Adaptation of an HIV behavioural disinhibition risk reduction intervention for recently circumcised South African men

Abstract

South Africa urgently needs HIV behavioural disinhibition risk reduction interventions for recently circumcised men for use in clinic and community settings. A theory-based HIV behavioural disinhibition risk reduction counselling intervention has recently been adapted for use in a South African traditional and medical circumcision setting. The 3 hours behavioural disinhibition risk reduction counselling was grounded in the Information-Motivation-Behavioural Skills (IMB) model of HIV preventive behaviour change, adapted through interdisciplinary collaborative workshops and feasibility study. This paper reports the process of adapting the behavioural disinhibition risk reduction counselling intervention into a medical and traditional male circumcision setting. The processes used for adapting the HIV behavioural disinhibition risk reduction counselling for South African men provides a potential model for translating behavioural intervention into clinical and community settings in South African cultural contexts. Several lessons learned from this process may help guide future efforts to translate behavioural medicine HIV prevention technologies into the male circumcision contexts.