![Page 1: Circumcision in South Africa Supporting the Scale Up plan](https://reader035.vdocuments.us/reader035/viewer/2022062810/56815b62550346895dc94abc/html5/thumbnails/1.jpg)
Circumcision in South Africa Supporting the Scale Up plan
Richard DelateJohns Hopkins Health and
Education in SA
The Beeg Bang for MMC
![Page 2: Circumcision in South Africa Supporting the Scale Up plan](https://reader035.vdocuments.us/reader035/viewer/2022062810/56815b62550346895dc94abc/html5/thumbnails/2.jpg)
Men Ever Counselled and Tested NCS - 2006/2009
![Page 3: Circumcision in South Africa Supporting the Scale Up plan](https://reader035.vdocuments.us/reader035/viewer/2022062810/56815b62550346895dc94abc/html5/thumbnails/3.jpg)
Men Counselled and Tested in last 12 Months – 2006/2009
![Page 4: Circumcision in South Africa Supporting the Scale Up plan](https://reader035.vdocuments.us/reader035/viewer/2022062810/56815b62550346895dc94abc/html5/thumbnails/4.jpg)
Knowledge Levels of the benefits of MC for HIV risk reduction – NCS 2009
![Page 5: Circumcision in South Africa Supporting the Scale Up plan](https://reader035.vdocuments.us/reader035/viewer/2022062810/56815b62550346895dc94abc/html5/thumbnails/5.jpg)
Acceptability Levels of MC amongst Men and Women*
* Data from four community studies in Ethekwini Metro Municipality (KZN), Matjhabeng and Masilonyana Local Municipalities (Lejwelephutswa, FS); Merafong (Gauteng); Madibeng Muncipality (Bojanala, North West)
![Page 6: Circumcision in South Africa Supporting the Scale Up plan](https://reader035.vdocuments.us/reader035/viewer/2022062810/56815b62550346895dc94abc/html5/thumbnails/6.jpg)
% of men self reporting to be circumcised – NCS 2009
77 73
46 42 36 34 3318 17
0102030405060708090
Limpopo Eastern Cape Gauteng Western Cape Mpumalanga Free State North West KwaZulu-Natal Northern Cape
![Page 7: Circumcision in South Africa Supporting the Scale Up plan](https://reader035.vdocuments.us/reader035/viewer/2022062810/56815b62550346895dc94abc/html5/thumbnails/7.jpg)
A BEEG BANG IS REQUIRED!
![Page 8: Circumcision in South Africa Supporting the Scale Up plan](https://reader035.vdocuments.us/reader035/viewer/2022062810/56815b62550346895dc94abc/html5/thumbnails/8.jpg)
WHY IS A BEEG BANG REQUIRED
• TO REACH 16 600 per month until March in the priority to make target of 100 000
• To reach 41 600 circumcisions per month to achieve 500 000 over the next five years.
Without Social and Behavioural communication we will NOT have the
beeg bang
![Page 9: Circumcision in South Africa Supporting the Scale Up plan](https://reader035.vdocuments.us/reader035/viewer/2022062810/56815b62550346895dc94abc/html5/thumbnails/9.jpg)
Have laid the foundation for the Beeg Bang
• SANAC Comms Strategy in place – Provincial ACSM strategies being developed – Men’s sector sensitised and provincial strategies
developed
• Radio Talk Shows undertaken – Radio Producers Trained – 8 community radio stations – 1 National Station (Ukhozi FM – Zulu)
![Page 10: Circumcision in South Africa Supporting the Scale Up plan](https://reader035.vdocuments.us/reader035/viewer/2022062810/56815b62550346895dc94abc/html5/thumbnails/10.jpg)
Foundations have been laid
• Television – integrated into Mindset in public health centres and on Siyayinqoba-Beat-it.
• Posters Developed in 2 languages • Brochure developed in 2 languages • Integrated into toolkits and Peer Educators trained
- Siyayinqoba – Beat It – 2 300 peer educators trained - Brothers for Life – 500 peer educators trained • Men’s sector and community partners mobilised and
ready– but absence of services for referral is on hold.
![Page 11: Circumcision in South Africa Supporting the Scale Up plan](https://reader035.vdocuments.us/reader035/viewer/2022062810/56815b62550346895dc94abc/html5/thumbnails/11.jpg)
Mass Media Outdoor
Radio Talk Shows – Advert.
Television
Drama / Advert.
SERVICESSoc. & Beh
Change
Social Mobilisa
tion
Community
Dialogues
Face to face
Communication
Small Media
Posters Brochur
es
Media Advocacy
/PR
New Media
Telephone
Helpline
Web/ email/ mobile
THE BEEG BANG
![Page 12: Circumcision in South Africa Supporting the Scale Up plan](https://reader035.vdocuments.us/reader035/viewer/2022062810/56815b62550346895dc94abc/html5/thumbnails/12.jpg)
ENVIRONMENTAL CONTEXT: SUPPORTS & CONSTRAINTSBurden of disease; level of toxic chemicals in air, water, & food; population density; technology; policy; access to food, safe water & sanitation; access to health care, socio-economic conditions
enabling
SKILLS & KNOWLEDGE reinforcement
Attitudes BEHAVIOR
confirmation
IDEATIONAL FACTORSCOGNITIVE Attitudes (Beliefs & Values) Subjective Norms Self-Efficacy Perceived Risk Self-ImageEMOTIONAL Fear, Sadness, Affection, Happy, Trust, Empathy SOCIAL Mutual Understanding Cohesion & Reciprocity Collective Efficacy
COMMUNICATION
INSTRUCTION
DIRECTIVE Dissemination Promotion Prescription
NONDIRECTIVE Entertainment Counseling Dialogue Social Networks
PUBLIC Advocacy Coalition Formation Regulation
HEALTHPHYSICAL & MENTAL STATUSREDUCED MORBIDITY & MORTALITY from INFECTIOUS & CHRONICDISEASES
INDIVIDUAL Intention & Behavior
COLLECTIVE Leadership Participation Goal Setting Action
META-THEORY OF HEALTH COMMUNICATION
![Page 13: Circumcision in South Africa Supporting the Scale Up plan](https://reader035.vdocuments.us/reader035/viewer/2022062810/56815b62550346895dc94abc/html5/thumbnails/13.jpg)
What do we need to make the beeg bang happen
NEED INVESTMENT AND COMMITMENT• Current disconnect between what
Government and Donors want and resources! – National and provinces have cut back on ACSM budgets – but
still want drive people to services. – Donors have cut back on ACSM budgets – but still want to
drive people to service? – Private media owners have given GREAT benefits in the past –
matching investments by donors and government – but in the absence of resources its not possible to fund these efforts.