Exploring the Nuances of Traditional Male Circumcision Initiation in South Africa and Other African Contexts

Abstract

Male circumcision is an ancient practice across the globe, with concomitant shifts in the life of the initiates. This paper examined the complexities of Traditional Male Circumcision Initiation (TMCI) in South Africa and other African contexts. Through a scoping literature review, it highlighted both the progressive and retrogressive aspects of TMCI, emphasizing its role in preventing HIV/AIDS and reinforcing cultural identity. However, it also critiqued TMCI for promoting risky sexual behaviours, substance abuse, and physical and psychosocial health issues, which have led to fatalities among initiates. Through the lenses of multiple culture-related, health, and modernization theories as theoretical frameworks, the paper demonstrates the divergent reasons for the current and future status of TMCI. The study concludes that while TMCI has cultural significance, its survival is threatened by adverse outcomes, suggesting a need for reforms to restore its value within modern health and social frameworks. Therefore, the cultural custodians must seek new strategies to restore the deeming glory of TMCI by ensuring the relevance of cultural goalposts in contemporary health, social, and economic dispensation.