Introduction
The world has now reached the 30th anniversary of the discovery of HIV (Human Immunodeficiency Virus). Out of 35 million people living with HIV worldwide, Sub Saharan Africa bears 70% of the global prevalence burden while South and South East Asia hold another 10% (UNAIDS, 2013). As the results of continuous efforts to end the epidemic, a comprehensive HIV prevention package was recommended by World Health Organization (WHO) and Joint United Nations Programme on HIV/AIDS (UNAIDS) comprised of: HIV testing and counselling, correct and consistent use of condoms, treatment of sexually transmitted infections, promotion of safer sexual practices and provision of antiretroviral treatment.
In addition to this combination of interventions, voluntary medical male circumcision has become an additional strategy for protection of men against sexual transmission of HIV from female partner (WHO, 2013). Whether or not such intervention should be promoted as a major mean of HIV prevention at all developing countries, is still under discussion and in need of further investigations. As a public health personnel as well as an observer, I would like to discuss this from the general point of view.
Discussion according to the Literatures
Male circumcision (MC) has been practiced traditionally in more than 700 African societies for religious, cultural, medical, and other reasons (Moses et al., 1990). A number of ecological and observational studies had shown that MC protects
When it came to differing views between western beliefs and the native point of view, one of the bigger problems was the conflict about contraception and stopping the spread of HIV and AIDS. Southern Africa, were the Dobe Ju’/hoansi subside, has one of the highest rates of HIV/AIDS in the world. “[T] he world U/N. figures for June 2000 show a seropositive rate among adults of 19.54 percent in Namibia, 19.94 percent in South Africa, and a staggering 35.8 percent in Botswana (Lee 2003: 190).” Because of the epidemic the life expectancy in the area has also drastically dropped. Western medical professionals have made clear to most communities that condoms are the most effective protection from HIV/AIDs. Because of this many western clinics and organizations in Africa distribute condoms to the local people. Regardless of the
Loretta Kopelman’s dissertation, Female Genital Circumcision and Conventionalists Ethical Relativism, takes a new approach in a global plight. Kopelman begins her thesis by elaborating on a particular tribe in southern Kenya. She describes how young girls are being mutilated for marriageability. Their fathers, eager for large dowries, perform the ritual on girls as young as nine. While some victims are able to escape and seek sanctuary, this obviously isn’t always possible and thus these girls must live with an inflicted deformity their whole life that doesn’t only cause serious health complications but sometimes even death.
The results of this study show that after 2 years there was a 53% less change of acquiring HIV in the circumcised males. (Science Daily, 2007) This study does not seem valid to me due to the fact that the age gap is very wide, the sexual practice and preference were not stated, doesn’t include number of partners, whether sex was protected or unprotected, and doesn’t state whether these men were sharing needles if using drugs. There were several other studies conducted that showed an increase in risk of STD’s with uncircumcised males and I also question the validity of these studies due to the same questionable variables in the HIV studies.
Female genital mutilation is a huge apart of the culture in Africa, and the idea of Westerners coming in to change and enforce their own way of life by stopping it hasn’t gone over well amongst the local villagers. But the reasons behind the Western ideals are good ones, no one knows how many people have died from infection from FGC because it’ often reported as malaria, making it impossible to understand and know just how many young people have been effected by it
HIV and AIDS have had a great impacted throughout varies countries. As an illness with no none cure, it is essential to promote prevention among those at risk. Thailand’s “No Condom, NO sex: The 100% Condom program” was successful at greatly reducing the cases of new HIV infection cases (Levine, 2007, p.10). Thailand’s program has the advantage to serve as a building block to many other countries experiencing high levels of HIV/AIDS infection, but is limited due to
The topic of the infant male circumcision is a controversial subject in the United States. This procedure involves a non-reversible surgical procedure that removes the prepuce, commonly called the foreskin, thus exposing the glans of the penis (Blank, et al., 2012). Currently this is considered a cosmetic procedure per surgical standards, and is performed upon the request of the parents of the newborn. The decision to have a circumcision performed is usually based upon personal, cultural, and religious factors. However, the overall view of the impact of the procedure on the newborn infant varies in our country, and has led to two conflicting camps of ideology. The pro-circumcision movement focuses on the potential health benefits gained of a circumcision, and feels it is a necessary procedure. The anti-circumcision movement claims there are no health benefits and that the procedure violates the fundamental human rights of the infant (Collier, 2012). Following extensive research, I have found that there is evidence-based proof that circumcision improves the overall health of the male newborn, with prolonged health benefits into adulthood. Circumcisions provide the health benefits of decreased rates of urinary tract infections(UTIs), reduced transmission of sexually transmitted disease, prevention of phimosis, and improved penile hygiene (Blank, et al., 2012, Marx & Lawton, 2008, Morris, Bailis, & Wiswell, 2014).
Throughout history, there has been a controversial argument on whether female genital mutilation should be banned from Africa. Some people describe female genital mutilation or FGM as a violation of women’s rights and others view it as served for a religious purpose having to do with the Islamic holy book, the Qur’an. Female Genital Mutilation is the removal of all or part of the external parts of the female genitalia. There are three different types of FGM; the first type of FGM is the Sunna Circumcision which is the removal of the tip of the clitoris. The second type is Clitoridectomy which is the removal of the entire clitoris and the adjacent labia. The third type is Infibulation which is the removal of the clitoris and the entire labia including the labia majora and minora. After the removal of the entire labia, the joining of the scraped sides are brought together using thorns or catgut, leaving only a small portion open for menstruation and urinating. Africa has the highest rates of FGM being performed. About 100 million women and girls are affected by FGM and at least 3 million girls are at risk undergoing this process every year. FGM is usually carried out by an elderly woman who is paid fees from the family of the girl undergoing this process (P.a.p.-Blog par. 2, 4). Female Genital Mutilation is usually performed on girl between the ages of three and adulthood. According to the UNICEF or United
Thesis: Female Genital Circumcision is a cultural procedure that is performed on young girls for a variety of reasons. Members of this culture chose to continue these traditions because they believe they will gain sociological, health and marriage benefits for their daughters, ensuring these young girls a better future is mandatory.
An upsetting pattern has risen inside of the previous couple of years, demonstrating a relentless increment of ladies being contaminated with HIV/AIDS every year. This pattern is particularly conspicuous in sub-Saharan Africa. While the illness is contaminating more ladies than any other time in recent memory and now represents about portion of those living with HIV around
Female genital mutilation, also known as female circumcision, is a practice that involves the removal of part or all of the female external genitalia. It occurs throughout the world, but most commonly in Africa where they say that it is a tradition and social custom to keep a young girl pure and a married woman faithful. But to some Westerners, the practice is viewed as being primitive and barbaric. We react with disgust and find it nearly incomprehensible that female genital mutilation can occur in the world today
The horrible practice of female circumcision in sections of Africa as summarized in Female Circumcision: Rite of Passage or Violation of Rights? must be stopped. Female circumcision has been exercised for centuries in Africa and is usually performed without any anesthetic by practitioners with insufficient knowledge of human medicine or anatomy. Female genital cutting is a component for preparing adolescent girls for womanhood and marriage. There are three general types of genital excision: clitoridectomy, excision, and infibulation - the severity is in ascending order. Infibulation is the most severe and is “particularly likely to cause long-term health problems” (Althaus 245). Despite the ample amount of risks and health problems, some practitioners view female circumcision as an “integral part of their cultural and ethnic identity, and some perceive it as a religious obligation” (Althaus 243). The cultural practice of female circumcision requires the scrutiny of the West and should be abolished altogether because genital excision is injurious to women's health, has no health benefits, and is a violation of human rights.
Female genital mutilation (FGM) also known as female circumcision is a tradition passed down from generation to generation occurring all around the world affecting millions of women and young girls. FGM is controversial matter most prevalent in Africa (Ahanonu and Victor, 2014). To this day it’s estimated that about 28 African countries still practice this ritual including Nigeria (Ahanonu and Victor, 2014). In the past twenty years there has been a worldwide increased interest in FGM due to its multiplicity and lifelong effects. Some people believe FGM violates basic human rights where others believe this ritual is required to increase their chances of marriageability and that this practice is a transition from adolescents into adulthood
"I remember the blade. How it shone! There was a woman kneeling over me with the knife. I bit her; it was all I could do. Then three women came to hold me down. One of them sat on my chest. I bit her with all my might." These words reflect Banassiri Sylla’s account of her experience undergoing female circumcision, also known as female genital mutilation (FGM), at the young age of eight in the Ivory Coast. This disturbing description of her struggle makes it hard to understand why any culture could support such a practice. Yet, it is estimated that about 132 million women and girls in about thirty African countries have undergone the same, or at least similar, cultural
Imagine this! Being either a young girl or a woman forcefully bound against your will while elders perform a procedure called Female Genital Mutilation (FGM). The young girls and women who are forced to have this procedure done not only loses their rights to sexual pleasure but their rights are sliced, chopped, punctured, and finally burnt away. Female Genital Mutilation (FGM) otherwise known as Female Genital Circumcision (FGC) is also a controversial topic in Western societies. This paper will examine the history of Female Genital Mutilation (FGM), hegemonic perspective on Female Genital Mutilation (FGM), health consequences of having this procedure done, how Female Genital Mutilation (FGM) affects women’s sexual function, and women who
This number increased to 89% after the informational session on benefits of male circumcision in prevention of HIV and other infections. The survey was conducted at nine locations across Botswana representing twenty nine ethnicities thereby making the results geographically and ethnically generalizable across the nation. There were no significant differences in results for sex, ethnicity, religion, occupation or education and most of them cited health reasons for acceptance.3 The strength of the study was reduction of potential bias as only three trained health educators performed all the interviews but potential bias from the low response rate could as arisen as only 605 interviews were conducted which is a relatively small sample size. As stated in RCT from Kenya studies, the study warrants for more MC if safe circumcision services are provided. Extensive training, proper instrumentation, clear postoperative instructions, and continuing quality assurance and control are helpful to assure optimum outcomes.2 MC is an effective, available, permanent and affordable means to reduce the incidence of HIV in the next generation. Although, infant circumcision would take approximately 15 years to have an effect on the HIV epidemic.3 A similar survey in Dominican Republic among uncircumcised men found that overall acceptability was 29%. The number increased to 67% after an information session