title: Acceptability of medical male circumcision among uncircumcised men in Kenya one year after the launch of the national male circumcision program.
abstract: BACKGROUND
  Numerous studies have demonstrated that male circumcision (MC) reduces the incidence of the Type-1 human immunodeficiency virus (HIV) among heterosexual men by at least half.
  
  
  METHODS
  One year after the launch of a national Voluntary Medical Male Circumcision program in Kenya, this study conducted 12 focus group discussions among uncircumcised men in Nyanza Province to assess the revealed, non-hypothetical, facilitators and barriers to the uptake of MC.
  
  
  RESULTS
  The primary barriers to MC uptake included time away from work; culture and religion; possible adverse events; and the post-surgical abstinence period. The primary facilitators of MC uptake included hygiene; social pressure; protection against HIV and other sexually transmitted infections; and improved sexual performance and satisfaction.
  
  
  CONCLUSIONS
  Some activities which might increase MC uptake include dispelling MC misconceptions; increasing involvement of religious leaders, women's groups, and peer mobilizers for MC promotion; and increasing the relevance of MC among men who are already practicing an HIV prevention method.
authors: Division of Epidemiology and Biostatistics, University of Illinois at Chicago, Chicago, Illinois, United States of America. amykateherman@hotmail.com
authors: Amy
authors: A
authors: Herman-Roloff
authors: Nixon
authors: N
authors: Otieno
authors: Kawango
authors: K
authors: Agot
authors: Jeckoniah
authors: J
authors: Ndinya-Achola
authors: Robert C
authors: RC
authors: Bailey
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