Evidence map›Paper›PMID 38937707›Full record

Trial reportBMC public health2024

Facility characteristics preferred by older men seeking medical male circumcision services in Kenya: qualitative findings from the 'Tasco' study (May 2014-June 2016).

Dickens S Omondi Aduda, Kawango Agot, Spala Ohaga, Appolonia Aoko, Jacob Onyango, Cathy Toroitich-Ruto, Caroline Kambona, Elijah Odoyo-June

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC public health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Dickens S Omondi AdudaJaramogi Oginga Odinga University of Science and Technology, Bondo, Kenya. omondisda@gmail.com.ORCID 0000-0001-5125-3938
Kawango AgotImpact Research and Development Organization, Kisumu, Kenya.
Spala OhagaImpact Research and Development Organization, Kisumu, Kenya.
Appolonia AokoDivision of Global HIV & TB, Division of Global Health, US Centers for Disease Control and Prevention, Nairobi, Kenya.
Jacob OnyangoImpact Research and Development Organization, Kisumu, Kenya.
Cathy Toroitich-RutoDivision of Global HIV & TB, Division of Global Health, US Centers for Disease Control and Prevention, Nairobi, Kenya.
Caroline KambonaDivision of Global HIV & TB, Division of Global Health, US Centers for Disease Control and Prevention, Nairobi, Kenya.
Elijah Odoyo-JuneDivision of Global HIV & TB, Division of Global Health, US Centers for Disease Control and Prevention, Nairobi, Kenya.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Primary healthcare facilities are central to the implementation of voluntary medical male circumcision (VMMC) as points of access to integrated health services in line with the Kenya AIDS Strategic Framework II (2020/21-2024/25). Knowledge of factors that explain men's uptake of VMMC and sexual health services at these facilities and preferences of where to get the services remain poorly understood. Using qualitative methodologies, we examined factors that determined facility choice for VMMC services and reasons for preferring the facility among men aged 25-39 years who previously underwent VMMC. The current study draws from focus group discussion interviews with circumcised men and their partners conducted as part of a randomized controlled trial to assess impact of two demand creation interventions in western Kenya. This involved 12 focus group discussions (FGD) with 6-10 participants each. Six FGDs were conducted with circumcised men, and 6 with their sex partners. Thematic issues relevant to a predetermined framework were identified. The themes were organized as follows: service availability, accessibility, affordability, appropriateness and, acceptability. Facility location, physical layout, organization of patient flow, infrastructure, and service provider skills were the outstanding factors affecting the choice of VMMC service outlets by men aged 25-39 years. Additionally, preferences were influenced by individual's disposition, attitudes, knowledge of VMMC services and tacit balance between their own recognized health needs versus desire to conform to social-cultural norms. Facility choice and individual preference are intricate issues, simultaneously involving multiple but largely intra-personal and facility-level factors. The intrapersonal dimensions elicited may also reflect differential responses to strategic communications and demand creation messages with promotion and prevention frames.

Indexed as

Circumcision, MaleFocus GroupsPatient PreferenceQualitative ResearchAdultHealth Services AccessibilityHumansKenyaMalePatient Acceptance of Health CareGendered health accessHealth facilitiesMotivationOlder menVMMC

Identifiers

PMID38937707
PMCPMC11210051

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.