Assessment on Effect of Male Circumcision on Condom Utilization among Openo Technical and Vocational College students, Gambella Region, Ethiopia

Abstract

Back ground: A rapid scale-up in voluntary medical male circumcision to meet a target of 80 % of the target resulted in a large increase in number of circumcised men from 4.8% by 2011 peaking up to 46.8% coverage by 2015 in Gambela Region .There is a potential for where in circumcised males may engage in high risk behavior without the use of condoms under the false reassurance that their circumcised status may prevent them from acquiring Human Immune Deficiency Syndrome. In fact, in the circumcised group actually reported higher risk sexual behaviors; nevertheless, the group had lower incidence of HIV, suggesting further the validity of the results that circumcision is highly protective. Objective: To assess effect of male circumcision on condom utilization among Gambella Openo Technical and Vocational Students, Gambella Region, South West Ethiopia. Methodology: A comparative cross-sectional study design was used. The study period was from December 1-20/2015.Circumcised and uncircumcised students who were sexually active and enrolled in Openo TVET College last 12 months were the study population. Simple random sampling method was used to select study participants. SPSS version16.0 window software computer program was used for data entry and analysis. Results: Uncircumcised (intact) students used condom more during sexual intercourse with opposite sex partner in the last 12 months. Circumcised students were 0.019(.004, .091) times ever used condom. This shows circumcised students were less likely ever used condom than uncircumcised students. Conclusion: Uncircumcised (intact) students used condoms more and circumcised students were less likely used. Circumcision status, marital status and religion of the students were found to be important predictors that determined condom utilization.