Manual for Male Circumcision under Local Anaesthesia

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Male circumcision under local anaesthesia Version 3.1 (Dec09) • Describe the measures that the service takes to ensure that patient records are kept confidential and provide assurance that confidentiality will be maintained. • Discuss the importance of knowing one’s HIV status. Explain how HIV is transmitted, how a person can protect himself or herself from HIV infection, and where people with HIV infection can find support. • Explain that men with an STI have a greater risk of becoming infected with, and transmitting, HIV. • Emphasize the importance of avoiding HIV infection and outline different ways of reducing the risk of acquiring the infection. • Explain that patients with an STI have a greater risk of becoming infertile in the future. • Emphasize that only condoms, consistently and properly used, protect against STIs, HIV, and unwanted pregnancy. Other methods of contraception, even those that are highly effective in preventing pregnancy, do not protect against STIs, HIV or possible future infertility. • Emphasize that vasectomy is the most effective and permanent method of contraception available for men, but that it does not protect against STIs or HIV. • Emphasize that men should treat women as equal partners in decision-making related to sexual and reproductive health. • Emphasize that men should support the sexual and reproductive health of women and the well-being of their children, with equal regard for female and male children. • Underscore the importance of not perpetrating gender-based violence, especially against women and girls. • Emphasize that responsible men do not force or coerce their partners to have sex against their will (rape). Group education script Below is a sample script that shows how a group education session might be conducted. a The script should be adapted to the specific situation in the clinic or region. The text in italics contains instructions for the group educator. Opening • Hello, my name is _______, and I am a _______ here at this clinic. For some time we have been aware that the reproductive health needs of men and boys have not been receiving enough attention. At this clinic we provide the following services for men: • information and education on male circumcision (including the management of postoperative complications); • male circumcision for men who choose to have the procedure; a Adapted from JHPIEGO’s Counselling and Testing reference manual. [Full reference required] Educating and Counselling Clients and Obtaining Informed Consent Chapter 3-2
Male circumcision under local anaesthesia Version 3.1 (Dec09) • information and counselling on sexual intercourse, safer sex, and health problems related to the reproductive system; • diagnosis and management of sexually transmitted infections; • counselling and testing for HIV and AIDS and referral for care and support; • contraception, through vasectomy or the use of condoms; condoms will prevent both pregnancy and. Physical and sexual maturity comes with many social responsibilities. These include: • Recognizing that safer sex can prevent STIs and HIV infection. Safer sex includes using condoms the right way every time you have sex, reducing the number of sexual partners, delaying the start of sexual relations, and avoiding penetrative sex. • Never putting yourself in a situation in which you lose control of your judgement, for example because you are under the influence of alcohol or drugs. This may lead to behaviour that will increase your risk of becoming infected with STIs and HIV, such as having unprotected sex with strangers or with multiple sexual partners. • Treating women as equal partners in sexual relations and deciding together whether and when to have children. • Respecting the sexual and reproductive health rights of girls and women, including the right to refuse sex, both within and outside marriage. • Supporting women’s sexual and reproductive health. Such support is particularly important during pregnancy. • Supporting children’s well-being, with equal regard for female and male children. • Stopping all kinds of violence against women and girls, and not forcing or coercing girls or women to have sex against their will. Male circumcision For those of you who are here to find out more about male circumcision, let’s talk a bit about that. • What is male circumcision Male circumcision is the surgical removal of the foreskin of the penis (also called the prepuce). It is one of the oldest surgical procedures in history. • Male circumcision has been shown to have several health benefits including: • a reduced risk of urinary tract infections in childhood; • a reduced risk of some sexually transmitted infections, such as herpes and syphilis; • some protection against cancer of the penis; • a reduced risk of cervical cancer in female sex partners; • prevention of several medical problems of the penis and foreskin, such as inflammation, scarring and swelling of the foreskin. • Some of you may have heard that male circumcision reduces the Educating and Counselling Clients and Obtaining Informed Consent Chapter 3-3
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Manual for Male Circumcision under Local Anaesthesia

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