
Social and behavioral sciences

Learning Objectives:
Assess the acceptability of male circumcision among health care providers in Haiti.

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am PI for this study
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

Back to: 4283.0: International Topics in HIV/AIDS