Publications by authors named "K Bowa"

Public health initiatives in Zambia encourage the uptake of early infant male circumcision (EIMC) as an HIV prevention strategy. This study assessed EIMC parental decision-making during perinatal care in Lusaka, Zambia, focusing on the influence of sociodemographic factors, family, and friends. A longitudinal pilot perinatal intervention, Like Father Like Son (LFLS), was implemented among 300 couples attending antenatal clinics in four urban community health centers.

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Despite compelling evidence linking voluntary medical male circumcision (VMMC) with 60-70% HIV risk reduction in sub-Saharan Africa, Zambian men have been especially reluctant to undergo VMMC. The Government of Zambia set targets for VMMC uptake and promoted community-level interventions. Spear & Shield (S&S) is an innovative, evidence-based, service program promoting VMMC uptake while ensuring both VMMC supply and demand.

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Our aim was to determine the current trend of endourology in the management of upper urinary tract calculi in Africa reference centres. We conducted an online multiple-choice questionnaire survey involving 46 centres from 27 countries using a structured well-designed Google Form (®) questionnaire. The questionnaires were distributed to the head of service through their emails.

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Article Synopsis
  • Voluntary Medical Male Circumcision (VMMC) and Early-Infant Medical Circumcision (EIMC) are key strategies in HIV prevention, especially in high-risk areas like Zambia, where a significant number of male infants could benefit.
  • The "Like Father, Like Son" (LFLS) pilot study involved 702 couples and demonstrated that combining EIMC and VMMC services led to a notable increase in EIMC rates, achieving 35% compared to previous rates of 11%.
  • The study suggests that involving fathers in the circumcision process could enhance bonding and increase uptake of circumcision for both infants and older sons, pointing towards a family-focused approach for future HIV prevention efforts.
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Male circumcision is a protective HIV prevention strategy. However, uncircumcised Zambian men are reluctant to undergo voluntary medical male circumcision (VMMC). Tailored interventions are necessary to stimulate the uptake of early infant male circumcision (EIMC) and VMMC in Zambia.

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