Soccer-based promotion of voluntary medical male circumcision: A mixed-methods feasibility study with secondary students in Uganda
Identifieur interne : 000072 ( Pmc/Checkpoint ); précédent : 000071; suivant : 000073Soccer-based promotion of voluntary medical male circumcision: A mixed-methods feasibility study with secondary students in Uganda
Auteurs : George Miiro [Ouganda] ; Jeff Decelles [Afrique du Sud, États-Unis] ; Rwamahe Rutakumwa [Ouganda] ; Jessica Nakiyingi-Miiro [Ouganda] ; Philip Muzira [Afrique du Sud] ; Wilber Ssembajjwe [Ouganda] ; Saidat Musoke [Ouganda] ; Lorna J. Gibson [Royaume-Uni] ; Rebecca B. Hershow [États-Unis] ; Suzanna Francis [Royaume-Uni] ; Belen Torondel [Royaume-Uni] ; David A. Ross ; Helen A. Weiss [Royaume-Uni]Source :
- PLoS ONE [ 1932-6203 ] ; 2017.
Abstract
The Ugandan government is committed to scaling-up proven HIV prevention strategies including safe male circumcision, and innovative strategies are needed to increase circumcision uptake. The aim of this study was to assess the acceptability and feasibility of implementing a soccer-based intervention (“Make The Cut”) among schoolboys in a peri-urban district of Uganda. The intervention was led by trained, recently circumcised “coaches” who facilitated a 60-minute session delivered in schools, including an interactive penalty shoot-out game using metaphors for HIV prevention, sharing of the coaches’ circumcision story, group discussion and ongoing engagement from the coach to facilitate linkage to male circumcision. The study took place in four secondary schools in Entebbe sub-district, Uganda. Acceptability of safe male circumcision was assessed through a cross-sectional quantitative survey. The feasibility of implementing the intervention was assessed by piloting the intervention in one school, modifying it, and implementing the modified version in a second school. Perceptions of the intervention were assessed with in-depth interviews with participants. Of the 210 boys in the cross-sectional survey, 59% reported being circumcised. Findings showed high levels of knowledge and generally favourable perceptions of circumcision. The initial implementation of Make The Cut resulted in 6/58 uncircumcised boys (10.3%) becoming circumcised. Changes made included increasing engagement with parents and improved liaison with schools regarding the timing of the intervention. Following this, uptake improved to 18/69 (26.1%) in the second school. In-depth interviews highlighted the important role of family and peer support and the coach in facilitating the decision to circumcise. This study showed that the modified Make The Cut intervention may be effective to increase uptake of safe male circumcision in this population. However, the intervention is time-intensive, and further work is needed to assess the cost-effectiveness of the intervention conducted at scale.
Url:
DOI: 10.1371/journal.pone.0185929
PubMed: 29016651
PubMed Central: 5633183
Affiliations:
- Afrique du Sud, Ouganda, Royaume-Uni, États-Unis
- Angleterre, Caroline du Nord, Grand Londres
- Londres
Links toward previous steps (curation, corpus...)
Links to Exploration step
PMC:5633183Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Soccer-based promotion of voluntary medical male circumcision: A mixed-methods feasibility study with secondary students in Uganda</title><author><name sortKey="Miiro, George" sort="Miiro, George" uniqKey="Miiro G" first="George" last="Miiro">George Miiro</name><affiliation wicri:level="1"><nlm:aff id="aff001"><addr-line>Uganda Virus Research Institute, Entebbe, Uganda</addr-line></nlm:aff><country xml:lang="fr">Ouganda</country><wicri:regionArea>Uganda Virus Research Institute, Entebbe</wicri:regionArea><wicri:noRegion>Entebbe</wicri:noRegion></affiliation></author><author><name sortKey="Decelles, Jeff" sort="Decelles, Jeff" uniqKey="Decelles J" first="Jeff" last="Decelles">Jeff Decelles</name><affiliation wicri:level="1"><nlm:aff id="aff002"><addr-line>Grassroot Soccer, Cape Town, South Africa</addr-line></nlm:aff><country xml:lang="fr">Afrique du Sud</country><wicri:regionArea>Grassroot Soccer, Cape Town</wicri:regionArea><wicri:noRegion>Cape Town</wicri:noRegion></affiliation><affiliation wicri:level="2"><nlm:aff id="aff003"><addr-line>University of North Carolina Gillings School of Global Public Health, Chapel Hill, North Carolina, United States of America</addr-line></nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>University of North Carolina Gillings School of Global Public Health, Chapel Hill, North Carolina</wicri:regionArea><placeName><region type="state">Caroline du Nord</region></placeName></affiliation></author><author><name sortKey="Rutakumwa, Rwamahe" sort="Rutakumwa, Rwamahe" uniqKey="Rutakumwa R" first="Rwamahe" last="Rutakumwa">Rwamahe Rutakumwa</name><affiliation wicri:level="1"><nlm:aff id="aff004"><addr-line>Medical Research Council/Uganda Virus Research Institute Uganda Research Unit on AIDS, Entebbe, Uganda</addr-line></nlm:aff><country xml:lang="fr">Ouganda</country><wicri:regionArea>Medical Research Council/Uganda Virus Research Institute Uganda Research Unit on AIDS, Entebbe</wicri:regionArea><wicri:noRegion>Entebbe</wicri:noRegion></affiliation></author><author><name sortKey="Nakiyingi Miiro, Jessica" sort="Nakiyingi Miiro, Jessica" uniqKey="Nakiyingi Miiro J" first="Jessica" last="Nakiyingi-Miiro">Jessica Nakiyingi-Miiro</name><affiliation wicri:level="1"><nlm:aff id="aff004"><addr-line>Medical Research Council/Uganda Virus Research Institute Uganda Research Unit on AIDS, Entebbe, Uganda</addr-line></nlm:aff><country xml:lang="fr">Ouganda</country><wicri:regionArea>Medical Research Council/Uganda Virus Research Institute Uganda Research Unit on AIDS, Entebbe</wicri:regionArea><wicri:noRegion>Entebbe</wicri:noRegion></affiliation></author><author><name sortKey="Muzira, Philip" sort="Muzira, Philip" uniqKey="Muzira P" first="Philip" last="Muzira">Philip Muzira</name><affiliation wicri:level="1"><nlm:aff id="aff002"><addr-line>Grassroot Soccer, Cape Town, South Africa</addr-line></nlm:aff><country xml:lang="fr">Afrique du Sud</country><wicri:regionArea>Grassroot Soccer, Cape Town</wicri:regionArea><wicri:noRegion>Cape Town</wicri:noRegion></affiliation></author><author><name sortKey="Ssembajjwe, Wilber" sort="Ssembajjwe, Wilber" uniqKey="Ssembajjwe W" first="Wilber" last="Ssembajjwe">Wilber Ssembajjwe</name><affiliation wicri:level="1"><nlm:aff id="aff001"><addr-line>Uganda Virus Research Institute, Entebbe, Uganda</addr-line></nlm:aff><country xml:lang="fr">Ouganda</country><wicri:regionArea>Uganda Virus Research Institute, Entebbe</wicri:regionArea><wicri:noRegion>Entebbe</wicri:noRegion></affiliation></author><author><name sortKey="Musoke, Saidat" sort="Musoke, Saidat" uniqKey="Musoke S" first="Saidat" last="Musoke">Saidat Musoke</name><affiliation wicri:level="1"><nlm:aff id="aff001"><addr-line>Uganda Virus Research Institute, Entebbe, Uganda</addr-line></nlm:aff><country xml:lang="fr">Ouganda</country><wicri:regionArea>Uganda Virus Research Institute, Entebbe</wicri:regionArea><wicri:noRegion>Entebbe</wicri:noRegion></affiliation></author><author><name sortKey="Gibson, Lorna J" sort="Gibson, Lorna J" uniqKey="Gibson L" first="Lorna J." last="Gibson">Lorna J. Gibson</name><affiliation wicri:level="3"><nlm:aff id="aff005"><addr-line>Medical Research Council Tropical Epidemiology Group, Department of Infectious Disease Epidemiology, London School of Hygiene and Tropical Medicine, London, United Kingdom</addr-line></nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Medical Research Council Tropical Epidemiology Group, Department of Infectious Disease Epidemiology, London School of Hygiene and Tropical Medicine, London</wicri:regionArea><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName></affiliation></author><author><name sortKey="Hershow, Rebecca B" sort="Hershow, Rebecca B" uniqKey="Hershow R" first="Rebecca B." last="Hershow">Rebecca B. Hershow</name><affiliation wicri:level="2"><nlm:aff id="aff003"><addr-line>University of North Carolina Gillings School of Global Public Health, Chapel Hill, North Carolina, United States of America</addr-line></nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>University of North Carolina Gillings School of Global Public Health, Chapel Hill, North Carolina</wicri:regionArea><placeName><region type="state">Caroline du Nord</region></placeName></affiliation></author><author><name sortKey="Francis, Suzanna" sort="Francis, Suzanna" uniqKey="Francis S" first="Suzanna" last="Francis">Suzanna Francis</name><affiliation wicri:level="3"><nlm:aff id="aff005"><addr-line>Medical Research Council Tropical Epidemiology Group, Department of Infectious Disease Epidemiology, London School of Hygiene and Tropical Medicine, London, United Kingdom</addr-line></nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Medical Research Council Tropical Epidemiology Group, Department of Infectious Disease Epidemiology, London School of Hygiene and Tropical Medicine, London</wicri:regionArea><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName></affiliation></author><author><name sortKey="Torondel, Belen" sort="Torondel, Belen" uniqKey="Torondel B" first="Belen" last="Torondel">Belen Torondel</name><affiliation wicri:level="3"><nlm:aff id="aff006"><addr-line>Department of Disease Control, London School of Hygiene and Tropical Medicine, London, United Kingdom</addr-line></nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Department of Disease Control, London School of Hygiene and Tropical Medicine, London</wicri:regionArea><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName></affiliation></author><author><name sortKey="Ross, David A" sort="Ross, David A" uniqKey="Ross D" first="David A." last="Ross">David A. Ross</name><affiliation><nlm:aff id="aff007"><addr-line>Department of Maternal, Newborn, Child and Adolescent Health, World Health Organisation, Geneva, Swizterland</addr-line></nlm:aff><wicri:noCountry code="subfield">Swizterland</wicri:noCountry></affiliation></author><author><name sortKey="Weiss, Helen A" sort="Weiss, Helen A" uniqKey="Weiss H" first="Helen A." last="Weiss">Helen A. Weiss</name><affiliation wicri:level="3"><nlm:aff id="aff005"><addr-line>Medical Research Council Tropical Epidemiology Group, Department of Infectious Disease Epidemiology, London School of Hygiene and Tropical Medicine, London, United Kingdom</addr-line></nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Medical Research Council Tropical Epidemiology Group, Department of Infectious Disease Epidemiology, London School of Hygiene and Tropical Medicine, London</wicri:regionArea><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">29016651</idno><idno type="pmc">5633183</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5633183</idno><idno type="RBID">PMC:5633183</idno><idno type="doi">10.1371/journal.pone.0185929</idno><date when="2017">2017</date><idno type="wicri:Area/Pmc/Corpus">002976</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">002976</idno><idno type="wicri:Area/Pmc/Curation">002975</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">002975</idno><idno type="wicri:Area/Pmc/Checkpoint">000072</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">000072</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Soccer-based promotion of voluntary medical male circumcision: A mixed-methods feasibility study with secondary students in Uganda</title><author><name sortKey="Miiro, George" sort="Miiro, George" uniqKey="Miiro G" first="George" last="Miiro">George Miiro</name><affiliation wicri:level="1"><nlm:aff id="aff001"><addr-line>Uganda Virus Research Institute, Entebbe, Uganda</addr-line></nlm:aff><country xml:lang="fr">Ouganda</country><wicri:regionArea>Uganda Virus Research Institute, Entebbe</wicri:regionArea><wicri:noRegion>Entebbe</wicri:noRegion></affiliation></author><author><name sortKey="Decelles, Jeff" sort="Decelles, Jeff" uniqKey="Decelles J" first="Jeff" last="Decelles">Jeff Decelles</name><affiliation wicri:level="1"><nlm:aff id="aff002"><addr-line>Grassroot Soccer, Cape Town, South Africa</addr-line></nlm:aff><country xml:lang="fr">Afrique du Sud</country><wicri:regionArea>Grassroot Soccer, Cape Town</wicri:regionArea><wicri:noRegion>Cape Town</wicri:noRegion></affiliation><affiliation wicri:level="2"><nlm:aff id="aff003"><addr-line>University of North Carolina Gillings School of Global Public Health, Chapel Hill, North Carolina, United States of America</addr-line></nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>University of North Carolina Gillings School of Global Public Health, Chapel Hill, North Carolina</wicri:regionArea><placeName><region type="state">Caroline du Nord</region></placeName></affiliation></author><author><name sortKey="Rutakumwa, Rwamahe" sort="Rutakumwa, Rwamahe" uniqKey="Rutakumwa R" first="Rwamahe" last="Rutakumwa">Rwamahe Rutakumwa</name><affiliation wicri:level="1"><nlm:aff id="aff004"><addr-line>Medical Research Council/Uganda Virus Research Institute Uganda Research Unit on AIDS, Entebbe, Uganda</addr-line></nlm:aff><country xml:lang="fr">Ouganda</country><wicri:regionArea>Medical Research Council/Uganda Virus Research Institute Uganda Research Unit on AIDS, Entebbe</wicri:regionArea><wicri:noRegion>Entebbe</wicri:noRegion></affiliation></author><author><name sortKey="Nakiyingi Miiro, Jessica" sort="Nakiyingi Miiro, Jessica" uniqKey="Nakiyingi Miiro J" first="Jessica" last="Nakiyingi-Miiro">Jessica Nakiyingi-Miiro</name><affiliation wicri:level="1"><nlm:aff id="aff004"><addr-line>Medical Research Council/Uganda Virus Research Institute Uganda Research Unit on AIDS, Entebbe, Uganda</addr-line></nlm:aff><country xml:lang="fr">Ouganda</country><wicri:regionArea>Medical Research Council/Uganda Virus Research Institute Uganda Research Unit on AIDS, Entebbe</wicri:regionArea><wicri:noRegion>Entebbe</wicri:noRegion></affiliation></author><author><name sortKey="Muzira, Philip" sort="Muzira, Philip" uniqKey="Muzira P" first="Philip" last="Muzira">Philip Muzira</name><affiliation wicri:level="1"><nlm:aff id="aff002"><addr-line>Grassroot Soccer, Cape Town, South Africa</addr-line></nlm:aff><country xml:lang="fr">Afrique du Sud</country><wicri:regionArea>Grassroot Soccer, Cape Town</wicri:regionArea><wicri:noRegion>Cape Town</wicri:noRegion></affiliation></author><author><name sortKey="Ssembajjwe, Wilber" sort="Ssembajjwe, Wilber" uniqKey="Ssembajjwe W" first="Wilber" last="Ssembajjwe">Wilber Ssembajjwe</name><affiliation wicri:level="1"><nlm:aff id="aff001"><addr-line>Uganda Virus Research Institute, Entebbe, Uganda</addr-line></nlm:aff><country xml:lang="fr">Ouganda</country><wicri:regionArea>Uganda Virus Research Institute, Entebbe</wicri:regionArea><wicri:noRegion>Entebbe</wicri:noRegion></affiliation></author><author><name sortKey="Musoke, Saidat" sort="Musoke, Saidat" uniqKey="Musoke S" first="Saidat" last="Musoke">Saidat Musoke</name><affiliation wicri:level="1"><nlm:aff id="aff001"><addr-line>Uganda Virus Research Institute, Entebbe, Uganda</addr-line></nlm:aff><country xml:lang="fr">Ouganda</country><wicri:regionArea>Uganda Virus Research Institute, Entebbe</wicri:regionArea><wicri:noRegion>Entebbe</wicri:noRegion></affiliation></author><author><name sortKey="Gibson, Lorna J" sort="Gibson, Lorna J" uniqKey="Gibson L" first="Lorna J." last="Gibson">Lorna J. Gibson</name><affiliation wicri:level="3"><nlm:aff id="aff005"><addr-line>Medical Research Council Tropical Epidemiology Group, Department of Infectious Disease Epidemiology, London School of Hygiene and Tropical Medicine, London, United Kingdom</addr-line></nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Medical Research Council Tropical Epidemiology Group, Department of Infectious Disease Epidemiology, London School of Hygiene and Tropical Medicine, London</wicri:regionArea><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName></affiliation></author><author><name sortKey="Hershow, Rebecca B" sort="Hershow, Rebecca B" uniqKey="Hershow R" first="Rebecca B." last="Hershow">Rebecca B. Hershow</name><affiliation wicri:level="2"><nlm:aff id="aff003"><addr-line>University of North Carolina Gillings School of Global Public Health, Chapel Hill, North Carolina, United States of America</addr-line></nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>University of North Carolina Gillings School of Global Public Health, Chapel Hill, North Carolina</wicri:regionArea><placeName><region type="state">Caroline du Nord</region></placeName></affiliation></author><author><name sortKey="Francis, Suzanna" sort="Francis, Suzanna" uniqKey="Francis S" first="Suzanna" last="Francis">Suzanna Francis</name><affiliation wicri:level="3"><nlm:aff id="aff005"><addr-line>Medical Research Council Tropical Epidemiology Group, Department of Infectious Disease Epidemiology, London School of Hygiene and Tropical Medicine, London, United Kingdom</addr-line></nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Medical Research Council Tropical Epidemiology Group, Department of Infectious Disease Epidemiology, London School of Hygiene and Tropical Medicine, London</wicri:regionArea><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName></affiliation></author><author><name sortKey="Torondel, Belen" sort="Torondel, Belen" uniqKey="Torondel B" first="Belen" last="Torondel">Belen Torondel</name><affiliation wicri:level="3"><nlm:aff id="aff006"><addr-line>Department of Disease Control, London School of Hygiene and Tropical Medicine, London, United Kingdom</addr-line></nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Department of Disease Control, London School of Hygiene and Tropical Medicine, London</wicri:regionArea><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName></affiliation></author><author><name sortKey="Ross, David A" sort="Ross, David A" uniqKey="Ross D" first="David A." last="Ross">David A. Ross</name><affiliation><nlm:aff id="aff007"><addr-line>Department of Maternal, Newborn, Child and Adolescent Health, World Health Organisation, Geneva, Swizterland</addr-line></nlm:aff><wicri:noCountry code="subfield">Swizterland</wicri:noCountry></affiliation></author><author><name sortKey="Weiss, Helen A" sort="Weiss, Helen A" uniqKey="Weiss H" first="Helen A." last="Weiss">Helen A. Weiss</name><affiliation wicri:level="3"><nlm:aff id="aff005"><addr-line>Medical Research Council Tropical Epidemiology Group, Department of Infectious Disease Epidemiology, London School of Hygiene and Tropical Medicine, London, United Kingdom</addr-line></nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Medical Research Council Tropical Epidemiology Group, Department of Infectious Disease Epidemiology, London School of Hygiene and Tropical Medicine, London</wicri:regionArea><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName></affiliation></author></analytic><series><title level="j">PLoS ONE</title><idno type="eISSN">1932-6203</idno><imprint><date when="2017">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>The Ugandan government is committed to scaling-up proven HIV prevention strategies including safe male circumcision, and innovative strategies are needed to increase circumcision uptake. The aim of this study was to assess the acceptability and feasibility of implementing a soccer-based intervention (“Make The Cut”) among schoolboys in a peri-urban district of Uganda. The intervention was led by trained, recently circumcised “coaches” who facilitated a 60-minute session delivered in schools, including an interactive penalty shoot-out game using metaphors for HIV prevention, sharing of the coaches’ circumcision story, group discussion and ongoing engagement from the coach to facilitate linkage to male circumcision. The study took place in four secondary schools in Entebbe sub-district, Uganda. Acceptability of safe male circumcision was assessed through a cross-sectional quantitative survey. The feasibility of implementing the intervention was assessed by piloting the intervention in one school, modifying it, and implementing the modified version in a second school. Perceptions of the intervention were assessed with in-depth interviews with participants. Of the 210 boys in the cross-sectional survey, 59% reported being circumcised. Findings showed high levels of knowledge and generally favourable perceptions of circumcision. The initial implementation of Make The Cut resulted in 6/58 uncircumcised boys (10.3%) becoming circumcised. Changes made included increasing engagement with parents and improved liaison with schools regarding the timing of the intervention. Following this, uptake improved to 18/69 (26.1%) in the second school. In-depth interviews highlighted the important role of family and peer support and the coach in facilitating the decision to circumcise. This study showed that the modified Make The Cut intervention may be effective to increase uptake of safe male circumcision in this population. However, the intervention is time-intensive, and further work is needed to assess the cost-effectiveness of the intervention conducted at scale.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Weiss, Ha" uniqKey="Weiss H">HA Weiss</name></author><author><name sortKey="Halperin, D" uniqKey="Halperin D">D Halperin</name></author><author><name sortKey="Bailey, Rc" uniqKey="Bailey R">RC Bailey</name></author><author><name sortKey="Hayes, Rj" uniqKey="Hayes R">RJ Hayes</name></author><author><name sortKey="Schmid, G" uniqKey="Schmid G">G Schmid</name></author><author><name sortKey="Hankins, Ca" uniqKey="Hankins C">CA Hankins</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Williams, Bg" uniqKey="Williams B">BG Williams</name></author><author><name sortKey="Lloyd Smith, Jo" uniqKey="Lloyd Smith J">JO Lloyd-Smith</name></author><author><name sortKey="Gouws, E" uniqKey="Gouws E">E Gouws</name></author><author><name sortKey="Hankins, C" uniqKey="Hankins C">C Hankins</name></author><author><name sortKey="Getz, Wm" uniqKey="Getz W">WM Getz</name></author><author><name sortKey="Hargrove, J" uniqKey="Hargrove J">J Hargrove</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Njeuhmeli, E" uniqKey="Njeuhmeli E">E Njeuhmeli</name></author><author><name sortKey="Forsythe, S" uniqKey="Forsythe S">S Forsythe</name></author><author><name sortKey="Reed, J" uniqKey="Reed J">J Reed</name></author><author><name sortKey="Opuni, M" uniqKey="Opuni M">M Opuni</name></author><author><name sortKey="Bollinger, L" uniqKey="Bollinger L">L Bollinger</name></author><author><name sortKey="Heard, N" uniqKey="Heard N">N Heard</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Kripke, K" uniqKey="Kripke K">K Kripke</name></author><author><name sortKey="Vazzano, A" uniqKey="Vazzano A">A Vazzano</name></author><author><name sortKey="Kirungi, W" uniqKey="Kirungi W">W Kirungi</name></author><author><name sortKey="Musinguzi, J" uniqKey="Musinguzi J">J Musinguzi</name></author><author><name sortKey="Opio, A" uniqKey="Opio A">A Opio</name></author><author><name sortKey="Ssempebwa, R" uniqKey="Ssempebwa R">R Ssempebwa</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kaufman, Za" uniqKey="Kaufman Z">ZA Kaufman</name></author><author><name sortKey="Decelles, J" uniqKey="Decelles J">J DeCelles</name></author><author><name sortKey="Bhauti, K" uniqKey="Bhauti K">K Bhauti</name></author><author><name sortKey="Hershow, Rb" uniqKey="Hershow R">RB Hershow</name></author><author><name sortKey="Weiss, Ha" uniqKey="Weiss H">HA Weiss</name></author><author><name sortKey="Chaibva, C" uniqKey="Chaibva C">C Chaibva</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Montague, C" uniqKey="Montague C">C Montague</name></author><author><name sortKey="Ngcobo, N" uniqKey="Ngcobo N">N Ngcobo</name></author><author><name sortKey="Mahlase, G" uniqKey="Mahlase G">G Mahlase</name></author><author><name sortKey="Frohlich, J" uniqKey="Frohlich J">J Frohlich</name></author><author><name sortKey="Pillay, C" uniqKey="Pillay C">C Pillay</name></author><author><name sortKey="Yende Zuma, N" uniqKey="Yende Zuma N">N Yende-Zuma</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Decelles, J" uniqKey="Decelles J">J DeCelles</name></author><author><name sortKey="Hershow, Rb" uniqKey="Hershow R">RB Hershow</name></author><author><name sortKey="Kaufman, Za" uniqKey="Kaufman Z">ZA Kaufman</name></author><author><name sortKey="Gannett, Kr" uniqKey="Gannett K">KR Gannett</name></author><author><name sortKey="Kombandeya, T" uniqKey="Kombandeya T">T Kombandeya</name></author><author><name sortKey="Chaibva, C" uniqKey="Chaibva C">C Chaibva</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Localio, Ar" uniqKey="Localio A">AR Localio</name></author><author><name sortKey="Margolis, Dj" uniqKey="Margolis D">DJ Margolis</name></author><author><name sortKey="Berlin, Ja" uniqKey="Berlin J">JA Berlin</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Westercamp, N" uniqKey="Westercamp N">N Westercamp</name></author><author><name sortKey="Bailey, Rc" uniqKey="Bailey R">RC Bailey</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="George, G" uniqKey="George G">G George</name></author><author><name sortKey="Strauss, M" uniqKey="Strauss M">M Strauss</name></author><author><name sortKey="Chirawu, P" uniqKey="Chirawu P">P Chirawu</name></author><author><name sortKey="Rhodes, B" uniqKey="Rhodes B">B Rhodes</name></author><author><name sortKey="Frohlich, J" uniqKey="Frohlich J">J Frohlich</name></author><author><name sortKey="Montague, C" uniqKey="Montague C">C Montague</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Hatzold, K" uniqKey="Hatzold K">K Hatzold</name></author><author><name sortKey="Mavhu, W" uniqKey="Mavhu W">W Mavhu</name></author><author><name sortKey="Jasi, P" uniqKey="Jasi P">P Jasi</name></author><author><name sortKey="Chatora, K" uniqKey="Chatora K">K Chatora</name></author><author><name sortKey="Cowan, Fm" uniqKey="Cowan F">FM Cowan</name></author><author><name sortKey="Taruberekera, N" uniqKey="Taruberekera N">N Taruberekera</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Barnabas, Rv" uniqKey="Barnabas R">RV Barnabas</name></author><author><name sortKey="Van Rooyen, H" uniqKey="Van Rooyen H">H van Rooyen</name></author><author><name sortKey="Tumwesigye, E" uniqKey="Tumwesigye E">E Tumwesigye</name></author><author><name sortKey="Brantley, J" uniqKey="Brantley J">J Brantley</name></author><author><name sortKey="Baeten, Jm" uniqKey="Baeten J">JM Baeten</name></author><author><name sortKey="Van Heerden, A" uniqKey="Van Heerden A">A van Heerden</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Thirumurthy, H" uniqKey="Thirumurthy H">H Thirumurthy</name></author><author><name sortKey="Masters, Sh" uniqKey="Masters S">SH Masters</name></author><author><name sortKey="Rao, S" uniqKey="Rao S">S Rao</name></author><author><name sortKey="Bronson, Ma" uniqKey="Bronson M">MA Bronson</name></author><author><name sortKey="Lanham, M" uniqKey="Lanham M">M Lanham</name></author><author><name sortKey="Omanga, E" uniqKey="Omanga E">E Omanga</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Thirumurthy, H" uniqKey="Thirumurthy H">H Thirumurthy</name></author><author><name sortKey="Masters, Sh" uniqKey="Masters S">SH Masters</name></author><author><name sortKey="Rao, S" uniqKey="Rao S">S Rao</name></author><author><name sortKey="Murray, K" uniqKey="Murray K">K Murray</name></author><author><name sortKey="Prasad, R" uniqKey="Prasad R">R Prasad</name></author><author><name sortKey="Zivin, Jg" uniqKey="Zivin J">JG Zivin</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Weiss, Sm" uniqKey="Weiss S">SM Weiss</name></author><author><name sortKey="Zulu, R" uniqKey="Zulu R">R Zulu</name></author><author><name sortKey="Jones, Dl" uniqKey="Jones D">DL Jones</name></author><author><name sortKey="Redding, Ca" uniqKey="Redding C">CA Redding</name></author><author><name sortKey="Cook, R" uniqKey="Cook R">R Cook</name></author><author><name sortKey="Chitalu, N" uniqKey="Chitalu N">N Chitalu</name></author></analytic></biblStruct><biblStruct></biblStruct></listBibl></div1></back></TEI><pmc article-type="research-article"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">PLoS One</journal-id><journal-id journal-id-type="iso-abbrev">PLoS ONE</journal-id><journal-id journal-id-type="publisher-id">plos</journal-id><journal-id journal-id-type="pmc">plosone</journal-id><journal-title-group><journal-title>PLoS ONE</journal-title></journal-title-group><issn pub-type="epub">1932-6203</issn><publisher><publisher-name>Public Library of Science</publisher-name><publisher-loc>San Francisco, CA USA</publisher-loc></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">29016651</article-id><article-id pub-id-type="pmc">5633183</article-id><article-id pub-id-type="doi">10.1371/journal.pone.0185929</article-id><article-id pub-id-type="publisher-id">PONE-D-17-09730</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="Discipline-v3"><subject>Medicine and Health Sciences</subject><subj-group><subject>Surgical and Invasive Medical Procedures</subject><subj-group><subject>Reproductive System Procedures</subject><subj-group><subject>Circumcision</subject></subj-group></subj-group></subj-group></subj-group><subj-group subj-group-type="Discipline-v3"><subject>Social Sciences</subject><subj-group><subject>Sociology</subject><subj-group><subject>Education</subject><subj-group><subject>Schools</subject></subj-group></subj-group></subj-group></subj-group><subj-group subj-group-type="Discipline-v3"><subject>Biology and Life Sciences</subject><subj-group><subject>Microbiology</subject><subj-group><subject>Medical Microbiology</subject><subj-group><subject>Microbial Pathogens</subject><subj-group><subject>Viral Pathogens</subject><subj-group><subject>Immunodeficiency Viruses</subject><subj-group><subject>HIV</subject></subj-group></subj-group></subj-group></subj-group></subj-group></subj-group></subj-group><subj-group subj-group-type="Discipline-v3"><subject>Medicine and Health Sciences</subject><subj-group><subject>Pathology and Laboratory Medicine</subject><subj-group><subject>Pathogens</subject><subj-group><subject>Microbial Pathogens</subject><subj-group><subject>Viral Pathogens</subject><subj-group><subject>Immunodeficiency Viruses</subject><subj-group><subject>HIV</subject></subj-group></subj-group></subj-group></subj-group></subj-group></subj-group></subj-group><subj-group subj-group-type="Discipline-v3"><subject>Biology and Life Sciences</subject><subj-group><subject>Organisms</subject><subj-group><subject>Viruses</subject><subj-group><subject>Viral Pathogens</subject><subj-group><subject>Immunodeficiency Viruses</subject><subj-group><subject>HIV</subject></subj-group></subj-group></subj-group></subj-group></subj-group></subj-group><subj-group subj-group-type="Discipline-v3"><subject>Biology and Life Sciences</subject><subj-group><subject>Organisms</subject><subj-group><subject>Viruses</subject><subj-group><subject>Immunodeficiency Viruses</subject><subj-group><subject>HIV</subject></subj-group></subj-group></subj-group></subj-group></subj-group><subj-group subj-group-type="Discipline-v3"><subject>Biology and life sciences</subject><subj-group><subject>Organisms</subject><subj-group><subject>Viruses</subject><subj-group><subject>RNA viruses</subject><subj-group><subject>Retroviruses</subject><subj-group><subject>Lentivirus</subject><subj-group><subject>HIV</subject></subj-group></subj-group></subj-group></subj-group></subj-group></subj-group></subj-group><subj-group subj-group-type="Discipline-v3"><subject>Biology and Life Sciences</subject><subj-group><subject>Microbiology</subject><subj-group><subject>Medical Microbiology</subject><subj-group><subject>Microbial Pathogens</subject><subj-group><subject>Viral Pathogens</subject><subj-group><subject>Retroviruses</subject><subj-group><subject>Lentivirus</subject><subj-group><subject>HIV</subject></subj-group></subj-group></subj-group></subj-group></subj-group></subj-group></subj-group></subj-group><subj-group subj-group-type="Discipline-v3"><subject>Medicine and Health Sciences</subject><subj-group><subject>Pathology and Laboratory Medicine</subject><subj-group><subject>Pathogens</subject><subj-group><subject>Microbial Pathogens</subject><subj-group><subject>Viral Pathogens</subject><subj-group><subject>Retroviruses</subject><subj-group><subject>Lentivirus</subject><subj-group><subject>HIV</subject></subj-group></subj-group></subj-group></subj-group></subj-group></subj-group></subj-group></subj-group><subj-group subj-group-type="Discipline-v3"><subject>Biology and Life Sciences</subject><subj-group><subject>Organisms</subject><subj-group><subject>Viruses</subject><subj-group><subject>Viral Pathogens</subject><subj-group><subject>Retroviruses</subject><subj-group><subject>Lentivirus</subject><subj-group><subject>HIV</subject></subj-group></subj-group></subj-group></subj-group></subj-group></subj-group></subj-group><subj-group subj-group-type="Discipline-v3"><subject>Social Sciences</subject><subj-group><subject>Anthropology</subject><subj-group><subject>Cultural Anthropology</subject><subj-group><subject>Religion</subject></subj-group></subj-group></subj-group></subj-group><subj-group subj-group-type="Discipline-v3"><subject>Social Sciences</subject><subj-group><subject>Sociology</subject><subj-group><subject>Religion</subject></subj-group></subj-group></subj-group><subj-group subj-group-type="Discipline-v3"><subject>People and Places</subject><subj-group><subject>Population Groupings</subject><subj-group><subject>Age Groups</subject><subj-group><subject>Children</subject><subj-group><subject>Adolescents</subject></subj-group></subj-group></subj-group></subj-group></subj-group><subj-group subj-group-type="Discipline-v3"><subject>People and Places</subject><subj-group><subject>Population Groupings</subject><subj-group><subject>Families</subject><subj-group><subject>Children</subject><subj-group><subject>Adolescents</subject></subj-group></subj-group></subj-group></subj-group></subj-group><subj-group subj-group-type="Discipline-v3"><subject>Medicine and health sciences</subject><subj-group><subject>Public and occupational health</subject><subj-group><subject>Preventive medicine</subject><subj-group><subject>HIV prevention</subject></subj-group></subj-group></subj-group></subj-group><subj-group subj-group-type="Discipline-v3"><subject>Medicine and health sciences</subject><subj-group><subject>Infectious diseases</subject><subj-group><subject>Viral diseases</subject><subj-group><subject>HIV infections</subject></subj-group></subj-group></subj-group></subj-group><subj-group subj-group-type="Discipline-v3"><subject>Biology and Life Sciences</subject><subj-group><subject>Nutrition</subject><subj-group><subject>Diet</subject><subj-group><subject>Alcohol Consumption</subject></subj-group></subj-group></subj-group></subj-group><subj-group subj-group-type="Discipline-v3"><subject>Medicine and Health Sciences</subject><subj-group><subject>Nutrition</subject><subj-group><subject>Diet</subject><subj-group><subject>Alcohol Consumption</subject></subj-group></subj-group></subj-group></subj-group></article-categories><title-group><article-title>Soccer-based promotion of voluntary medical male circumcision: A mixed-methods feasibility study with secondary students in Uganda</article-title><alt-title alt-title-type="running-head">Soccer-based promotion of safe male circumcision among secondary students in Uganda</alt-title></title-group><contrib-group><contrib contrib-type="author" deceased="yes"><name><surname>Miiro</surname><given-names>George</given-names></name><role content-type="http://credit.casrai.org/">Conceptualization</role><role content-type="http://credit.casrai.org/">Funding acquisition</role><role content-type="http://credit.casrai.org/">Methodology</role><xref ref-type="aff" rid="aff001"><sup>1</sup></xref></contrib><contrib contrib-type="author"><name><surname>DeCelles</surname><given-names>Jeff</given-names></name><role content-type="http://credit.casrai.org/">Conceptualization</role><role content-type="http://credit.casrai.org/">Supervision</role><role content-type="http://credit.casrai.org/">Writing – review & editing</role><xref ref-type="aff" rid="aff002"><sup>2</sup></xref><xref ref-type="aff" rid="aff003"><sup>3</sup></xref></contrib><contrib contrib-type="author"><name><surname>Rutakumwa</surname><given-names>Rwamahe</given-names></name><role content-type="http://credit.casrai.org/">Formal analysis</role><role content-type="http://credit.casrai.org/">Investigation</role><role content-type="http://credit.casrai.org/">Methodology</role><role content-type="http://credit.casrai.org/">Supervision</role><xref ref-type="aff" rid="aff004"><sup>4</sup></xref></contrib><contrib contrib-type="author"><name><surname>Nakiyingi-Miiro</surname><given-names>Jessica</given-names></name><role content-type="http://credit.casrai.org/">Conceptualization</role><role content-type="http://credit.casrai.org/">Data curation</role><role content-type="http://credit.casrai.org/">Formal analysis</role><role content-type="http://credit.casrai.org/">Methodology</role><role content-type="http://credit.casrai.org/">Writing – review & editing</role><xref ref-type="aff" rid="aff004"><sup>4</sup></xref></contrib><contrib contrib-type="author"><name><surname>Muzira</surname><given-names>Philip</given-names></name><role content-type="http://credit.casrai.org/">Investigation</role><role content-type="http://credit.casrai.org/">Writing – review & editing</role><xref ref-type="aff" rid="aff002"><sup>2</sup></xref></contrib><contrib contrib-type="author"><name><surname>Ssembajjwe</surname><given-names>Wilber</given-names></name><role content-type="http://credit.casrai.org/">Investigation</role><role content-type="http://credit.casrai.org/">Writing – review & editing</role><xref ref-type="aff" rid="aff001"><sup>1</sup></xref></contrib><contrib contrib-type="author"><name><surname>Musoke</surname><given-names>Saidat</given-names></name><role content-type="http://credit.casrai.org/">Project administration</role><role content-type="http://credit.casrai.org/">Writing – review & editing</role><xref ref-type="aff" rid="aff001"><sup>1</sup></xref></contrib><contrib contrib-type="author"><name><surname>Gibson</surname><given-names>Lorna J.</given-names></name><role content-type="http://credit.casrai.org/">Data curation</role><role content-type="http://credit.casrai.org/">Formal analysis</role><role content-type="http://credit.casrai.org/">Writing – review & editing</role><xref ref-type="aff" rid="aff005"><sup>5</sup></xref></contrib><contrib contrib-type="author"><name><surname>Hershow</surname><given-names>Rebecca B.</given-names></name><role content-type="http://credit.casrai.org/">Conceptualization</role><role content-type="http://credit.casrai.org/">Methodology</role><role content-type="http://credit.casrai.org/">Writing – review & editing</role><xref ref-type="aff" rid="aff003"><sup>3</sup></xref></contrib><contrib contrib-type="author"><name><surname>Francis</surname><given-names>Suzanna</given-names></name><role content-type="http://credit.casrai.org/">Methodology</role><role content-type="http://credit.casrai.org/">Writing – review & editing</role><xref ref-type="aff" rid="aff005"><sup>5</sup></xref></contrib><contrib contrib-type="author"><name><surname>Torondel</surname><given-names>Belen</given-names></name><role content-type="http://credit.casrai.org/">Methodology</role><role content-type="http://credit.casrai.org/">Writing – review & editing</role><xref ref-type="aff" rid="aff006"><sup>6</sup></xref></contrib><contrib contrib-type="author"><name><surname>Ross</surname><given-names>David A.</given-names></name><role content-type="http://credit.casrai.org/">Conceptualization</role><role content-type="http://credit.casrai.org/">Funding acquisition</role><role content-type="http://credit.casrai.org/">Methodology</role><role content-type="http://credit.casrai.org/">Writing – review & editing</role><xref ref-type="aff" rid="aff007"><sup>7</sup></xref></contrib><contrib contrib-type="author"><contrib-id authenticated="true" contrib-id-type="orcid">http://orcid.org/0000-0003-3547-7936</contrib-id><name><surname>Weiss</surname><given-names>Helen A.</given-names></name><role content-type="http://credit.casrai.org/">Formal analysis</role><role content-type="http://credit.casrai.org/">Investigation</role><role content-type="http://credit.casrai.org/">Methodology</role><role content-type="http://credit.casrai.org/">Supervision</role><role content-type="http://credit.casrai.org/">Writing – original draft</role><role content-type="http://credit.casrai.org/">Writing – review & editing</role><xref ref-type="aff" rid="aff005"><sup>5</sup></xref><xref ref-type="corresp" rid="cor001">*</xref></contrib><contrib contrib-type="author"><collab>On behalf of the MENISCUS project</collab><xref ref-type="author-notes" rid="fn001"><sup>¶</sup></xref></contrib></contrib-group><aff id="aff001"><label>1</label><addr-line>Uganda Virus Research Institute, Entebbe, Uganda</addr-line></aff><aff id="aff002"><label>2</label><addr-line>Grassroot Soccer, Cape Town, South Africa</addr-line></aff><aff id="aff003"><label>3</label><addr-line>University of North Carolina Gillings School of Global Public Health, Chapel Hill, North Carolina, United States of America</addr-line></aff><aff id="aff004"><label>4</label><addr-line>Medical Research Council/Uganda Virus Research Institute Uganda Research Unit on AIDS, Entebbe, Uganda</addr-line></aff><aff id="aff005"><label>5</label><addr-line>Medical Research Council Tropical Epidemiology Group, Department of Infectious Disease Epidemiology, London School of Hygiene and Tropical Medicine, London, United Kingdom</addr-line></aff><aff id="aff006"><label>6</label><addr-line>Department of Disease Control, London School of Hygiene and Tropical Medicine, London, United Kingdom</addr-line></aff><aff id="aff007"><label>7</label><addr-line>Department of Maternal, Newborn, Child and Adolescent Health, World Health Organisation, Geneva, Swizterland</addr-line></aff><contrib-group><contrib contrib-type="editor"><name><surname>Hills</surname><given-names>Robert K</given-names></name><role>Editor</role><xref ref-type="aff" rid="edit1"></xref></contrib></contrib-group><aff id="edit1"><addr-line>Cardiff University, UNITED KINGDOM</addr-line></aff><author-notes><fn fn-type="COI-statement" id="coi001"><p><bold>Competing Interests: </bold>The authors have declared that no competing interests exist.</p></fn><fn fn-type="other" id="fn001"><p>¶ The members of the team are provided in the acknowledegement section.</p></fn><corresp id="cor001">* E-mail: <email>helen.weiss@lshtm.ac.uk</email></corresp></author-notes><pub-date pub-type="epub"><day>9</day><month>10</month><year>2017</year></pub-date><pub-date pub-type="collection"><year>2017</year></pub-date><volume>12</volume><issue>10</issue><elocation-id>e0185929</elocation-id><history><date date-type="received"><day>13</day><month>3</month><year>2017</year></date><date date-type="accepted"><day>21</day><month>9</month><year>2017</year></date></history><permissions><copyright-statement>© 2017 Miiro et al</copyright-statement><copyright-year>2017</copyright-year><copyright-holder>Miiro et al</copyright-holder><license xlink:href="http://creativecommons.org/licenses/by/4.0/"><license-p>This is an open access article distributed under the terms of the <ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by/4.0/">Creative Commons Attribution License</ext-link>, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.</license-p></license></permissions><self-uri content-type="pdf" xlink:href="pone.0185929.pdf"></self-uri><abstract><p>The Ugandan government is committed to scaling-up proven HIV prevention strategies including safe male circumcision, and innovative strategies are needed to increase circumcision uptake. The aim of this study was to assess the acceptability and feasibility of implementing a soccer-based intervention (“Make The Cut”) among schoolboys in a peri-urban district of Uganda. The intervention was led by trained, recently circumcised “coaches” who facilitated a 60-minute session delivered in schools, including an interactive penalty shoot-out game using metaphors for HIV prevention, sharing of the coaches’ circumcision story, group discussion and ongoing engagement from the coach to facilitate linkage to male circumcision. The study took place in four secondary schools in Entebbe sub-district, Uganda. Acceptability of safe male circumcision was assessed through a cross-sectional quantitative survey. The feasibility of implementing the intervention was assessed by piloting the intervention in one school, modifying it, and implementing the modified version in a second school. Perceptions of the intervention were assessed with in-depth interviews with participants. Of the 210 boys in the cross-sectional survey, 59% reported being circumcised. Findings showed high levels of knowledge and generally favourable perceptions of circumcision. The initial implementation of Make The Cut resulted in 6/58 uncircumcised boys (10.3%) becoming circumcised. Changes made included increasing engagement with parents and improved liaison with schools regarding the timing of the intervention. Following this, uptake improved to 18/69 (26.1%) in the second school. In-depth interviews highlighted the important role of family and peer support and the coach in facilitating the decision to circumcise. This study showed that the modified Make The Cut intervention may be effective to increase uptake of safe male circumcision in this population. However, the intervention is time-intensive, and further work is needed to assess the cost-effectiveness of the intervention conducted at scale.</p></abstract><funding-group><award-group id="award001"><funding-source><institution-wrap><institution-id institution-id-type="funder-id">http://dx.doi.org/10.13039/501100000265</institution-id><institution>Medical Research Council</institution></institution-wrap></funding-source><award-id>MC_PC_14098</award-id><principal-award-recipient><contrib-id authenticated="true" contrib-id-type="orcid">http://orcid.org/0000-0003-3547-7936</contrib-id><name><surname>Weiss</surname><given-names>Helen A.</given-names></name></principal-award-recipient></award-group><award-group id="award002"><funding-source><institution-wrap><institution-id institution-id-type="funder-id">http://dx.doi.org/10.13039/501100000265</institution-id><institution>Medical Research Council</institution></institution-wrap></funding-source><award-id>MR/K012126/1</award-id><principal-award-recipient><contrib-id authenticated="true" contrib-id-type="orcid">http://orcid.org/0000-0003-3547-7936</contrib-id><name><surname>Weiss</surname><given-names>Helen A.</given-names></name></principal-award-recipient></award-group><funding-statement>This work was funded by a research grant MC_PC_14098 from the UK Medical Research Council and the World Health Organisation (WCCPRD3992640 2016/599225). HAW was supported in part by a grant jointly funded by the UK Medical Research Council (MRC) and the UK Department for International Development (DFID) (MR/K012126/1) under the MRC/DFID Concordat agreement and is also part of the EDCTP2 programme supported by the European Union. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.</funding-statement></funding-group><counts><fig-count count="1"></fig-count><table-count count="3"></table-count><page-count count="15"></page-count></counts><custom-meta-group><custom-meta id="data-availability"><meta-name>Data Availability</meta-name><meta-value>All data files are available from the LSHTM database (doi:<ext-link ext-link-type="uri" xlink:href="https://doi.org/10.17037/DATA.208">10.17037/DATA.208</ext-link>).</meta-value></custom-meta></custom-meta-group></article-meta><notes><title>Data Availability</title><p>All data files are available from the LSHTM database (doi:<ext-link ext-link-type="uri" xlink:href="https://doi.org/10.17037/DATA.208">10.17037/DATA.208</ext-link>).</p></notes></front></pmc><affiliations><list><country><li>Afrique du Sud</li><li>Ouganda</li><li>Royaume-Uni</li><li>États-Unis</li></country><region><li>Angleterre</li><li>Caroline du Nord</li><li>Grand Londres</li></region><settlement><li>Londres</li></settlement></list><tree><noCountry><name sortKey="Ross, David A" sort="Ross, David A" uniqKey="Ross D" first="David A." last="Ross">David A. Ross</name></noCountry><country name="Ouganda"><noRegion><name sortKey="Miiro, George" sort="Miiro, George" uniqKey="Miiro G" first="George" last="Miiro">George Miiro</name></noRegion><name sortKey="Musoke, Saidat" sort="Musoke, Saidat" uniqKey="Musoke S" first="Saidat" last="Musoke">Saidat Musoke</name><name sortKey="Nakiyingi Miiro, Jessica" sort="Nakiyingi Miiro, Jessica" uniqKey="Nakiyingi Miiro J" first="Jessica" last="Nakiyingi-Miiro">Jessica Nakiyingi-Miiro</name><name sortKey="Rutakumwa, Rwamahe" sort="Rutakumwa, Rwamahe" uniqKey="Rutakumwa R" first="Rwamahe" last="Rutakumwa">Rwamahe Rutakumwa</name><name sortKey="Ssembajjwe, Wilber" sort="Ssembajjwe, Wilber" uniqKey="Ssembajjwe W" first="Wilber" last="Ssembajjwe">Wilber Ssembajjwe</name></country><country name="Afrique du Sud"><noRegion><name sortKey="Decelles, Jeff" sort="Decelles, Jeff" uniqKey="Decelles J" first="Jeff" last="Decelles">Jeff Decelles</name></noRegion><name sortKey="Muzira, Philip" sort="Muzira, Philip" uniqKey="Muzira P" first="Philip" last="Muzira">Philip Muzira</name></country><country name="États-Unis"><region name="Caroline du Nord"><name sortKey="Decelles, Jeff" sort="Decelles, Jeff" uniqKey="Decelles J" first="Jeff" last="Decelles">Jeff Decelles</name></region><name sortKey="Hershow, Rebecca B" sort="Hershow, Rebecca B" uniqKey="Hershow R" first="Rebecca B." last="Hershow">Rebecca B. Hershow</name></country><country name="Royaume-Uni"><region name="Angleterre"><name sortKey="Gibson, Lorna J" sort="Gibson, Lorna J" uniqKey="Gibson L" first="Lorna J." last="Gibson">Lorna J. Gibson</name></region><name sortKey="Francis, Suzanna" sort="Francis, Suzanna" uniqKey="Francis S" first="Suzanna" last="Francis">Suzanna Francis</name><name sortKey="Torondel, Belen" sort="Torondel, Belen" uniqKey="Torondel B" first="Belen" last="Torondel">Belen Torondel</name><name sortKey="Weiss, Helen A" sort="Weiss, Helen A" uniqKey="Weiss H" first="Helen A." last="Weiss">Helen A. Weiss</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Wicri/Sante/explor/SidaSubSaharaV1/Data/Pmc/Checkpoint
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 000072 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Pmc/Checkpoint/biblio.hfd -nk 000072 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien
|wiki= Wicri/Sante
|area= SidaSubSaharaV1
|flux= Pmc
|étape= Checkpoint
|type= RBID
|clé= PMC:5633183
|texte= Soccer-based promotion of voluntary medical male circumcision: A mixed-methods feasibility study with secondary students in Uganda
}}
Pour générer des pages wiki
HfdIndexSelect -h $EXPLOR_AREA/Data/Pmc/Checkpoint/RBID.i -Sk "pubmed:29016651" \
| HfdSelect -Kh $EXPLOR_AREA/Data/Pmc/Checkpoint/biblio.hfd \
| NlmPubMed2Wicri -a SidaSubSaharaV1
| This area was generated with Dilib version V0.6.32. |  |