DeCelles Jeff, Hershow Rebecca B, Kaufman Zachary A, Gannett Katherine R, Kombandeya Thandanani, Chaibva Cynthia, Ross David A, Harrison Abigail
*Grassroot Soccer, Cape Town, South Africa; †Department of Health Policy and Management, University of North Carolina, Chapel Hill, NC; ‡Faculty of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, London, United Kingdom; §Faculty of Public Health and Policy, London School of Hygiene and Tropical Medicine, London, United Kingdom; ‖Grassroot Soccer Zimbabwe, Bulawayo, Zimbabwe; ¶National University of Science and Technology, Bulawayo, Zimbabwe; and #Department of Behavioral and Social Sciences, Brown University School of Public Health, Providence, RI.
J Acquir Immune Defic Syndr. 2016 Oct 1;72 Suppl 4(Suppl 4):S304-S308. doi: 10.1097/QAI.0000000000001172.
Grassroot Soccer (GRS) developed 2 brief and scalable voluntary medical male circumcision (VMMC) promotion interventions for males in Bulawayo, Zimbabwe, consisting of a 60-minute interactive, soccer-themed educational session with follow-up behavioral and logistical reinforcement. Both interventions were led by circumcised male community leaders ("coaches") ages 18-30. "Make The Cut" (MTC) targeted adult males on soccer teams and "Make The Cut+" targeted boys in secondary schools. We conducted a process evaluation of MTC and Make The Cut+ to investigate perceptions of program impact, intervention components, and program delivery; participants' understandings of intervention content; and factors related to uptake.
We conducted 17 interviews and 2 focus group discussions with coaches and 29 interviews with circumcised (n = 13) and uncircumcised participants (n = 16).
Findings demonstrate high program acceptability, highlighting the coach-participant relationship as a key factor associated with uptake. Specifically, participants valued the coaches' openness to discuss their personal experiences with VMMC and the accompaniment by their coaches to the VMMC clinic.
Should the coach quality remain consistent at scale, MTC offers an effective approach toward generating VMMC demand among males.
草根足球（GRS）为津巴布韦布拉瓦约的男性开发了两种简短且可扩展的自愿医学男性包皮环切术（VMMC）推广干预措施，包括一场60分钟的互动式、以足球为主题的教育课程，并辅以后续的行为和后勤强化措施。两种干预措施均由年龄在18至30岁之间的接受过包皮环切术的男性社区领袖（“教练”）主导。“做出改变”（MTC）针对足球队中的成年男性，“做出改变+”针对中学男生。我们对MTC和“做出改变+”进行了过程评估，以调查对项目影响、干预组成部分和项目实施的看法；参与者对干预内容的理解；以及与接受度相关的因素。
我们对教练进行了17次访谈和2次焦点小组讨论，并对接受过包皮环切术的参与者（n = 13）和未接受过包皮环切术的参与者（n = 16）进行了29次访谈。
研究结果表明该项目具有很高的可接受性，强调教练与参与者的关系是与接受度相关的关键因素。具体而言，参与者重视教练愿意公开讨论他们个人的VMMC经历以及教练陪同他们前往VMMC诊所。
如果教练质量在扩大规模时保持一致，MTC为在男性中产生VMMC需求提供了一种有效方法。
