Early Infant Male Circumcision in Cameroon and Senegal: Demand, Service Provision, and Cultural Context

Figures & Tables

TABLE 1 Characteristics of Men and Women Ages 15–49 in Cameroon and Senegal

Characteristics	Cameroon	Senegal
Male circumcision rate	90%	80%
Religion
Catholic	40%	0%
Protestant	30%	0%
Muslim	20%	95%
Other	10%	5%
HIV prevalence	4.3%	0.7%
Age at sexual debut
Women	17.1	19.0
Men	18.7	22.7
ANC with skilled attendant (among women)	64%	94%
PNC (among women)	58%	68%
Place of birth of last child
Public health facility	61%	69%
Home	37%	27%
Multiple sexual partners in the last 12 months
Women	4%	0.3%
Men	23%	8%
Polygamy (among men)
Urban	11%	5%
Rural	16%	18%
Total	13%	17%
Knowledge of HIV
Women	96%	95%
Men	98%	97%
Have had HIV test and know results
Women	51%	28%
Men	40%	17%
No health insurance coverage
Women	98%	94%
Men	96%	92%

Abbreviations: ANC, antenatal care; PNC, postnatal care.
Source of data: 2011 Demographic and Health Survey in Cameroon⁸ and a 2010–2011 Demographic and Health Survey – Multiple Indicator Cluster Survey in Senegal.⁹

TABLE 2 Facilities Selected for EIMC Assessment in Cameroon and Senegal, by Region

Region	Facility
Cameroon
Southwest region (anglophone)	Regional Hospital, Buea
Southwest region (anglophone)	CMA, Limbe
Littoral region (francophone)	CMA Delange, Edea
Littoral region (francophone)	District Hospital, Pouma
Central region, Yaounde (francophone)	Central Hospital, Yaounde
Central region, Yaounde (francophone)	Hôpital Gynecologie Obstetrique et Pediatrique de Yaounde
Senegal
Western area: Tambacounda	CS Diankhe Makhan
Western area: Tambacounda	Centre Hospitalier Regional de Tambacounda
Central area: Kaffrine	CSR Kaffrine
Central area: Kaffrine	CS Malem Hodar
Eastern area: Dakar	CS Camberene
Eastern area: Dakar	Hôpital Général de Grand Yoff

Abbreviations: CMA, Centre Medical d’Arrondissement (district medical center); CS, centre de santé (health center); CSR, centre de santé regional (regional health center); EIMC, early infant male circumcision.

TABLE 4 Number of Focus Group Participants, by Type, Age Group, and Country

↵a 6 focus group discussions with service providers were conducted in each country.
↵b 12 focus group discussions with community members were conducted in each country.

TABLE 5 Number of Facilities Visited in Cameroon and Senegal Providing Selected Types of Services

Service	Cameroon (N = 6)	Senegal (N = 6)
General OPD services	6	6
Antenatal care	6	6
HIV testing and counseling/PMTCT	6	6
Male circumcision	6	6
EIMC	5	5
EIMC counseling in ANC and postnatal care	3	2
Child health services	6	5
Laboratory services	6	5
Recommended immunization	6	4
Nutrition services	3	3

Abbreviations: ANC, antenatal care; EIMC, early infant male circumcision; OPD, outpatient department; PMTCT, prevention of mother-to-child transmission.