Showing posts with label Botswana. Show all posts
Showing posts with label Botswana. Show all posts

Monday, January 23, 2017

BOTSWANA: Men refusing genital cutting

GABZ
October 20, 2016

Numbers of males enrolling for Circumcision worrisome

The declining rate of men enrolling for the Safe Male Circumcision SMC is said to be worrisome.

Addressing a new directions global health workshop in Gaborone yesterday, the Gaborone DHTM representative, Dr. Martin Azama, said that they have a target of 5 thousand 305 men to be circumcised in the period of 2016-2017, but have however only achieved circumcising 868 men. [This was to be expected: they have picked all the low-hanging fruit.]

Dr Azama further urged men to come forth and be circumcised as the exercise is aimed at reducing the rising rate of sexually transmitted infections in Botswana

Saturday, April 26, 2014

BOTSWANA: "Safe" infant circumcision - with Accu-circ and Mogen clamps

Daily News (Botswana)
February 4, 2014

Ministry introduces SMC device for infants

The Ministry of Health has introduced two new devices for infants’ Safe Male Circumcision (SMC).
The SMC national coordinator, Mr Conrad Ntsuape said the two devices were the best that Botswana opted for. He noted that the entire procedure was bloodless, requiring no anesthesia, suturing or a sterile setting.

Mr Ntsuape said the median time for complete healing was seven days after device removal. The devices Mogan Clamp and AccuCirc would be administered on children from zero to two months, eight hours after birth. Circumcision would be done on physically fit babies with no signs on abnormality weighing more than 2.5 kg and a penis of at least one centimetre.

He said the two devices were safe and effective for nonsurgical male circumcision without anesthesia or sterile settings. The distinction between the two devices is that the Accucirc is disposable while the Mogan Clamp is useful in mass circumcision programmes particularly in resource-limited setting. The disposable component of it is the razor blades.
[The Mogen has caused several serious botches, resulting in the Mogen company losing lawsuits and going bankrupt and out of business. The Accu-circ has had no impartial field trials. It chops the foreskin off out of sight, with no knowledge of how the cut will turn out - or whether it will be complete. The word "Safe" is deeply ironical here.]

He said the decision to adopt the two devices followed a lengthy consultation process that focused on acceptability of infant male circumcision as part of HIV prevention and male reproductive health efforts that was conducted by the governments of Botswana and United States through Harvard Institute in 2008. The survey was also done on the acceptability of infant male circumcision among mothers of newborn male infants in Botswana.

Mr Ntsuape said the results of the survey indicated that 96 per cent of mothers in Botswana accepted early infant circumcision while the remaining four per cent were undecided or not interested. He also said infant circumcision was long overdue because Botswana was among 14 periotic [sic] countries in Africa that should scale up safe male circumcision for both children and adults.

The uptake of SMC follows a study by the World Health Organisation that had shown that such countries have high HIV prevalence and low SMC uptake. [There is every reason to suppose that in Botswana, as in Lesotho and Swaziland, circumcised men are as likely as intact men - or more likely - to have HIV.] Twenty five infants have so far been circumcised in the past two weeks at Princess Marina, Nyangabwe and Bamalete Lutheran hospitals.

He said training was conducted on midwife nurses and doctors. ... ENDS

Saturday, September 7, 2013

BOTSWANA: Men unwilling to be circumcised, funding stopped

Mmegi (Botswana)
August 29, 2013

Japan withdraw circumcision funds

by Onalenna Kelebeile

SELEBI-PHIKWE: A Japanese company JHPEGO, has withdrawn funding for Safe Male Circumcision (SMC) because the country failed to meet the target of 40 males per day. The programme known as SMC/MOVE was a national strategy that started in October 2012 and was supposed to go on for five years. The withdrawal of funding means that the programme stops less than a year after it started. Delivering the Urban Development Committee report recently Selebi-Phikwe District Officer Orishiwa Sitekia said the SMC/MOVE programme stopped due to lack of funds and the team halted work on August 15.

"Funds for this national strategy were withdrawn due to the programme failing to meet the set target of circumcising 40 males a day. "Only 10 males on average were circumcised in a day," she said.

Sitekia said SMC would continue to be done in local health facilities by the district health management teams.She said the SMC/MOVE under the Japanese company had a higher rollout than in the local health facilities Meanwhile, the urban development report shows that there was an insufficient supply of food in the local primary schools during the first quarter of 2013/14 financial year.

...



Ilajewe FM
August 7, 2013

US STOPS FUNDING CIRCUMCISION PROGRAMME.


The United States government through the President’s Emergency Plan For AIDS Relief (PEPFAR) has stopped funding Botswana’s Safe Male Circumcision (SMC) programme. Addressing residents of Khuduyamajako in Letlhakeng East recently, the Assistant Minister of Health, the Honourable Gaotlhaetse Matlhabaphiri, said this was due to the unwillingness of men to be circumcised. He pointed out that government planned to have circumcised thousands of men by the end of this year and was concerned about the low turnout they had experienced since the inception of the programme.

“At least during the school vacation, almost 4 000 school going boys were circumcised,” he noted. On other issues, the honourable Matlhabaphiri expressed concern about the growing number of defaulters enrolled on the ARV programme. He was also worried that such patients did not follow doctor’s instructions on how to take their medication.
...

Sunday, April 14, 2013

BOTSWANA: Hospital won't help after botch

The Voice (Botswana)
April 12, 2013

Circumcision Horror - Who Cares?


BOY (11) SUFFERS AFTER PROCEDURE GOES WRONG BUT AUTHORITIES FAIL TO HELP CLAIMS MUM

Like many mothers Lungisani Thini decided to have her 11-year-old son circumcised because she wanted him to have a healthier future.

Now she fears he may not have much of a future at all.

The distraught mum, 47, described how the boy’s penis was sliced open during the procedure that went terribly wrong at Tutume Primary hospital. She has now threatened to sue the government P5 million for negligence.

The botched procedure occurred in December last year, but Lungisani claims the hospital neither gave her an apology nor reacted urgently to repair the damage.

“I know mistakes do occur, but the way the hospital is handling my son’s case makes me feel they don’t care.

All I need now is compensation so that I can find medication and doctors to correct the blunder before it’s too late,” she said.

The mother of six revealed that the problem became evident shortly after the procedure when the boy experienced pain and difficulty when trying to urinate.

Although he was then referred to Nyangabgwe hospital, it soon became apparent that measures taken to repair the damage had been unsuccessful.

“When after a week they removed the pipe they had inserted in his penis they assured us that all would be well.

But before long the boy started complaining again.”

Lungisani went on to say that after returning to Nyangabgwe doctors said there was nothing they could do as her son urgently needed to see a specialist.

She told how he was then transferred to Maun, but claims all they are doing there is draining the urine twice every month from the pipe in his penis.

“As I speak, the boy’s education is being seriously affected because of the repeated journeys to hospital,” she added.

What upsets her most is the fact that apart from providing transport to Maun, the hospital does not assist the family financially for the numerous trips.

She also complained that the hospital has never counselled either her or her son.

“As a single mum it is very difficult for me to cope and since the people who are responsible don’t seem to care, I have decided to take legal action. Although I am poor, I will fight until I get justice,” Lungisani promised.

Taking up the case area councillor Moseki Mathodi said that he tried to follow up the matter, but was told it was none of his business.

“I went to the clinic where the operation was carried out, but the nurse in charge refused to talk to me regarding the case claiming confidentiality.

They even failed to liaise with the school regarding the boy’s problem until I personally went to alert the headmaster,” he said.

Tutume District Health Management Team (DHMT) Coordinator Dr Ntumba Kamayi, although acknowledging there was a problem, dismissed allegations that the hospital was not treating the matter with urgency.

“What happened is very sad, but mistakes do happen,” he said. [Medical mistakes are not supposed to happen; accidents should be dealt with.]

Kamayi went on to assure the public that such cases were rare, saying that at least 40 people a day were being circumcised at the Thini clinic. [Yes, and how many are botched?]

“Why the boy’s case went wrong is still a shock to me,” the doctor said.

Tuesday, October 23, 2012

BOTSWANA: Overcrowded inmates being circumcised

The Monitor (Botswana)
October 22, 2012

133 prisoners circumcised


By Keobonye Majatsie
The Botswana Prisons Service (BPS) has adopted the Safe Male Circumcision (SMC) programme to reduce the spread of new HIV/AIDS infections.

Speaking at a press briefing, Dr Rachel Seleka revealed that so far 133 inmates have undergone circumcision at their clinics."So far we have at least 133 inmates from Gaborone, Moshupa and Molepolole prisons circumcised since April last year but we have not taken our initiative to the northern part of the country," she said.

Government introduced the SMC programme a few years ago, and there have been calls for the initiative to be extended to other vulnerable groups outside mainstream society. Seleka said they have discovered that inmates take health related issues more seriously when they are incarcerated.

Admitting that sodomy is a sensitive issue Prisons chief, Motlalekgosi acknowledged that there is sodomy in Botswana prisons. "We know that sodomy is illegal in Botswana but it happens in our prisons, how we don't know. If it can happen in mainstream society, what about in places like prisons? I don't have evidence to say it's not happening but we have heard stories narrated by ex-inmates," he said. ...
He also decried overcrowding in prisons. Currently there are 3,048 local male convicts and 435 foreign male inmates, 60 female citizen convicts and 14 female foreign convicts. There are 634 remanded local males, 303 foreign males, 15 local females and 11 foreign females. Motlalekgosi said these figures represent 15.2 percent overcrowding.

...

On other issues, Motlalekgosi revealed that they have banned smoking in all their prison facilities to curb drug smuggling in prisons. ...

[So let's see. They've circumcised men in overcrowded prisons where they know men are having sex together, and while no study suggests circumcision protects against male-to-male HIV transmission, one does suggest that sex too soon after the operation is a risk factor ... the men who can't smoke will get restless, and no mention of condoms ... What is wrong with this picture?]

Sunday, October 7, 2012

BOTSWANA: Men not buying circumcision campaign

The Voice (Botswana)
October 6, 2012

UNPOPULAR CUT


By Daniel Chida
Only 360 out of 2560 men get circumcised

The number of men that took part in the Safe male Circumcision in the North West District has been disappointing, a report has revealed.

Out of the targeted 2560 men, only 360 have been circumcised so far, a figure that translates into a paltry 14 percent of the target group, the recently released North West District Development Committee Report has indicated.

The figures did not sit well with some NWD councillors who felt that there was a need for re-strategising the campaign to achieve better results.

First to address the disturbing matter at a full council meeting discussion which had female councillors in stitches was Makalamabedi South councillor, Moetetsi Mogalakwe who blamed the unimpressive turn out to the call for circumcision on the youth who were used to educate the public on the issue.

“Majority of the representatives of the campaign were young people who lacked the skills needed to convince older people like us to be circumcised. Apart from anything else the subject is too embarrassing for young people to engage in with men old enough to be their fathers.”

The councillor also blamed the ‘Banana’ symbol used in adverts promoting circumcision for the poor turn out, arguing that it was too comical to be taken seriously.

Councillor for Kubung ward Pelokgale Monyamme however claimed that many older men did not respond to the call because it was too risky for those over the age of 45 because they would take too long to heal.

Monyamme further noted that instead of the campaign focusing all the attention on men,government needed to involve women too because they had influence on decisions taken by their spouses.

...

Saturday, June 9, 2012

BOTSWANA: "Health Minister couldn't infect me, he's circumcised"

The Voice (Botswana)
June 8, 2012

SEX IN THE CITY

By Francinah Baaitse
MINISTER AND TOP COP IN SEX SCANDAL
Minister Matlhabapiri returns to court as scandal unfolds

Details of an illicit affair between the Assistant Minister of Health, Gaotlhaetse Matlhabaphiri and his maid were expected once again to tumble out of the closet as the case resumed on Thursday.

Matlhabaphir’s alleged sex sessions with his former maid were exposed when an ongoing assault court case involving the maid’s husband Simon Tafi, hit the headlines last year. ... Tafi had in his previous evidence said: “When I confronted my wife about her multiple sexual encounters with Mtlhabaphiri and cautioned her that she could be exposing us to sexually transmitted diseases such as HIV and AIDS, she told me to my face that Matlhabaphiri could not infect her with HIV/AIDS because he was circumcised.” [And where did she get that idea - from the Assistant Health Minister?]
 
...

Tuesday, May 22, 2012

BOTSWANA: Men not buying circumcision hype

the Monitor (Botswana)
May 21, 2012

F/town adult males spurn circumcision

By Chakalisa Dube
FRANCISTOWN: The Safe Male Circumcision (SMC) focal person from the District Health Management Team (DHMT) here, Dr Idy Thaddee Mulenda has said that the majority of adult males in the city and its surrounding areas still do not circumcise.

... "Our target for this year is to circumcise 10,000 males but for the first quarter of this year we have only managed to circumcise 658. The majority of those who have circumcised are students. We have four quarters in a year and it is unlikely that we will reach our 10,000 target if adult men do not circumcise in large numbers," he said.

... we have been talking to institutions such as banks and police stations that have high volumes of workers to send their employees for circumcision when schools are closed," he said. He said despite the intervention, the number of adult males who circumcise is still very low.

Mulenda also stated that only 4,209 men in Francistown and greater Francistown areas have been circumcised since the SMC initiative was launched in the city in July 2009. Of the 4,209, 40 carried out the procedure in private hospitals.

Programme officer at the African Comprehensive HIV/AIDS Partnership (ACHAP), Eric Magashula, whose organisation works hand in hand with the Ministry of Health to deliver the SMC programme, said the majority of adults do not circumcise because they are reluctant to test for HIV/AIDS. He stated that the number of students who circumcise is high because HIV/AIDS prevalence among them is low.

He said, "We are however expecting the number of adult males who circumcise to increase soon. Of late we managed to reach a lot of individuals in very remote areas near Francistown to sensitise [indoctrinate] them about the importance of circumcising.

Earlier story

BOTSWANA: Kickback to advocate circumcision?

the Monitor (Botswana)
May 21, 2012

Vee in P1.3m circumcision deal - allegations

By Monkagedi Gaotlhobogwe
The Ministry of Health spokesman Themba Sibanda yesterday claimed ignorance as to whether they paid P1.3 million [$US 169,000] to kwaito kwasa star Vee wa Mampela for the on-going Safe Male Circumcision campaign spearheaded by the star.

Vee is the face of the Ministry of Health's Safe Male Circumcision drive that seeks to have half a million men circumcised to reduce the HIV/AIDS infection. Vee appears on billboards, newspaper adverts and television commercials as the face of the Safe Male Circumcision drive.

Sibanda referred further enquiries to Vee saying the issue of contract is personal. When asked to say if it is true that the tender for the job was never floated, Sibanda said he does not know much about that yet, saying he would have to check with the relevant department.

...

Wednesday, May 16, 2012

BOTSWANA, LESOTHO, SWAZILAND, ZAMBIA, ZIMBABWE: Men resising circumcision

News Medical
May 14, 2012

National program in Botswana focuses on increasing male circumcision rate

Botswana, Lesotho, Swaziland, Zambia, and Zimbabwe all have launched national campaigns urging men to undergo circumcision to help reduce their risk of contracting or transmitting HIV infection, but "all the countries are lagging far behind their targets," Agence France-Presse reports in an article focusing on efforts in Botswana. A three-year-old campaign in Botswana, aimed at convincing 460,000 men to get circumcised, "has reached only seven percent of this figure," the news agency notes, adding, "Now the government has enlisted the help of top musicians and launched a new series of advertisements touting 'safe male circumcision' as a lifeline."

According to AFP, "Botswana has no tradition of circumcision, giving the government a tough sales pitch -- even for a procedure done with local anesthetic, taking only a few minutes and requiring only a few days recovery." The news service notes most men say they fear the pain of the procedure, that the recovery time will be long, and how it will affect their sex lives.

Friday, April 20, 2012

BOTSWANA: US heavily funds circumcision

The Botswana Gazette
April 19, 2012

Botswana prioritises circumcision

By

Safe Male Circumcision (SMC) is cited as a priority for Botswana and [sic should it be "of"?] the United States of America, the Daily News reports.

Speaking during the handing over of the P8 million [$US1.07 million] SMC medical supplies and vehicle to the Botswana Defence Force (BDF) recently, US Ambassador to Botswana Michelle Gavin said they prioritised SMC as it is “one of the strongest weapons in their arsenal in the fight against new HIV infections.” [A crazy exaggeration.]

Gavin reportedly stated that the US government is proud to contribute to Botswana’s HIV prevention strategy and that its supports evidence-based programmes like PMTCT, HIV testing and counselling as well as care and treatment.

However, she said despite [or because of?] the successful programmes, new HIV infections ’ rates continue to escalate hence efforts made by her government to assist Botswana in achieving its goal of zero infections by 2016.

She urged Batswana men to choose SMC pointing out that if majority of them choose the strategy, they will reduce their own chances of infection hence the entire country will benefit.