Peter Otieno*, a 25-year-old taxi driver in Kisumu City, the capital of Kenya's western Nyanza Province, is considering getting circumcised. "I have heard about male circumcision as a way of reducing one's chances of getting infected [with HIV]," he told IRIN/PlusNews.
His only concern is the reaction of his friends. "I know my peers would ridicule me," he said.
Otieno's fears are not misplaced. Robert Ogol, a recently married man in his early thirties, told IRIN/PlusNews he faced mockery from his friends after being circumcised.
Both men are members of an ethnic Luo community in Nyanza that traditionally does not practice circumcision, but is being introduced to the idea of male circumcision as a strategy for HIV prevention as part of a government plan to roll out the procedure nationally.
The rollout, due to be launched in Nyanza in late September, is already facing problems; according to local media, members of the Luo Council of Elders, an advisory cultural body that wields considerable influence, have threatened to disrupt the launch unless they are properly consulted.
Nyanza Province has the highest HIV prevalence in the country - 15.3 percent - highlighting the need for more aggressive prevention strategies.
In August, Kenyan Prime Minister Raila Odinga and Health Minister Peter Anyang' Nyong'o, both ethnic Luos, urged cultural leaders to embrace male circumcision, which research has shown can significantly reduce a man's risk of contracting HIV.
We have no problem with male circumcision...but if anyone thinks they can force something alien on our community, they are mistaken |
He is also worried that the emphasis on male circumcision could encourage young men to have unprotected sex.
Dr Kawango Agot, a researcher with a joint project of the Universities of Nairobi, Illinois and Manitoba (UNIM), which conducted circumcision trials in Kisumu, said conflicting messages from various leaders could prove counter-productive to the goals of the programme.
"It is important to let people know that male circumcision is just one of the many initiatives to curtail the spread of HIV, and it is not effective on its own, unless combined with other methods like condom use and faithfulness," she said. "Otherwise we could end up with a very dangerous situation."
Dickens Omondi, a project coordinator with IMPACT-RDO, a local reproductive and sexual health NGO promoting male circumcision in Nyanza, told IRIN/PlusNews that his organisation's greatest challenge was dealing with conflicting views in the debate on circumcision.
Read more: | |
Make circumcision safer, say researchers | |
At the Cutting Edge - male circumcision and HIV | |
The cutting edge (multimedia) |
In advance of the government programme, a pilot male circumcision project by Marie Stopes Kenya, a reproductive health NGO, has carried out more than 3,000 clinical circumcisions in Nyanza Province since April 2007.
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