Process Evaluation of a Sport-Based Voluntary Medical Male Circumcision Demand-Creation Intervention in Bulawayo, Zimbabwe
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Date
2016-10-01
Journal Title
Journal ISSN
Volume Title
Publisher
Lippincott, Williams & Wilkins
Abstract
Introduction: Grassroot Soccer (GRS) developed 2 brief and scalable
voluntary medical male circumcision (VMMC) promotion interventions
for males in Bulawayo, Zimbabwe, consisting of a 60-minute interactive,
soccer-themed educational session with follow-up behavioral and
logistical reinforcement. Both interventions were led by circumcised
male community leaders (“coaches”) ages 18–30. “Make The Cut”
(MTC) targeted adult males on soccer teams and “Make The Cut+”
targeted boys in secondary schools. We conducted a process evaluation
of MTC and Make The Cut+ to investigate perceptions of program
impact, intervention components, and program delivery; participants’
understandings of intervention content; and factors related to uptake.
Methods: We conducted 17 interviews and 2 focus group discussions
with coaches and 29 interviews with circumcised (n = 13) and
uncircumcised participants (n = 16).
Results: Findings demonstrate high program acceptability, highlighting
the coach–participant relationship as a key factor associated
with uptake. Specifically, participants valued the coaches’ openness
to discuss their personal experiences with VMMC and the accompaniment
by their coaches to the VMMC clinic.
Conclusions: Should the coach quality remain consistent at scale,
MTC offers an effective approach toward generating VMMC demand
among males.
Description
Open access journal article
Keywords
Male circumcision, Demand Creation, Adolescents, HIV prevention
Citation
DeCelles, J et.al. (2016).Process Evaluation of a Sport-Based Voluntary Medical Male Circumcision Demand-Creation Intervention in Bulawayo, Zimbabwe.Journal of Acquired Immune Deficiency Syndrome, 72 (4), p 304-308.