Youth Traditional Male Circumcision (TMC) as a tool to fight HIV/AIDS in South Africa: Implications for Human Rights and Social Work Practice
Issue: Vol.5 No.11 Issue Article 12 pp. 1770-1781
DOI: https://doi.org/10.38159/ehass.202451112 | Published online 5th September, 2024
© 2024 The Author(s). This is an open access article under the CCBY license (http://creativecommons.org/licenses/by/4.0/).
Traditional Male Circumcision (TMC) as a feasible tool to increase HIV/AIDS response needs to be validated and advocated to especially its adherents who, from time immemorial, hold to the fact that its goal has been to achieve some socio-cultural goal posts and not HIV/AIDS response. The study investigated the perceptions of selected members of the Alice Town community and its environs on the role and position of traditional male circumcision becoming an HIV/AIDS prevention tool. The study adopted a qualitative paradigm and a case study design. With slightly differentiated interview guides, the researcher conducted seven in-depth interviews covering 8 participants and four focus group discussions involving 25 participants affiliated with Alice Hospice, Lavela Old Age Centre, and the University of Fort Hare. Findings established that TMC is grounded in achieving cultural goalposts, initiating a state of moral and ethical deficit, compromised HIV/AIDS prevention, clinical hazards heightened opportunities for HIV/AIDS infections, and commercialisation of male circumcision compromised HIV/AIDS prevention agenda. Recommendations made were that the government should ensure that cultural adherents understand the process of the biomedical process and its link with HIV/AIDS response. This study has emphasised the role of social workers in redressing the rights deficits experienced by the initiates and communities in general.
Key Words: Traditional Male Circumcision, Commercialization of Traditional Male Circumcision, Medical Male Circumcision, HIV/AIDS, Human Rights Deficits.
Ahmed, Syed M, and Ann-Gel S Palermo. “Community Engagement in Research: Frameworks for Education and Peer Review.” American Journal of Public Health 100, no. 8 (2010): 1380–87.
Bala, Samkelo. “ Ramifications of Substance Abuse among Female Adolescents in Mission Location, Mnquma Municipality, Eastern Cape, South Africa.” University of Fort Hare. South Africa, 2017.
Blecher, Mark S, Aparna Kollipara, Jonatan Daven, Gesine Meyer-Rath, Calvin Chiu, Yogan Pillay, Fareed Abdullah, Michael Borowitz, and Nertila Tavanxi. “HIV and AIDS Financing in South Africa: Sustainability and Fiscal Space.” South African Health Review 2016, no. 1 (2016): 203–19.
Creswell, J.W. Research Design Qualitative, Quantitative & Mixed Methods Approach. 4th ed. Thousand Oaks, CA: Sage Publications Ltd, 2014.
Douglas, Mbuyiselo, Thelmah Xavela Maluleke, Thabang Manyaapelo, and Vicki Pinkney-Atkinson. “Opinions and Perceptions Regarding Traditional Male Circumcision With Related Deaths and Complications.” American Journal of Men’s Health 12, no. 2 (March 26, 2018): 453–62. https://doi.org/10.1177/1557988317736991.
Froneman, Salome, and Paul A Kapp. “An Exploration of the Knowledge, Attitudes and Beliefs of Xhosa Men Concerning Traditional Circumcision.” African Journal of Primary Health Care & Family Medicine 9, no. 1 (2017): 1–8.
Kang’ethe, S M, and Gutsa Takudzwa. “Exploring the Stumbling Blocks on the Way to a Successful Male Circumcision Campaign in Zimbabwe.” Journal of Human Ecology 49, no. 1–2 (2015): 71–76.
Kang’ethe, Simon M. “The Panacea and Perfidy of Cultural Rites of Circumcision in African Countries: Examples from Kenya, Botswana and South Africa.” Eastern Africa Social Science Research Review 29, no. 1 (2013): 107–23.
Kang’ethe, Simon Murote. “Disclosure Deficit Experienced by People Living with HIV/AIDS in Alice and Its Environs in Eastern Cape Province, South Africa: Perceptions of Selected Stakeholders.” Indian Journal of Palliative Care 26, no. 1 (2020): 28.
Mark, Daniella, Keren Middelkoop, Samantha Black, Surita Roux, Llewellyn Fleurs, Robin Wood, and Linda-Gail Bekker. “Low Acceptability of Medical Male Circumcision as an HIV/AIDS Prevention Intervention within a South African Community That Practises Traditional Circumcision.” South African Medical Journal 102, no. 6 (2012): 571–73.
Mavundla, Thandisizwe Redford, Fulufelo Godfrey Netswera, Brian Bottoman, and Ferenc Toth. “Rationalization of Indigenous Male Circumcision as a Sacred Religious Custom: Health Beliefs of Xhosa Men in South Africa.” Journal of Transcultural Nursing 20, no. 4 (2009): 395–404.
Mielke, Ruth T. “Counseling Parents Who Are Considering Newborn Male Circumcision.” Journal of Midwifery & Women’s Health 58, no. 6 (2013): 671–82.
Moodley, E. M. “An Assessment of Students’ Perceptions of the ABC Prevention Strategy: Towards Students’ Participation in HIV/AIDS Message Design at the University of Kwazulu Natal.” University of Kwazulu Natal, South Africa, 2007.
Mpateni, Aphiwe. “Health Factors Associated with Traditional Circumcision of Adolescent Males in Alice, Raymond Mhlaba Local Municipality, Eastern Cape.” University of Fort Hare, 2016.
Mpateni, Aphiwe, and Simon Murote Kang’ethe. “Ulwaluko Rite of Passage among the Xhosa in South Africa: The Challenges Relating to Poor Standards in Unlicenced Circumcision Schools.” African Journal of Social Work 11, no. 5 (2021): 307–12.
Neuman, W. Social Research Methods: Qualitative and Quantitative Approaches. Essex, UK: Pearson, 2014.
Nomngcoyiya, T. “Exploring the Psychosocial Challenges Associated with Traditional Male Circumcision Practice from the Lenses of the Newly Initiated Men: The Case of Lusikisiki, Phondoland Area, Eastern Cape, South Africa.” University of Fort Hare South Africa, 2015.
———. “The Impact of Cultural Attrition on Youth Behaviours: The Case of Ulwaluko and Intonjane Cultural Practices in Mthatha and Mount Frere, Eastern Cape, South Africa.” University of Fort Hare, South Africa, 2018.
Peltzer, Karl, Xola Kanta, and Mercy Banyini. “Evaluation of a Safer Male Circumcision Training Programme for Ndebele Traditional Surgeons and Nurses in Gauteng, South Africa: Using Direct Observation of Circumcision Procedures.” African Journal of Traditional, Complementary and Alternative Medicines 7, no. 2 (2010).
Republic of South Africa. “The Bill of Rights of the Constitution of the Republic of South Africa .” Government Gazette (No. 17678), 1996.
Republic of South Africa (RSA). The Constitution of South Africa (Act 108 of 1996). Pretoria: Government Printers, 1996. https://www.gov.za/sites/default/files/images/a108-96.pdf.
Ross, E., and A. Deverell. Health, Illness, and Disability: Psychological Approach. 2nd ed. Hatfield, Pretoria: Van Shaik, 2010.
Wilcken, Andrea, Thomas Keil, and Bruce Dick. “Traditional Male Circumcision in Eastern and Southern Africa: A Systematic Review of Prevalence and Complications.” Bulletin of the World Health Organization 88, no. 12 (December 1, 2010): 907–14. https://doi.org/10.2471/BLT.09.072975.
Zastrow, C., and K.K. Kirst-Ashman. Understanding Human Behaviour and the Social Environment. 5th ed. Belmont, CA: Thompson Learning, 2013.
Simon Murote Kang’ethe works at Walter Sisulu University as a full Social Work Professor, and he is also a C2 NRF-rated researcher focusing on culture, health, children, social enterprises, and geriatrics. He has supervised close to fifty master’s and PhD students, and has authored many book chapters.
Kang’ethe, Simon Murote. “Youth Traditional Male Circumcision (TMC) as a tool to fight HIV/AIDS in South Africa: Implications for Human Rights and Social Work Practice,” E-Journal of Humanities, Arts and Social Sciences 5, no.11 (2024):1770-1781. https://doi.org/10.38159/ehass.202451112
© 2024 The Author(s). Published and Maintained by Noyam Journals. This is an open access article under the CCBY license (http://creativecommons.org/licenses/by/4.0/).
Featured
Others