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ORIGINAL ARTICLE
Open Access

Perspectives of Parents and Health Care Workers on Early Infant Male Circumcision Conducted Using Devices: Qualitative Findings From Harare, Zimbabwe

Webster Mavhu, Karin Hatzold, Getrude Ncube, Shamiso Fernando, Collin Mangenah, Kumbirai Chatora, Owen Mugurungi, Ismail Ticklay and Frances M Cowan
Global Health: Science and Practice July 2016, 4(Supplement 1):S55-S67; https://doi.org/10.9745/GHSP-D-15-00200
Webster Mavhu
aCentre for Sexual Health and HIV/AIDS Research (CeSHHAR), Harare, Zimbabwe
bUniversity College London, London, United Kingdom
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Karin Hatzold
cPopulation Services International, Harare, Zimbabwe
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  • For correspondence: khatzold{at}psi-zim.co.zw
Getrude Ncube
dMinistry of Health and Child Care, Harare, Zimbabwe
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Shamiso Fernando
aCentre for Sexual Health and HIV/AIDS Research (CeSHHAR), Harare, Zimbabwe
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Collin Mangenah
aCentre for Sexual Health and HIV/AIDS Research (CeSHHAR), Harare, Zimbabwe
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Kumbirai Chatora
cPopulation Services International, Harare, Zimbabwe
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Owen Mugurungi
dMinistry of Health and Child Care, Harare, Zimbabwe
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Ismail Ticklay
eUniversity of Zimbabwe College of Health Sciences, Harare, Zimbabwe
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Frances M Cowan
aCentre for Sexual Health and HIV/AIDS Research (CeSHHAR), Harare, Zimbabwe
bUniversity College London, London, United Kingdom
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    FIGURE

    Sampling for the Qualitative Study

    Abbreviations: EIMC, early infant male circumcision; FGD, focus group discussion; IDI, in‐depth interview.

Tables

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    TABLE Telephone Interview Responses: Parental Reasons for Defaulting on Early Infant Male Circumcision
    ThemeSubthemeNo. of Responses
    Parent refusedBaby’s father refused9
    • The father refused. (8 responses)
    • I really want but my husband does not want to hear anything about it. (1 response)
    Baby’s mother refused5
    • His mother refused. (4 responses)
    • My wife is refusing to bring him to the clinic. (1 response)
    Someone else refusedWider family refused4
    • My mother-in-law refused. (2 responses)
    • My in-laws are against the idea. (2 responses)
    SUBTOTAL18
    Son still too youngToo young to undergo procedure12
    • He is still too young. (9 responses)
    • It is still too early to circumcise him. (2 responses)• It is too early; he is only 6 days old. (1 response)
    Too young to be taken out in public4
    • My baby is too young to be moved around. (2 responses)
    • My baby is too young to mingle with the public. (2 responses)
    SUBTOTAL16
    Fear of harmFear of immediate harm11
    • It is too painful. (4 responses)
    • The mother is afraid it may not go well. (1 response)
    • It’s my first child. What if it doesn’t go well? (1 response)
    • I do not want any sleepless nights. (1 response)
    • My wife fears that the wound will take long to heal. (1 response)
    • I am worried about what will happen to the removed foreskin. (1 response)
    • The time for him to get circumcised has already passed. (1 response)
    • It will ruin my marriage. (1 response)
    Fear of future harm3
    • His peers will laugh at him when he is grown up. (2 responses)
    • It might create problems for him in future. (1 response)
    SUBTOTAL14
    Son to be circumcised laterNear future8
    • I will come after his umbilical stump has fallen off. (3 responses)
    • I will bring him after 6 weeks. (2 responses)
    • I will come later; I first need to heal myself. (2 responses)
    • I will come after the pain from injections subsides. (1 response)
    Later3
    • Will come when the baby is older. (2 responses)
    • We will consider it when he turns 5. (1 response)
    SUBTOTAL11
    Held up by decision makingDecision making in progress6
    • We need more time to think about it. (2 responses)
    • I am still thinking about it. (1 response)
    • As a mother, I cannot decide. (1 response)
    • My wife and I have not thought about it. (1 response)
    • I am still trying to convince my husband. (1 response)
    Still awaiting someone’s approval4
    • The father is not around so I cannot decide. (1 response)
    • I am still waiting for the father to give the go-ahead. (1 response)
    • I am still waiting for his grandmother’s approval. (1 response)
    • I still need to hear from my in-laws. (1 response)
    SUBTOTAL10
    Male circumcision not part of family traditionMale circumcision not practiced in clan4
    • No one has ever done that in our tribe. (2 responses)
    • It is not part of my culture. (2 responses)
    Father not circumcised3
    • I am not circumcised myself. (2 responses)
    • He has to be like his father, who is not circumcised. (1 response)
    Older brothers not circumcised3
    • His brothers are not circumcised. (3 responses)
    SUBTOTAL10
    Son to decide for himselfDo not want to decide for him6
    • He will decide for himself when he grows up. (6 responses)
    SUBTOTAL6
    External influenceWider family’s influence2
    • My older sister advised me not to. (1 response)
    • My mother-in-law discouraged me from doing so. (1 response)
    Health care workers’ influence2
    • My doctor said I should not do it. (1 response)
    • My aunt who is a nurse said we should not just accept new things. (1 response)
    SUBTOTAL4
    Son to be circumcised at homeGrandmother to perform procedure3
    • His grandmother will circumcise him. (3 responses)
    SUBTOTAL3
    OtherVarious other reasons3
    • Baby died. (1 response)
    • We are no longer in Harare. (1 response)
    • I will only do it if it is for medical reasons. (1 response)
    SUBTOTAL3
    TOTAL95
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Global Health: Science and Practice: 4 (Supplement 1)
Global Health: Science and Practice
Vol. 4, No. Supplement 1
July 01, 2016
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Perspectives of Parents and Health Care Workers on Early Infant Male Circumcision Conducted Using Devices: Qualitative Findings From Harare, Zimbabwe
Webster Mavhu, Karin Hatzold, Getrude Ncube, Shamiso Fernando, Collin Mangenah, Kumbirai Chatora, Owen Mugurungi, Ismail Ticklay, Frances M Cowan
Global Health: Science and Practice Jul 2016, 4 (Supplement 1) S55-S67; DOI: 10.9745/GHSP-D-15-00200

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Perspectives of Parents and Health Care Workers on Early Infant Male Circumcision Conducted Using Devices: Qualitative Findings From Harare, Zimbabwe
Webster Mavhu, Karin Hatzold, Getrude Ncube, Shamiso Fernando, Collin Mangenah, Kumbirai Chatora, Owen Mugurungi, Ismail Ticklay, Frances M Cowan
Global Health: Science and Practice Jul 2016, 4 (Supplement 1) S55-S67; DOI: 10.9745/GHSP-D-15-00200
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