ABSTRACT
This chapter examines the circulation of knowledge regarding medical male circumcision (MMC) as an HIV prevention strategy, from knowledge production through domestic dissemination and finally to acquisition and rational action by the man-on-the-street. It traces the government's hesitance to respond to global directives to scale-up MMC services. The Lesotho government has argued that cost and limitations in infrastructure have further halted a full scale-up of MMC initiatives. Wamai and colleagues stated that, 'There is no biomedical intervention currently being implemented that has been demonstrated scientifically to be more efficacious or cost-effective than male circumcision'. Three randomized clinical control trials of circumcision among consenting healthy adult men in Uganda, Kenya, and South Africa were initiated in to provide evidence of the causative link between circumcision status and HIV infection. The voice of the subaltern continues to be lost in such debates, and his beliefs, attitudes, values, and behaviors become even further marginalized by dominant global ideologies.
