SA needs to be educated about male circumcision

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Reputable research reports have found that male circumcision can provide HIV-negative heterosexual men with up to 60% protection against HIV infection.

While this is a remarkable finding, South Africa needs adequate education campaigns directed at women, and at informing people about what it means to get circumcised as HIV-positive heterosexual men.
These are the remarks made by Dr. Avron Urison, Medical Director at AllLife, as he acknowledged the progress South Africa has made with respect to combating HIV/Aids, as well as advocating for initiatives intended to raise awareness concerning circumcision for HIV-positive heterosexual men.

Benefits of male circumcision

"It has been proven that circumcision can help protect HIV-negative heterosexual men from HIV because cells under the foreskin are vulnerable to the virus," said Urison. "Removing the foreskin, as such, may act directly to reduce the risk of HIV acquisition by decreasing the ability of the virus to attach to and enter cells."
Some of the benefits of male circumcision, according to Urison, include preventing herpes genitalis, protection against penile cancer, risks of urinary tract infection, prostate cancer, sexually transmitted diseases and, in female partners, cervical cancer.
“This is useful information, and it appears to have been well communicated to many HIV-negative heterosexual men throughout the country,” he said. “However, are South Africans aware that the recommended male circumcision, with respect to HIV, is not a replacement for the existing prevention methods such as the use of condoms?”
“Do the majority of South African women understand that this is not a directly protective method for them? Are heterosexual men, living with HIV in South Africa, clear that although they can get circumcised, their benefits in this regard are close to none – if any?”

Surgery from unsafe providers

“Many South African women and HIV-positive heterosexual men are not informed as to how, if at all, male circumcision can benefit them. Therefore, while the effort to prevent the spread of HIV/Aids is greatly prioritised, South Africa needs to also implement and highlight the efforts aimed are reducing the number of people who die due to Aids-related sicknesses, thereby promoting methods that can also benefit the people who are already living with HIV/Aids.”
Citing World Health Organisation on the issue, he said that circumcision for HIV-positive men is not recommended, but denying them will possibly increase the stigma among HIV-positive men who are not circumcised. This might also increase the chances of HIV-positive men seeking surgery from unsafe providers if they are turned away from medical points of service.
Consequently, Urison stressed the importance of implementing initiatives that are aimed at addressing the socio-cultural context of the situation, as well as ensuring that HIV-positive heterosexual men are aware that they can only get circumcised if their CD4 count is 350 or higher and that circumcision has no HIV benefit for them.
 
Source: http://www.health24.com/Medical/HIV-AIDS/From-Our-Sponsors/SA-needs-to-be-educated-about-male-circumcision-20140804

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