• Child
• Circumcision, Male
• Infections
• Policy
• Public health
• Risk

• P20 GM125526 NIGMS NIH HHS

Population-based studies in high-income countries have failed to find that male circumcision protects against sexually transmitted infections. Using evidence from several sources, we show that male circumcision does protect against HIV during insertive intercourse for men who have sex with men.

• Circumcision, Male
• HIV Infections
• Humans
• Male
• Risk Reduction Behavior
• Sexually Transmitted Diseases/epidemiology
• Sexually Transmitted Diseases/prevention & control

• P20 GM125526 NIGMS NIH HHS

Traditional male circumcision (TMC) is primarily associated with a religious or cultural purpose and may lead to complications. To reduce risks of complication and long-term disabilities that may happen from circumcisions that are undertaken in non-clinical settings, information concerning TMC is very important. Therefore, this study is aimed at identifying spatial distribution of TMC and the factors associated with TMC in Ethiopia.

A secondary data analysis was conducted among 11,209 circumcised males using data from 2016 Ethiopian Demographic and Health Survey (EDHS). Global Moran’s I statistic was observed to check whether there was a significant clustering of TMC. Primary and secondary clusters of TMC were identified by fitting Bernoulli model in Kulldorff’s SaTScan software. Multilevel Generalized Linear Mixed effects Model (GLMM) was fitted to identify factors associated with TMC.

The spatial distribution of TMC was nonrandom across the country with Global Moran’s I = 0.27 (p-value < 0.0001). The primary clusters of TMC were identified in the southern part of Oromia and Tigray, northern part of SNNPR, Amhara, Gambella and Benishangul regions. Current age, age at circumcision, ethnicity, religion, place of residence, wealth index, media exposure, sex of household head and age of household head were factors associated with TMC in Ethiopia.

The spatial distribution of TMC was varied across the country. This variation might be due to the diversity of culture, ethnicity and religion across the regions. Thus, there is a need to rearrange the regulations on standards of TMC practice, conduct training to familiarize operation technique and general hygiene procedures, and launch cross-referral systems between traditional circumcisers and health workers. While undertaking these public health interventions, due attention should be given to the identified clusters and significant factors.

• Ethiopia
• Multilevel generalized linear mixed effects model
• Spatial analysis
• Traditional male circumcision

• Adult
• Circumcision, Male/statistics & numerical data
• Cross-Sectional Studies
• HIV Infections/prevention & control
• Humans
• Jamaica
• Male
• Middle Aged
• Odds Ratio
• Patient Acceptance of Health Care/statistics & numerical data
• Young Adult

• T37 MD001448 NIMHD NIH HHS
• T37-MD001448 NIMHD NIH HHS

Male circumcision practice is an invasive procedure that is using worldwide. It makes challenges to haemostatic system and its possible haemorrhagic side effects are more serious in bleeding individuals than normal subjects. In most cases, it can be complete controlled using infusion of appropriate amount of coagulation factors before and post circumcision.

We aim to documentation type of coagulation therapy and post circumcision practice haemorrhagic presentation among 463 bleeder males of both common and rare bleeding disorders in north eastern part of country.

We retrospectively gathered information using evaluation medical records in 3 major hospitals during last 15 years and list of patients with bleeding disorders that obtained from haemophilia center. Also a call phone established for each bleeder person to complete data and updating of them. The survey took time from Sep 2009 – Mar 2011. The designed question form included data on doing circumcision or not, types of treatment before and post the procedure and occurrence of bleeding episodes after the surgery.

Overall among 424 cases with various common and rare bleeding disorders who had circumcised, 239 cases (56.3%) had passed the procedure with bleeding experience (indication of undiagnosed cases who underwent circumcision or inadequacy of coagulation therapy), while 185 cases (43.7%) had passed it successfully and without noticeable bleeding experience. The types of coagulation therapy in each group have been cited.

The circumcision practice in unequipped medical center for bleeder ones may make challenges for them and medical services. Also it needed supervision of expert haematologist for

• circumcision
• hiv
• evidence-based evaluation
• public health policy
• preventative medicine

• Adult
• Circumcision, Male
• Developed Countries
• Dissent and Disputes
• HIV Infections/etiology
• HIV Infections/prevention & control
• Health Knowledge, Attitudes, Practice
• Health Personnel
• Health Policy
• Humans
• Male
• Public Health
• Sexually Transmitted Diseases/prevention & control

• G0700837 Medical Research Council
• P30 AI082151 NIAID NIH HHS
• P30 MH058107 NIMH NIH HHS