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Among males there are fears about pain, it’s an uncommon, stigmatized procedure in this small African country of about 1.2 million people.
But the health benefits are clear – and not just for men only even for women. For both sexes, male circumcision reduces the risk of certain reproductive cancers and helps prevent the spread of HIV, STIs and genital HPV. For men, studies have shown, circumcision lowers the risk of HIV infection by about 60 percent (60% prevention of HIV).
That’s why JHO, in partnership with CHAPS-Swaziland, is working to increase circumcision rates among men and boys in Swaziland. JHO is educating communities about the advantages of circumcision, allaying fears that are based mostly on misconceptions.
In schools, Joyful Hearts starts by giving information to teachers, and then it does the same with groups of boys and parents. In the communities also our interventions involve the male circumcision element of its efforts to improve and expand community based health settings through outreach services.
The principal aim of this intervention is for clients demand creation that will be carried out in collaboration with the Communities leaders. This program promotes the uptake of male circumcision as an HIV prevention and reproductive health measure within communities.
In addition to community messages promoting male circumcision as a part of safe behaviours, the program includes male circumcision in HIV prevention activities targeting community leaders, young people in school and out of school, and workplaces
The program offers an increased number of training sessions for provider’s staff on the skills needed to conduct male circumcision at health facilities, then by supporting community training for other health care staff on how to counsel clients about male circumcision.
The activities seek to address the following as proposed in the eNSF 2014-2018:
Joyful Hearts Organization (JHO) is working especially with rural communities to increase the acceptability of male circumcision as an HIV prevention initiative. The community health workers set up a Male Circumcision Community Taskforce to work with JHO staff. So far our annually targets are 1800 male circumcision done.