This study proposes to balance supply and demand of male circumcision through a systematic scale-up of coordinated biomedical surgical and behavioral counseling services. The study will compare the combined biobehavioral sexual risk reduction intervention to the standard of care, which focuses exclusively on the provision of circumcision services alone, with the goal of optimizing both local and national HIV prevention efforts.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
SINGLE
Enrollment
1,468
Four group counselling sessions focused on male circumcision and sexual risk reduction
University of Zambia Teaching Hospital
Lusaka, Zambia
Change in likelihood of undergoing male circumcision across the study using stages of change model
Readiness to undergo male circumcision will be assessed using the stages of change model (pre-contemplation, contemplation, preparation, action, maintenance). Intervention and attention control conditions will be compared at baseline, immediately following intervention, and 6 and 12 months post-intervention.
Time frame: Baseline, Average of 1 month post-baseline, 6 month and 12 month follow-up
Uptake of male circumcision
To determine if participants in the sexual risk reduction/MC promotion intervention (experimental condition) will be more likely to shift to the "Action" stage (undergo circumcision), in comparison with participants having identical MC services available plus usual care (attention control condition).
Time frame: From the date of study enrollment to the date male circumcision is performed or study completion.
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