Tackling HIV/AIDS as a contemporary social problem in Sub-Saharan Africa: a sociological critique of voluntary medical male circumcision (VMMC) as a preventive measure.

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Machacha, Eliphas C.
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Science Publishing Group
Background: In view of all the recorded devastation it is causing to society and human life, HIV/AIDS appears to be in possession of all the characteristics of a contemporary social problem facing the world today, particularly Sub-Saharan Africa. Voluntary Medical Male circumcision (VMMC) in Africa and in many other parts of the world is being heralded as the new “fix” to HIV/AIDS pandemic – which has been termed as “prevention technology.” The aim of this paper is to critique the widely held belief and argument that male circumcision is or can be used as a preventive measure against HIV infection in Sub-Saharan Africa and other parts of the world. Methods: This article uses the available and abundant empirical data from various epidemiological studies on the subject of male circumcision status and HIV prevention, and national demographic health surveys from a few Sub-Saharan African Countries. Outcome: Empirical evidence from Africa and other parts of the world has clearly indicated that male circumcision has never been and cannot be a preventive measure against heterosexually HIV infection. In fact, empirical data have pointed to the contrary. The relation between male circumcision status and HIV infection has not been in the expected direction, that- male circumcision reduces the risk of HIV infection. Conclusion: The paper concludes that abundant empirical data on male circumcision status and HIV infection do not support the widely held view and argument that male circumcision reduces heterosexual HIV infection. Keywords: Contemporary Social Problems, Voluntary Medical Male Circumcision (VMMC), HIV/AIDS, Randomised Controlled Clinical Trials (RCCTS), Epidemiology, Politics, Sociolog
Circumcision for HIV prevention. , Circumcision policy for HIV prevention. , Male circumcision. , AIDS (Disease)--Juvenile literature.