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dc.contributor.authorKriengkrai Srithanaviboonchaien_US
dc.contributor.authorNamtip Sriraken_US
dc.contributor.authorBoonlure Pruenglampooen_US
dc.contributor.authorKanittha Thaiklaen_US
dc.contributor.authorJiraporn Suwanteerangkulen_US
dc.contributor.authorJiraporn Khoranaen_US
dc.contributor.authorVipa Danthamrongkulen_US
dc.contributor.authorSuchada Paileekleeen_US
dc.contributor.authorUraiwan Pattanasattayavongen_US
dc.contributor.authorDeanna E. Grimesen_US
dc.contributor.authorRichard M. Grimesen_US
dc.description.abstract© 2018 The Author(s). Background: Neonatal male circumcision (NMC) is an alternative approach to adult male circumcision for HIV prevention. Recent studies found that NMC was rarely performed in Thailand and that most Thai health professionals did not recognize that NMC could reduce the risk of HIV infection and would not want NMC services in their hospitals. This study explored the thoughts and concerns of Thai government health staff regarding the introduction of NMC in government health facilities as a public health measure. Methods: In-depth interviews with physicians, nurses and physician administrators from four different levels of government hospitals in four provinces representing 4 regions of Thailand were conducted after provision of education regarding the benefits and risks of NMC. Interviews were audio recorded and analyzed using Atlas.ti software to develop themes. Results: Six themes emerged from the data of 42 respondents: understanding of the benefits of NMC; risks of NMC; need for a pilot project; need for staff training and hospital readiness; need for parental/family education; and need for public awareness educational campaign. Major concerns included possible medical complications of NMC, infringement of child rights, and lack of understanding from staff and parents. The respondents emphasized the need for a clear policy, proper training of staff, financial and equipment support, and piloting NMC rollout before this measure could be fully implemented. Conclusions: Thai health professionals who took part in this study expressed several concerns if NMC had to be performed in their health care facilities. There is significant preparation that needs to be done before NMC can be introduced in the country.en_US
dc.titlePhysicians' and nurses' thoughts and concerns about introducing neonatal male circumcision in Thailand: A qualitative studyen_US
article.title.sourcetitleBMC Health Services Researchen_US
article.volume18en_US Mai Universityen_US Universityen_US Kaen Universityen_US of Songkla Universityen_US of Texas School of Nursing at Houstonen_US Houston Center for AIDS Researchen_US of Texas Health Science Center at Houstonen_US
Appears in Collections:CMUL: Journal Articles

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