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Adolescent Girls’ Support of Male Peers and Sexual Partners Receiving Voluntary Medical Adolescent Girls’ Support of Male Peers and Sexual Partners Receiving Voluntary Medical

Adolescent Girls’ Support of Male Peers and Sexual Partners Receiving Voluntary Medical - PowerPoint Presentation

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Uploaded On 2018-12-27

Adolescent Girls’ Support of Male Peers and Sexual Partners Receiving Voluntary Medical - PPT Presentation

VMMC Services Implications for Demand Creation Authors Michelle Kaufman 1 Kim Dam 1 Karin Hatzold 2 Lynn Van Lith 1 Gertrude Ncube 3 Gissenge Lija 4 Collen Bonnecwe ID: 746285

adolescent circumcised male years circumcised adolescent years male girls girls

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Slide1

Adolescent Girls’ Support of Male Peers and Sexual Partners Receiving Voluntary Medical Male Circumcision

(VMMC) Services: Implications for Demand CreationAuthors: Michelle Kaufman1, Kim Dam1, Karin Hatzold2, Lynn Van Lith1, Gertrude Ncube3, Gissenge Lija4, Collen Bonnecwe5, Webster Mavhu2, Catherine Kahabuka6, Kimberly Seifert-Ahanda7, Arik Marcell8, Lusanda Mahlasela9, Maria Elena Figueroa1, Emmanuel Njeuhmeli7, and Aaron Tobian8 for the Adolescent VMMC Technical Advisory Group

Photo:

Girls in

Khayelitsha

, South Africa, dance at an open air campaign for an HIV support group. © 2012

Cristi

O'Connor, Courtesy of

PhotoshareSlide2

BACKGROUND

VMMC has reached large number of adolescent males (ages 10-19) in sub-Saharan AfricaLittle is known about female adolescents’ involvementQualitative Study: Adolescent girls’ support of their male peers and sexual partners undergoing the procedure in Tanzania, Zimbabwe and South AfricaSlide3

METHODS

Adolescent females 16-19 years old12 FOCUS GROUP DISCUSSIONS (FGDs)Adolescent males

10-19 years old6-8 weeks post-procedure

92

IN DEPTH INTERVIEWS (IDIs)Slide4

RESULTS:

GIRLS’ PREFERENCE“Circumcised males are clean and they are attractive; a person who is uncircumcised carries a lot of infections on his foreskin, he must be very dirty and girls run away from him.” –19 years old female, Makambako, TanzaniaSexual appealHygieneImproved sexual performanceReduced chances of infections (including HIV)Slide5

RESULTS:

GIRLS’ INFLUENCE“Yes, I can convince my boyfriend to get circumcised, because when I find out that he is not circumcised I wouldn’t even dare to have sex with him. I will tell him to get circumcised since he can hide a lot of diseases under his foreskin.” –18 years old female, Makambako, Tanzania'I cannot have sex with you if you’re not circumcised because number 1, I will catch "chirwere" [HIV]. Number 2, cervical cancer. Show me you love me by getting circumcised'. –18 years old female, Mt Darwin, ZimbabweSupportive of boys’ decisionOvert and covert influenceSlide6

RESULTS:

GIRLS’ INFLUENCEGirls would be more interested if they got circumcisedVMMC as criteria for selecting partners“I have heard some girls saying, 'We now want guys who are circumcised, we no longer want the uncircumcised ones as they may have chirwere [disease, also used to specifically refer to HIV/AIDS] and so on.” – 16 years old circumcised male, Mt Darwin, Zimbabwe“She [my girlfriend] did [motivate me]. She said because all my friends have done it, I should also do it and the pain will be over.” – 13 years old circumcised male, Ermelo, South AfricaSlide7

RESULTS:

EMOTIONAL SUPPORTHealing process versus decision making process“Women and girls have a huge contribution because they tell the boys that they cannot have a relationship with an uncircumcised man, so if a man really loves her he has to be circumcised.” – 16 years old female, Mafinga, TanzaniaSlide8

CONCLUSION

Adolescent girls are involved in VMMC decision-making, especially with older adolescent boys. Demand creation initiatives should continue to engage females in promoting VMMC to their male counterparts.