Feature: The complexities of traditional and medical circumcision in the Eastern Cape

While most male circumcisions performed in the Eastern Cape are done in the traditional manner, there are also significant numbers of medical male circumcisions being conducted. Siyabonga Kamnqa reports on this year’s winter initiation season in the province and the complex interplay between culture, safety, and protection against HIV involved in deciding between the two types of circumcision.

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OPINION: With the right interventions we can help many more men start and stay on HIV treatment

June is Men’s Health Month and while the focus is on men’s attitudes about their health, we have also been reflecting on the health sector’s attitudes about men. Men are not indifferent about their health and they are not inherently poor health-seekers. If many of them are avoiding healthcare services, let’s consider that it may be because they are not getting what they need from the healthcare system, writes Shawn Malone.

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Circumcision reducing HIV infections but COVID-19 caused setbacks

A UNAIDS report published earlier this year estimates that just under 4.5 million men and boys accessed voluntary male medical circumcision (VMMC) services in South Africa by the end of 2019 with 47% of these having been performed from 2016 to 2019. Thabo Molelekwa reports on the impact COVID-19 has had on VMMCs and the challenges related to resuming this service in the country.

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In the Spotlight: SA’s low vasectomy numbers

As much as 20% of births in South Africa are the result of unplanned or unintended pregnancies. One way to reduce the rate of unintended pregnancies is for men who do not wish to have children to undergo male sterilisation in the form of vasectomy. Siyabonga Kamnqa asks how easy it is to get a vasectomy in South Africa and why relatively few men opt for this form of contraception.

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In-depth: What we know about SA’s rampant gonorrhoea epidemic

Despite the global emergence of highly resistant strains of gonorrhoea, including untreatable variants, a new antibiotic for the disease has not been developed in over half a century. In January, a trial began in South Africa and other countries for a new gonorrhoea antibiotic. But what is gonorrhoea? How significant is the problem in South Africa and among those living with HIV? Do we have resistant strains too? Experts report a grim situation, but with hope on the horizon. Amy Green reports.

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HIV and circumcision: Where are we at the end of 2020?

Voluntary Medical Male Circumcision (VMMC) has been shown to reduce the risk of female-to-male HIV transmission by 60%. But with the COVID-19 pandemic and the associated lockdown, health authorities and organisations conducting VMMC in South Africa, say the numbers of men and boys being medically circumcised have dropped dramatically. Siyabonga Kamnqa reports.

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