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Traditional Male Circumcision: Ways to Prevent Deaths Due to Dehydration

机译:传统的男性包皮环切术:预防因脱水而死亡的方法

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摘要

Deaths of initiates occurring in the circumcision initiation schools are preventable. Current studies list dehydration as one of the underlying causes of deaths among traditional male circumcision initiates in the Eastern Cape, a province in South Africa, but ways to prevent dehydration in the initiation schools have not been adequately explored. The goals of this study were to (a) explore the underlying determinants of dehydration among initiates aged from 12 to 18 years in the traditional male circumcision initiation schools and (b) determine knowledge of participants on the actions to be taken to prevent dehydration. The study was conducted at Libode, a rural area falling under Nyandeni municipality. A simple random sampling was used to select three focus group discussions with 36 circumcised boys. A purposive sampling was used to select 10 key informants who were matured and experienced people with knowledge of traditional practices and responsible positions in the communities. The research findings indicate that the practice has been neglected to inexperienced, unskillful, and abusive traditional attendants. The overall themes collated included traditional reasons for water restriction, imbalanced food nutrients given to initiates, poor environmental conditions in the initiation hut, and actions that should be taken to prevent dehydration. This article concludes with discussion and recommendation of ways to prevent dehydration of initiates in the form of a comprehensive circumcision health promotion program.
机译:包皮环切启蒙学校发生的同修死亡是可以预防的。当前的研究将脱水列为南非东开普省传统男性包皮环切术同修死亡的根本原因之一,但尚未充分探索防止同修学校脱水的方法。这项研究的目的是(a)探索传统男性包皮环切术起始学校中12至18岁同修中脱水的基本决定因素,以及(b)确定参与者对将要采取的预防脱水行动的知识。这项研究是在利博德(Libode)进行的,该地区属于Nyandeni市辖区。一个简单的随机抽样被用来选择与36名受割礼的男孩进行的三个焦点小组讨论。目的性抽样用于选择10名关键线人,他们是成熟且经验丰富的人,他们具有传统习俗和社区中负责任的职位知识。研究结果表明,这种做法已被缺乏经验,技能不佳和虐待的传统服务员所忽视。整理的总体主题包括限制用水的传统原因,给同伴提供的食物营养不均衡,同伴小屋中的环境条件差以及应采取的防止脱水的措施。本文以全面包皮环切健康促进计划的形式,讨论并推荐了防止同伙脱水的方法。

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