'Willing and able': talking about sexual health during male circumcision research in Papua New Guinea

Browne, K., MacLaren, D., Redman-MacLaren, M., McBride, J., Tommbe, R., and Mafile'o, T. (2011) 'Willing and able': talking about sexual health during male circumcision research in Papua New Guinea. In: Proceedings from the 20th World Congress of Sexual Health (8) 725. p. 266. From: 20th World Congress for Sexual Health, 12-16 June 2011, Glasgow, UK.

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Papua New Guinea is the largest land mass and population in Melanesia. The population experiences myriad health and social challenges including: poverty, violence, maternal mortality, intimate partner violence, malaria, TB, and Sexually Transmitted Infections including HIV.

Against a background of government directed closure of social marketing for condoms, constitutional religious sensibilities, a health department official calling for 'adultery to be made a criminal act', and a purported position that it is culturally difficult to discuss the intimate, we highlight evidence that when people are provided a safe and confidential context they do openly talk about sexual health concerns.

We outline how, during data collection for the 'Acceptability of Male Circumcision for HIV Prevention in PNG' study (data presented elsewhere), male participants were asked for a clinical examination and photo of their penis in order to verify circumcision status reported in the study questionnaire. Men were also given the opportunity to speak with a sexual health clinician with or without the clinical examination. We describe the high acceptance rate of clinical examination and photography of men volunteering for the study, and outline the various sexual health concerns that men presented with. Implications for health service delivery and sexual health research are discussed including: the unmet need for sexual health services, the enthusiastic acceptance to engage in clinical examination and the willingness to talk openly about sexual health concerns

Item ID: 21178
Item Type: Conference Item (Abstract / Summary)
ISSN: 1743-6109
Keywords: sexual health, male circumcision, research, Papua New Guinea
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The Journal of Sexual Medicine, Volume 8, Issue Supplement s3, pages 84–299, June 2011

Date Deposited: 04 Apr 2012 00:40
FoR Codes: 11 MEDICAL AND HEALTH SCIENCES > 1117 Public Health and Health Services > 111799 Public Health and Health Services not elsewhere classified @ 100%
SEO Codes: 92 HEALTH > 9204 Public Health (excl. Specific Population Health) > 920499 Public Health (excl. Specific Population Health) not elsewhere classified @ 100%
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