Tag Archives: PEFPAR

Kenya: NGO forcibly circumcising children – our tax dollars in use

Daily Nation Kenya reported anxiety over several cases of children who were forcibly circumcised by a NGO, “Impact Research and Development Organization”. Allegedly a car from this organization lured boys with candy and drove them to a hospital for circumcision, without any information or consent from their parents. Many of these boys were from cultures where circumcision is not accepted or tolerated.

Sila Boit, Uasin Gishu County Executive for Health (right) and Dr Evans Kiprotich, Director of Health Services in the county talks to boys from Kapsoya Estate in Eldoret Town at the Kapsoya Health Centre on April 22, 2015, where they were taken for check-up, after they were allegedly forcefully circumcised by an NGO. PHOTO | JARED NYATAYA | NATION MEDIA GROUP

Sila Boit, Uasin Gishu County Executive for Health (right) and Dr Evans Kiprotich, Director of Health Services in the county talks to boys from Kapsoya Estate in Eldoret Town at the Kapsoya Health Centre on April 22, 2015, where they were taken for check-up, after they were allegedly forcefully circumcised by an NGO. PHOTO | JARED NYATAYA | NATION MEDIA GROUP

Three officers from the NGO were arrested and booked at Kapsoya Police Post.

Let’s remember that the circumcision programs in Africa are supposed to be voluntary (VMMC – Voluntary Medical Male Circumcision).

In November of 2012, the CDC acknowledged this organization, Impact Research and Development Organization, in an article about progress in voluntary medical male circumcision programs in Kenya.

According to a post dated in 2011 on Impact Research and Development Organization’s website, “IRDO’s Voluntary Medical Male Circumcision program is supported by PEPFAR through a cooperative agreement with Center for Disease Control (CDC)” – So there you have it folks, our tax dollars paying for forceful circumcision of children in Kenya.

 

A sport-based intervention to increase uptake of voluntary medical male circumcision

Last year we heard a story about HIV researchers / circumcision advocates in Africa. Of course, being just a story, having no evidence, we didn’t mention it. But the story seems to be now corroborated and will be presented at the AIDS 2014 Conference in Melbourne, Australia, July 20 to 25.

So this is what we heard:

“In one presentation I sat through at a world AIDS conference (summer of 2010), a young doctor with these circumcision campaigns [in Africa] (he was marketing chief) took to the podium and explained a “successful” program. They went into the poorest communities, where the boys were mad for soccer, and bought them all new equipment and uniforms. Built them beautiful pitches to play on. Brought in well-known soccer players to inspire the boys, and got coaches. Let the boys play and get to love it. And when it came time to play in the regional tournaments, the bar came crushing down: they’d be sponsored to travel and play only if the team captain could convince most of the boys on the team to get circumcised. The peer pressure was tremendous not to let the team and community down. This doctor was positively gleeful at how successful this strategy was.”

This story might come to be corroborated here: http://pag.aids2014.org/Abstracts.aspx?SID=1104&AID=5834

Abstract

MOPDC0106 - Poster Discussion Session

A sport-based intervention to increase uptake of voluntary medical male circumcision among adult male football players: results from a cluster-randomised trial in Bulawayo, Zimbabwe

Presented by Zachary A Kaufman (United Kingdom).

Z.A. Kaufman1, J. DeCelles2, K. Bhauti3, H.A. Weiss1, K. Hatzold4, C. Chaibva5, D.A. Ross1

1London School of Hygiene and Tropical Medicine, Epidemiology and Population Health, London, United Kingdom, 2Grassroot Soccer, Curriculum and Innovation, Cape Town, South Africa, 3Grassroot Soccer Zimbabwe, Bulawayo, Zimbabwe, 4Population Services International Zimbabwe, Harare, Zimbabwe, 5National University of Science and Technology, Bulawayo, Zimbabwe

The title of the abstract reads “adult male football players”. We are definitively interested in reading all the details.

We will be waiting for the full abstract, to be made public next Friday. But now you know what to wait for.

Manipulation. Peer pressure.

GRASSROOT SOCCER

PEPFAR, the U.S. President’s Emergency Plan for AIDS Relief, shared this photo a few hours ago through their facebook page:

In the Mchinji District of Malawi, local Peace Corps volunteer counterpart and Grassroot Soccer coach Henry Ching'ombe, works with the Kamwendo Youth Group on the GRS activity "Cut and Cover," which addresses medical male circumcision.

In the Mchinji District of Malawi, local Peace Corps volunteer counterpart and Grassroot Soccer coach Henry Ching’ombe, works with the Kamwendo Youth Group on the GRS activity “Cut and Cover,” which addresses medical male circumcision.

Notice that the photo mentions “Grassroot Soccer“. This is an organization with the following explicit goal, according to their facebook page: “Using the power of soccer to educate, inspire, and mobilize communities to stop the spread of HIV”

Combing through Grassroot Soccer’s website, the Bill & Melinda Gates Foundation makes its apparition:

The Bill & Melinda Gates Foundation and the Doris Duke Charitable Foundation (DDCF) are supporting Grassroot Soccer (GRS) in a unique and innovative randomized control trial in Zimbabwe that will assess the impact of an educational intervention using the power of soccer and its role models to increase awareness and uptake of medical male circumcision (MMC) as an HIV prevention measure. The trial, known as MCUTS (Male Circumcision Uptake Through Soccer), will target men ages 18-35 with educational outreach through soccer-related messages.

http://www.grassrootsoccer.org/2012/10/15/mcuts/

While this target age should be 18-35, some other articles on the website show a different panorama:

[May 12th 2012, GRS Zambia] for the first time ever at GRS, we held mobile Medical Male Circumcision (MMC) at the school grounds. The procedure was conducted by Marie Stopes International (MSI), and was sanctioned by the Ministry of Health for outreach service delivery.  There were four boys, between the ages of 16 and 24, who elected for the medical procedure. The operation takes between 25 to 30 minutes, and there is an additional pre and post counseling session dedicated to MMC. Each boy left the post counseling session knowing they now had 60% more protection against acquiring HIV.

http://www.grassrootsoccer.org/2012/05/25/grassroot-soccers-first-mobile-mmc/

 

“Make The Cut” (MTC)

Navigating more through the website we found a poster/report of just the very same abstract discussed above, the one that is still embargoed until next Friday. But now you can read it here: http://www.grassrootsoccer.org/wp-content/uploads/ICASA-Poster_MCUTS-Qual_6-Dec-2013_FINAL.pdf

Participants found MTC (in particular the Coach’s Story) persuasive because the MTC coaches had been circumcised and could discuss the procedure.

Future implementation should incorporate home-based follow-up and small incentives while avoiding delivery during the holidays and mid-season for professional soccer players.

http://www.grassrootsoccer.org/wp-content/uploads/ICASA-Poster_MCUTS-Qual_6-Dec-2013_FINAL.pdf

Goal Trial: targeting teenagers

goal

Generation Skillz is an eleven-session sport-based HIV prevention intervention delivered in secondary schools in South Africa, primarily focusing on age-disparate sex, multiple partnerships, gender-based violence, and male circumcision 

http://www.grassrootsoccer.org/wp-content/uploads/GOAL-Trial-IAC-Poster_Final-A4.pdf

 

Circumcision in Swaziland: your tax dollars working

CNSNews reports that  The United States Agency for International Development (USAID) is planning to spend $24.5 million to circumcise an estimated 150,000 to 200,000 male infants and males aged 10 to 49 in the kingdom of Swaziland by 2018, to raise the prevalence of circumcision from 19% (in 2010) to 70% (in 2018) and the prevalence of infant circumcision to 50% in 2018.

A demographic survey for 2006-2007 in Swaziland showed that the prevalence of HIV among circumcised males was 22% vs. 20% for those uncircumcised (see table 14.10, page 235)

Swaziland has the highest rate of HIV (26.5% estimated in 2012).

The United States has already invested over 15.5 million dollars in circumcision programs in Swaziland through the President’s Emergency Plan For AIDS Relief, PEPFAR in an ambitious and unsuccessful “accelerated saturation initiative” called Soka Uncobe (circumcise and conquer), a campaign that some say, could be interpreted to say that circumcised men no longer need to use condoms.

PEPFAR has particularly targeted infants (as opposed to voluntary adults) by encouraging hospitals to circumcise all male newborns unless the parents opt out.

The country is culturally polygamous. Multiple concurrent sexual partners are common.

Related:

15 May 2013, Circumcision plans go awry in Swaziland

July 2012, Why a U.S. circumcision push failed in Swaziland

 

 

Zimbabwe: Clinic cuts off boy’s little manhood during circumcision

12-year-old Bulawayo boy’s penis was cut off during circumcision. Although the boy was under local anaesthetic, he screamed as blood gushed out of his organ. The boy was admitted at the United Bulawayo Hospitals (UBH) where the cut off organ has been sewn back on. A source at UBH said while he was in stable condition, it was too early to know if his penis would be normal again. Population Services International (PSI) spokesperson Paidamoyo Magaya was unreachable for comment. PSI sponsors the circumcision drive in Zimbabwe.

Complete article: http://www.crazynews24.com/news/4856-clinic-cuts-off-boy-s-little-manhood-during-circumcision.html