Attitudes of mothers to male circumcision in North-East Democratic Republic of Congo: A cross-sectional study

Male circumcision is an accepted HIV prevention measure in high-incidence countries and is now part of global HIV prevention programs. We interviewed 63 mothers at four major hospitals in Bunia, North-Eastern Democratic Republic of Congo (DRC) between February and March 2014, about their circumcision practices for their sons, including reasons and timing. All participants indicated that their son's father was circumcised and that they have or will circumcise their son. The most common reason given was adherence to social norms. Only 12.7% mentioned prevention of sexually transmitted infections, including HIV. The mean age of circumcision was 2.5 ± 1.8 years, with reasons including greater strength to tolerate surgery (34.9%) and better pain tolerance (27.0%). All responses were recorded, entered into Microsoft Excel, and analyzed to calculate the mean, average, and standard deviation statistics. Few mothers planned circumcision in the newborn period. These findings suggest that circumcision in the DRC is culturally driven rather than motivated by HIV prevention and typically occurs after the newborn period. Parental education on optimal timing is needed to reduce surgical risks and maximize health benefits.