Circumcision in Africa
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Circumcision in Africa, and the rites of initiation in
Africa Africa is the world's second-largest and second-most populous continent, after Asia in both cases. At about 30.3 million km2 (11.7 million square miles) including adjacent islands, it covers 6% of Earth's total surface area ...
, as well as "the frequent resemblance between details of ceremonial procedure in areas thousands of kilometres apart, indicate that the
circumcision Circumcision is a procedure that removes the foreskin from the human penis. In the most common form of the operation, the foreskin is extended with forceps, then a circumcision device may be placed, after which the foreskin is excised. Top ...
ritual has an old tradition behind it and in its present form is the result of a long process of development."


History


North Africa


Algeria

At Oued Djerat, in
Algeria ) , image_map = Algeria (centered orthographic projection).svg , map_caption = , image_map2 = , capital = Algiers , coordinates = , largest_city = capital , relig ...
, engraved rock art with masked bowmen, which feature male circumcision and may be a scene involving ritual, have been dated to earlier than 6000 BP amid the
Bubaline Period Bubalus, Bubaline, or Large Wild Fauna rock art is the earliest form of Central Saharan rock art, created in an engraved style, which have been dated between 12,000 BCE and 8000 BCE. The Bubaline Period is followed by the Kel Essuf Period. As th ...
; more specifically, while possibly dating much earlier than 10,000 BP, rock art walls from the Bubaline Period have been dated between 9200 BP and 5500 BP. The cultural practice of circumcision may have spread from the Central
Sahara , photo = Sahara real color.jpg , photo_caption = The Sahara taken by Apollo 17 astronauts, 1972 , map = , map_image = , location = , country = , country1 = , ...
, toward the south in
Sub-Saharan Africa Sub-Saharan Africa is, geographically, the area and regions of the continent of Africa that lies south of the Sahara. These include West Africa, East Africa, Central Africa, and Southern Africa. Geopolitically, in addition to the List of sov ...
and toward the east in the region of the
Nile The Nile, , Bohairic , lg, Kiira , Nobiin: Áman Dawū is a major north-flowing river in northeastern Africa. It flows into the Mediterranean Sea. The Nile is the longest river in Africa and has historically been considered the longest riv ...
.


Egypt

Based on
engraved Engraving is the practice of incising a design onto a hard, usually flat surface by cutting grooves into it with a burin. The result may be a decorated object in itself, as when silver, gold, steel, or glass are engraved, or may provide an i ...
evidence found on walls and evidence from
mummies A mummy is a dead human or an animal whose soft tissues and organs have been preserved by either intentional or accidental exposure to chemicals, extreme cold, very low humidity, or lack of air, so that the recovered body does not decay furt ...
, circumcision has been dated to at least as early as 6000 BCE in ancient Egypt. Ancient Egyptian mummies, which have been dated as early as 4000 BCE, show evidence of having undergone circumcision. At the mastaba of Ankhmahor in
Saqqara Saqqara ( ar, سقارة, ), also spelled Sakkara or Saccara in English , is an Egyptian village in Giza Governorate, that contains ancient burial grounds of Egyptian royalty, serving as the necropolis for the ancient Egyptian capital, Memph ...
, an engraved wall provides an account of Uha, dated to the 23rd century BCE, which indicates that he and others underwent male circumcision.
Herodotus Herodotus ( ; grc, , }; BC) was an ancient Greek historian and geographer from the Greek city of Halicarnassus, part of the Persian Empire (now Bodrum, Turkey) and a later citizen of Thurii in modern Calabria (Italy). He is known fo ...
(5th century BCE) indicated that the ancient Egyptians, at-large, practiced circumcision; he also indicated that ancient
Ethiopians Ethiopians are the native inhabitants of Ethiopia, as well as the global diaspora of Ethiopia. Ethiopians constitute several component ethnic groups, many of which are closely related to ethnic groups in neighboring Eritrea and other parts o ...
practiced circumcision. Xanthus of
Lydia Lydia ( Lydian: ‎𐤮𐤱𐤠𐤭𐤣𐤠, ''Śfarda''; Aramaic: ''Lydia''; el, Λυδία, ''Lȳdíā''; tr, Lidya) was an Iron Age kingdom of western Asia Minor located generally east of ancient Ionia in the modern western Turkish pro ...
(5th century BCE) indicated that female circumcision was practiced among the ancient Egyptians. Agatharchides of
Cnidus Knidos or Cnidus (; grc-gre, Κνίδος, , , Knídos) was a Greek city in ancient Caria and part of the Dorian Hexapolis, in south-western Asia Minor, modern-day Turkey. It was situated on the Datça peninsula, which forms the southern sid ...
(2nd century BCE) indicated that " troglodyte" ethnic groups practiced circumcision; these groups may have resided along the African coast of the
Red Sea The Red Sea ( ar, البحر الأحمر - بحر القلزم, translit=Modern: al-Baḥr al-ʾAḥmar, Medieval: Baḥr al-Qulzum; or ; Coptic: ⲫⲓⲟⲙ ⲛ̀ϩⲁϩ ''Phiom Enhah'' or ⲫⲓⲟⲙ ⲛ̀ϣⲁⲣⲓ ''Phiom ǹšari''; ...
in southern Egypt or near the Gulf of Zula in present-day
Eritrea Eritrea ( ; ti, ኤርትራ, Ertra, ; ar, إرتريا, ʾIritriyā), officially the State of Eritrea, is a country in the Horn of Africa region of Eastern Africa, with its capital and largest city at Asmara. It is bordered by Ethiopi ...
; while most of these groups practiced a form of circumcision that involved partial excision, the ethnic group, identified by Agatharchides as the "Colobi" ("the mutilated"), were indicated to have practiced a form of circumcision that involved total excision. A
papyrus Papyrus ( ) is a material similar to thick paper that was used in ancient times as a writing surface. It was made from the pith of the papyrus plant, '' Cyperus papyrus'', a wetland sedge. ''Papyrus'' (plural: ''papyri'') can also refer to ...
, which was part of the
Serapeum A serapeum is a temple or other religious institution dedicated to the syncretic Greco-Egyptian deity Serapis, who combined aspects of Osiris and Apis in a humanized form that was accepted by the Ptolemaic Greeks of Alexandria. There were s ...
's Ptolemaios archive at Memphis and has been dated to 163 BCE, indicated that an ancient Egyptian girl, Tathemis, was scheduled to undergo female circumcision.
Philo Philo of Alexandria (; grc, Φίλων, Phílōn; he, יְדִידְיָה, Yəḏīḏyāh (Jedediah); ), also called Philo Judaeus, was a Hellenistic Jewish philosopher who lived in Alexandria, in the Roman province of Egypt. Philo's de ...
of
Alexandria Alexandria ( or ; ar, ٱلْإِسْكَنْدَرِيَّةُ ; grc-gre, Αλεξάνδρεια, Alexándria) is the second largest city in Egypt, and the largest city on the Mediterranean coast. Founded in by Alexander the Great, Alexandri ...
(1st century BCE) indicated that the ancient Egyptians practiced circumcision. Between 60 BCE and 56 BCE,
Diodorus Siculus Diodorus Siculus, or Diodorus of Sicily ( grc-gre, Διόδωρος ;  1st century BC), was an ancient Greek historian. He is known for writing the monumental universal history '' Bibliotheca historica'', in forty books, fifteen of which ...
indicated that female circumcision was a common custom in ancient Egypt. Between 29 BCE and 26 BCE,
Strabo Strabo''Strabo'' (meaning "squinty", as in strabismus) was a term employed by the Romans for anyone whose eyes were distorted or deformed. The father of Pompey was called " Pompeius Strabo". A native of Sicily so clear-sighted that he could s ...
indicated that the ancient Egyptians practiced circumcision.
Galen Aelius Galenus or Claudius Galenus ( el, Κλαύδιος Γαληνός; September 129 – c. AD 216), often Anglicized as Galen () or Galen of Pergamon, was a Greek physician, surgeon and philosopher in the Roman Empire. Considered to be o ...
of Pergamum (2nd century CE) indicated that female circumcision was practiced among the ancient Egyptians. Soranus of
Ephesus Ephesus (; grc-gre, Ἔφεσος, Éphesos; tr, Efes; may ultimately derive from hit, 𒀀𒉺𒊭, Apaša) was a city in ancient Greece on the coast of Ionia, southwest of present-day Selçuk in İzmir Province, Turkey. It was built i ...
(2nd century CE) indicated that female circumcision was practiced among the ancient Egyptians. Aëtius of Amida (5th century CE) indicated that female circumcision was practiced among the ancient Egyptians. Leo Africanus (16th century CE) indicated female circumcision was practiced among
Egyptians Egyptians ( arz, المَصرِيُون, translit=al-Maṣriyyūn, ; arz, المَصرِيِين, translit=al-Maṣriyyīn, ; cop, ⲣⲉⲙⲛ̀ⲭⲏⲙⲓ, remenkhēmi) are an ethnic group native to the Nile, Nile Valley in Egypt. Egyptian ...
.


West Africa


Sierra Leone

The Nomoli figurines, which were created by the
Mende people The Mende are one of the two largest ethnic groups in Sierra Leone; their neighbours, the Temne people, constitute the largest ethnic group at 35.5% of the total population, which is slightly larger than the Mende at 31.2%. The Mende are pre ...
in
Sierra Leone Sierra Leone,)]. officially the Republic of Sierra Leone, is a country on the southwest coast of West Africa. It is bordered by Liberia to the southeast and Guinea surrounds the northern half of the nation. Covering a total area of , Sierr ...
and depict male circumcised genitalia, have been dated between the 7th century CE and the 8th century CE.


Central Africa

Prior to 300 CE, male circumcision, which is a Culture of Africa, cultural practice that is part of male initiations, is estimated to have existed in
Africa Africa is the world's second-largest and second-most populous continent, after Asia in both cases. At about 30.3 million km2 (11.7 million square miles) including adjacent islands, it covers 6% of Earth's total surface area ...
for more than 9000 years. By 300 CE, male initiation and male circumcision had ceased among some
matrilineal Matrilineality is the tracing of kinship through the female line. It may also correlate with a social system in which each person is identified with their matriline – their mother's lineage – and which can involve the inheritance ...
Bantu-speaking peoples in
East Africa East Africa, Eastern Africa, or East of Africa, is the eastern subregion of the African continent. In the United Nations Statistics Division scheme of geographic regions, 10-11-(16*) territories make up Eastern Africa: Due to the historica ...
and
Central Africa Central Africa is a subregion of the African continent comprising various countries according to different definitions. Angola, Burundi, the Central African Republic, Chad, the Democratic Republic of the Congo, the Republic of the Co ...
.


East Africa

Prior to 300 CE, male circumcision, which is a Culture of Africa, cultural practice that is part of male initiations, is estimated to have existed in
Africa Africa is the world's second-largest and second-most populous continent, after Asia in both cases. At about 30.3 million km2 (11.7 million square miles) including adjacent islands, it covers 6% of Earth's total surface area ...
for more than 9000 years. By 300 CE, male initiation and male circumcision had ceased among some
matrilineal Matrilineality is the tracing of kinship through the female line. It may also correlate with a social system in which each person is identified with their matriline – their mother's lineage – and which can involve the inheritance ...
Bantu-speaking peoples in
East Africa East Africa, Eastern Africa, or East of Africa, is the eastern subregion of the African continent. In the United Nations Statistics Division scheme of geographic regions, 10-11-(16*) territories make up Eastern Africa: Due to the historica ...
and
Central Africa Central Africa is a subregion of the African continent comprising various countries according to different definitions. Angola, Burundi, the Central African Republic, Chad, the Democratic Republic of the Congo, the Republic of the Co ...
.


Eritrea

Agatharchides of
Cnidus Knidos or Cnidus (; grc-gre, Κνίδος, , , Knídos) was a Greek city in ancient Caria and part of the Dorian Hexapolis, in south-western Asia Minor, modern-day Turkey. It was situated on the Datça peninsula, which forms the southern sid ...
(2nd century BCE) indicated that " troglodyte" ethnic groups practiced circumcision; these groups may have resided along the African coast of the
Red Sea The Red Sea ( ar, البحر الأحمر - بحر القلزم, translit=Modern: al-Baḥr al-ʾAḥmar, Medieval: Baḥr al-Qulzum; or ; Coptic: ⲫⲓⲟⲙ ⲛ̀ϩⲁϩ ''Phiom Enhah'' or ⲫⲓⲟⲙ ⲛ̀ϣⲁⲣⲓ ''Phiom ǹšari''; ...
in southern Egypt or near the Gulf of Zula in present-day
Eritrea Eritrea ( ; ti, ኤርትራ, Ertra, ; ar, إرتريا, ʾIritriyā), officially the State of Eritrea, is a country in the Horn of Africa region of Eastern Africa, with its capital and largest city at Asmara. It is bordered by Ethiopi ...
; while most of these groups practiced a form of circumcision that involved partial excision, the ethnic group, identified by Agatharchides as the "Colobi" ("the mutilated"), were indicated to have practiced a form of circumcision that involved total excision.


Southern Africa


South Africa

In the 19th century CE, Shaka, a Zulu king, prohibited male circumcision due to concerns that young circumcised men might be less interested in joining as warriors in the military force he was amassing and uniting in the region of
southern Africa Southern Africa is the southernmost subregion of the African continent, south of the Congo and Tanzania. The physical location is the large part of Africa to the south of the extensive Congo River basin. Southern Africa is home to a number o ...
and might be more interested in seeking opportunities for having sex.


Percentage of circumcision per country

Circumcision is prevalent among 92% of men in
North Africa North Africa, or Northern Africa is a region encompassing the northern portion of the African continent. There is no singularly accepted scope for the region, and it is sometimes defined as stretching from the Atlantic shores of Mauritania in ...
and around 62% in
Sub-Saharan Africa Sub-Saharan Africa is, geographically, the area and regions of the continent of Africa that lies south of the Sahara. These include West Africa, East Africa, Central Africa, and Southern Africa. Geopolitically, in addition to the List of sov ...
. In western and northern parts of Africa it is mainly performed for religious reasons, whereas in southern parts of Africa it rarely performed in neonates, instead being a rite of passage into manhood. Studies evaluating the complications due to traditional male circumcision have found rates varying from 35% (Kenya) to 48% (South Africa). Infection, delayed wound healing, glans amputation and injury, bleeding, loss of penile sensitivity, excessive removal of foreskin, and death are the major complications reported. In some African and Eastern Christian denominations male circumcision is an integral or established practice, and require that their male members undergo circumcision. Circumcision is near-universal among Coptic Christians, Ethiopian Orthodox and Eritrean Orthodox, and they practice circumcision as a rite of passage.


North Africa


Algeria

The male child circumcision rate in
Algeria ) , image_map = Algeria (centered orthographic projection).svg , map_caption = , image_map2 = , capital = Algiers , coordinates = , largest_city = capital , relig ...
is around 97.9%.


Egypt

The male child circumcision rate in
Egypt Egypt ( ar, مصر , ), officially the Arab Republic of Egypt, is a List of transcontinental countries, transcontinental country spanning the North Africa, northeast corner of Africa and Western Asia, southwest corner of Asia via a land bridg ...
is around 94%. Circumcision is near-universal among Coptic Christians, and they practice circumcision as a rite of passage.


Libya

The male circumcision rate in
Libya Libya (; ar, ليبيا, Lībiyā), officially the State of Libya ( ar, دولة ليبيا, Dawlat Lībiyā), is a country in the Maghreb region in North Africa. It is bordered by the Mediterranean Sea to the north, Egypt to the east, Suda ...
is estimated to be 96.6%.


Morocco

The male circumcision rate in
Morocco Morocco (),, ) officially the Kingdom of Morocco, is the westernmost country in the Maghreb region of North Africa. It overlooks the Mediterranean Sea to the north and the Atlantic Ocean to the west, and has land borders with Algeria to A ...
is estimated to be 99.9%. Historically, circumcision in Morocco was performed by barbers, but is now done by medical surgeons. The circumcision of Prince Moulay Hassan, almost two years old at the time, prompted thousands of other young boys to be circumcised. The procedure is considered "purification" (t'hara) by Muslims.


Sudan

The male circumcision rate in
Sudan Sudan ( or ; ar, السودان, as-Sūdān, officially the Republic of the Sudan ( ar, جمهورية السودان, link=no, Jumhūriyyat as-Sūdān), is a country in Northeast Africa. It shares borders with the Central African Republic t ...
is estimated to be 39.4%.


Tunisia

The male child circumcision rate in
Tunisia ) , image_map = Tunisia location (orthographic projection).svg , map_caption = Location of Tunisia in northern Africa , image_map2 = , capital = Tunis , largest_city = capital , ...
is around 99.8%.


Western Sahara

The male circumcision rate in
Western Sahara Western Sahara ( '; ; ) is a disputed territory on the northwest coast and in the Maghreb region of North and West Africa. About 20% of the territory is controlled by the self-proclaimed Sahrawi Arab Democratic Republic (SADR), while the ...
is estimated to be 99.6%.


West Africa


Benin

The male circumcision rate in
Benin Benin ( , ; french: Bénin , ff, Benen), officially the Republic of Benin (french: République du Bénin), and formerly Dahomey, is a country in West Africa. It is bordered by Togo to the west, Nigeria to the east, Burkina Faso to the nort ...
is estimated to be 92.9%.


Burkina Faso

The male circumcision rate in
Burkina Faso Burkina Faso (, ; , ff, 𞤄𞤵𞤪𞤳𞤭𞤲𞤢 𞤊𞤢𞤧𞤮, italic=no) is a landlocked country in West Africa with an area of , bordered by Mali to the northwest, Niger to the northeast, Benin to the southeast, Togo and Ghana t ...
is estimated to be 88.3%.


Gambia

The male circumcision rate in
The Gambia The Gambia,, ff, Gammbi, ar, غامبيا officially the Republic of The Gambia, is a country in West Africa. It is the smallest country within mainland AfricaHoare, Ben. (2002) ''The Kingfisher A-Z Encyclopedia'', Kingfisher Publicatio ...
is estimated to be 94.5%.


Ghana

The male child circumcision rate in
Ghana Ghana (; tw, Gaana, ee, Gana), officially the Republic of Ghana, is a country in West Africa. It abuts the Gulf of Guinea and the Atlantic Ocean to the south, sharing borders with Ivory Coast in the west, Burkina Faso in the north, and Tog ...
is around 95%, with operations performed in hospitals and clinics. However, there are some variations in the country. For example, circumcision is less common in Ghana's
Upper West Region The Upper West Region of Ghana is located in the north-western corner of Ghana and is bordered by Upper East region to the east, Northern region to the south, and Burkina Faso to the west and north. The Upper West regional capital and largest se ...
, at 68%.


Guinea

The male circumcision rate in
Guinea Guinea ( ),, fuf, 𞤘𞤭𞤲𞤫, italic=no, Gine, wo, Gine, nqo, ߖߌ߬ߣߍ߫, bm, Gine officially the Republic of Guinea (french: République de Guinée), is a coastal country in West Africa. It borders the Atlantic Ocean to the we ...
is estimated to be 84.2%.


Guinea-Bissau

The male circumcision rate in
Guinea-Bissau Guinea-Bissau ( ; pt, Guiné-Bissau; ff, italic=no, 𞤘𞤭𞤲𞤫 𞤄𞤭𞤧𞤢𞥄𞤱𞤮, Gine-Bisaawo, script=Adlm; Mandinka: ''Gine-Bisawo''), officially the Republic of Guinea-Bissau ( pt, República da Guiné-Bissau, links=no ) ...
is estimated to be 93.3%.


Ivory Coast

The male circumcision rate in
Ivory Coast Ivory Coast, also known as Côte d'Ivoire, officially the Republic of Côte d'Ivoire, is a country on the southern coast of West Africa. Its capital is Yamoussoukro, in the centre of the country, while its largest city and economic centre i ...
is around 95%, with operations conducted in hospitals and health clinics.


Liberia

Almost all men (98 percent) in
Liberia Liberia (), officially the Republic of Liberia, is a country on the West African coast. It is bordered by Sierra Leone to Liberia–Sierra Leone border, its northwest, Guinea to Guinea–Liberia border, its north, Ivory Coast to Ivory Coast ...
are circumcised, with operations carried out in hospitals and health clinics.


Mali

The male circumcision rate in
Mali Mali (; ), officially the Republic of Mali,, , ff, 𞤈𞤫𞤲𞥆𞤣𞤢𞥄𞤲𞤣𞤭 𞤃𞤢𞥄𞤤𞤭, Renndaandi Maali, italics=no, ar, جمهورية مالي, Jumhūriyyāt Mālī is a landlocked country in West Africa. Ma ...
is estimated to be 86%.


Mauritania

The male circumcision rate in
Mauritania Mauritania (; ar, موريتانيا, ', french: Mauritanie; Berber: ''Agawej'' or ''Cengit''; Pulaar: ''Moritani''; Wolof: ''Gànnaar''; Soninke:), officially the Islamic Republic of Mauritania ( ar, الجمهورية الإسلامية ...
is estimated to be 99.2%.


Niger

The male circumcision rate in
Niger ) , official_languages = , languages_type = National languages


Nigeria

The male circumcision rate in
Nigeria Nigeria ( ), , ig, Naìjíríyà, yo, Nàìjíríà, pcm, Naijá , ff, Naajeeriya, kcg, Naijeriya officially the Federal Republic of Nigeria, is a country in West Africa. It is situated between the Sahel to the north and the Gulf o ...
is estimated to be 98.9%. Nigerian culture favours circumcising baby boys when they are aged between eight and forty days. Neonatal (child) circumcision is performed on more than 85% of boys in
Nigeria Nigeria ( ), , ig, Naìjíríyà, yo, Nàìjíríà, pcm, Naijá , ff, Naajeeriya, kcg, Naijeriya officially the Federal Republic of Nigeria, is a country in West Africa. It is situated between the Sahel to the north and the Gulf o ...
, Western Africa, and the majority of procedures are done by nurses (56%) and doctors (35%), with a small proportion (9%) performed by traditional practitioners (2). The reasons are cultural and religious.


Senegal

The male circumcision rate in
Senegal Senegal,; Wolof: ''Senegaal''; Pulaar: 𞤅𞤫𞤲𞤫𞤺𞤢𞥄𞤤𞤭 (Senegaali); Arabic: السنغال ''As-Sinighal'') officially the Republic of Senegal,; Wolof: ''Réewum Senegaal''; Pulaar : 𞤈𞤫𞤲𞤣𞤢𞥄𞤲𞤣𞤭 ...
is estimated to be 93.5%.


Sierra Leone

The male circumcision rate in
Sierra Leone Sierra Leone,)]. officially the Republic of Sierra Leone, is a country on the southwest coast of West Africa. It is bordered by Liberia to the southeast and Guinea surrounds the northern half of the nation. Covering a total area of , Sierr ...
, estimated in 2016, is around 96.1%, with operations carried out in hospitals and health clinics.


Togo

The male circumcision rate in
Togo Togo (), officially the Togolese Republic (french: République togolaise), is a country in West Africa. It is bordered by Ghana to the west, Benin to the east and Burkina Faso to the north. It extends south to the Gulf of Guinea, where its c ...
is estimated to be 95.2%.


Central Africa


Cameroon

The male child circumcision rate in
Cameroon Cameroon (; french: Cameroun, ff, Kamerun), officially the Republic of Cameroon (french: République du Cameroun, links=no), is a country in west-central Africa. It is bordered by Nigeria to the west and north; Chad to the northeast; the ...
is around 90%, in common with other countries of West and North Africa, with operations performed in hospitals and clinics.


Central African Republic

The male circumcision rate in the
Central African Republic The Central African Republic (CAR; ; , RCA; , or , ) is a landlocked country in Central Africa. It is bordered by Chad to the north, Sudan to the northeast, South Sudan to the southeast, the DR Congo to the south, the Republic of th ...
is estimated to be 63%.


Chad

The male circumcision rate in
Chad Chad (; ar, تشاد , ; french: Tchad, ), officially the Republic of Chad, '; ) is a landlocked country at the crossroads of North and Central Africa. It is bordered by Libya to the north, Sudan to the east, the Central African Republic ...
is estimated to be 73.5%.


Democratic Republic of Congo

The male circumcision rate in the
Democratic Republic of the Congo The Democratic Republic of the Congo (french: République démocratique du Congo (RDC), colloquially "La RDC" ), informally Congo-Kinshasa, DR Congo, the DRC, the DROC, or the Congo, and formerly and also colloquially Zaire, is a country in ...
is estimated to be 97.2%.


Equatorial Guinea

The male circumcision rate in
Equatorial Guinea Equatorial Guinea ( es, Guinea Ecuatorial; french: Guinée équatoriale; pt, Guiné Equatorial), officially the Republic of Equatorial Guinea ( es, link=no, República de Guinea Ecuatorial, french: link=no, République de Guinée équatoria ...
is estimated to be 87%.


Gabon

The male circumcision rate in
Gabon Gabon (; ; snq, Ngabu), officially the Gabonese Republic (french: République gabonaise), is a country on the west coast of Central Africa. Located on the equator, it is bordered by Equatorial Guinea to the northwest, Cameroon to the nort ...
is estimated to be 99.9%.


Rwanda

The male circumcision rate in
Rwanda Rwanda (; rw, u Rwanda ), officially the Republic of Rwanda, is a landlocked country in the Great Rift Valley of Central Africa, where the African Great Lakes region and Southeast Africa converge. Located a few degrees south of the Equator ...
is estimated to be 13.3%. Rwanda previously had a lower rate of circumcision, similar to South Africa. In both nations, there has been introduced a "safe" PrePex device which claims to involves no pain nor bleeding. The Government of Rwanda wishes to fight HIV. However, complications have occurred after a few of the circumcisions, including death. Rwanda Ministry of Health denies that the deaths occurred from the result of circumcision.


Republic of Congo

The male circumcision rate in the
Republic of the Congo The Republic of the Congo (french: République du Congo, ln, Republíki ya Kongó), also known as Congo-Brazzaville, the Congo Republic or simply either Congo or the Congo, is a country located in the western coast of Central Africa to the w ...
is estimated to be 70%.


South Sudan

The male circumcision rate in the newly-established nation state of
South Sudan South Sudan (; din, Paguot Thudän), officially the Republic of South Sudan ( din, Paankɔc Cuëny Thudän), is a landlocked country in East Africa. It is bordered by Ethiopia, Sudan, Central African Republic, Democratic Republic of th ...
is estimated to be 23.6%. Agar
Dinka The Dinka people ( din, Jiɛ̈ɛ̈ŋ) are a Nilotic ethnic group native to South Sudan with a sizable diaspora population abroad. The Dinka mostly live along the Nile, from Jonglei to Renk, in the region of Bahr el Ghazal, Upper Nile (two out ...
do not circumcise.


East Africa

Bantu Bantu may refer to: *Bantu languages, constitute the largest sub-branch of the Niger–Congo languages *Bantu peoples, over 400 peoples of Africa speaking a Bantu language * Bantu knots, a type of African hairstyle * Black Association for Nationa ...
circumcisions have been declining. The Luo do not circumcise.


Burundi

The male circumcision rate in
Burundi Burundi (, ), officially the Republic of Burundi ( rn, Repuburika y’Uburundi ; Swahili: ''Jamuhuri ya Burundi''; French: ''République du Burundi'' ), is a landlocked country in the Great Rift Valley at the junction between the African Gr ...
is estimated to be 61.7%.


Djibouti

The male circumcision rate in
Djibouti Djibouti, ar, جيبوتي ', french: link=no, Djibouti, so, Jabuuti officially the Republic of Djibouti, is a country in the Horn of Africa, bordered by Somalia to the south, Ethiopia to the southwest, Eritrea in the north, and the Red ...
is estimated to be 96.5%.


Ethiopia

The male circumcision rate in
Ethiopia Ethiopia, , om, Itiyoophiyaa, so, Itoobiya, ti, ኢትዮጵያ, Ítiyop'iya, aa, Itiyoppiya officially the Federal Democratic Republic of Ethiopia, is a landlocked country in the Horn of Africa. It shares borders with Eritrea to the ...
is estimated to be 92.2%. The
Ethiopian Orthodox Church The Ethiopian Orthodox Tewahedo Church ( am, የኢትዮጵያ ኦርቶዶክስ ተዋሕዶ ቤተ ክርስቲያን, ''Yäityop'ya ortodoks täwahedo bétäkrestyan'') is the largest of the Oriental Orthodox Churches. One of the few Chris ...
calls for circumcision, with near-universal prevalence among Orthodox men in Ethiopia.


Eritrea

The male circumcision rate in
Eritrea Eritrea ( ; ti, ኤርትራ, Ertra, ; ar, إرتريا, ʾIritriyā), officially the State of Eritrea, is a country in the Horn of Africa region of Eastern Africa, with its capital and largest city at Asmara. It is bordered by Ethiopi ...
is estimated to be 97.2%. Eritrean Orthodox practice circumcision as a rite of passage, and they circumcise their sons "anywhere from the first week of life to the first few year".


Kenya

The male circumcision rate in
Kenya ) , national_anthem = " Ee Mungu Nguvu Yetu"() , image_map = , map_caption = , image_map2 = , capital = Nairobi , coordinates = , largest_city = Nairobi , ...
is around 84%, with operations performed in hospitals and clinics. In traditional circumcisions, often the same knife is used for many initiates. This is thought to contribute to the spread of HIV. In addition to traditional circumcision, the men of Africa enjoyed "benefits" such as young men became members of the warrior class, and were free to date and marry. The graduates became a fraternity which served together, and continued to have mutual obligation to each other for life. In the modern context in East Africa, the physical element of male circumcision remains (in the societies that have historically practiced it) but without most of the other accompanying rites, context, and programs. For many, the operation is now performed in private on one individual, in a hospital or doctor's office. Anesthesia is often used in such settings. There are tribes, however, that do not accept this modernized practice. They insist on circumcision in a group ceremony, and a test of courage at the banks of a river. This more traditional approach is common amongst the
Meru Meru may refer to: Geography Kenya * Meru, Kenya, a city in Meru County, Kenya ** Meru County, created by the merger of *** Meru Central District *** Meru North District *** Meru South District * Meru National Park, a Kenyan wildlife park Tanz ...
and the Kisii tribes of Kenya. One boy in Meru County, Kenya was assaulted by other boys because they wanted him to be circumcised in a traditional ceremony as opposed to in a hospital. Amongst the Gikuyu (
Kikuyu Kikuyu or Gikuyu (Gĩkũyũ) mostly refers to an ethnic group in Kenya or its associated language. It may also refer to: *Kikuyu people, a majority ethnic group in Kenya *Kikuyu language, the language of Kikuyu people *Kikuyu, Kenya, a town in Centr ...
) people of Kenya and the
Maasai people The Maasai (; sw, Wamasai) are a Nilotic ethnic group inhabiting northern, central and southern Kenya and northern Tanzania. They are among the best-known local populations internationally due to their residence near the many game parks of t ...
of Kenya and
Tanzania Tanzania (; ), officially the United Republic of Tanzania ( sw, Jamhuri ya Muungano wa Tanzania), is a country in East Africa within the African Great Lakes region. It borders Uganda to the north; Kenya to the northeast; Comoro Islands ...
, male circumcision has historically been the graduation element of an educational program which taught tribal beliefs, practices, culture, religion and history to youth who were on the verge of becoming full-fledged members of society. The circumcision ceremony was very public, and required a display of courage under the knife in order to maintain the honor and prestige of the young man and his family. The only form of anesthesia was a bath in the cold morning waters of a river, which tended to numb the senses to a minor degree. The youths being circumcised were required to maintain a stoic expression and not to flinch from the pain. Despite the loss of the rites and ceremonies that accompanied male circumcision in the past, the physical operation remains crucial to personal identity and pride, and acceptance in society. Uncircumcised men in these communities risk being "outed", and subjected to ridicule as "boys". There have been many cases of
forced circumcision Forced circumcision is the circumcision of men and children against their will. In a biblical context, the term is used especially in relation to Paul the Apostle and his polemics against the circumcision controversy in early Christianity. Forc ...
of men from such communities who are discovered to have escaped the ritual. Those who do not want to be circumcised seek refuge in Kenya's police stations. Traditional circumcision is practiced among the
Bukusu The Bukusu people ( Bukusu: ''Babukusu'') are one of the seventeen Kenyan tribes of the Luhya Bantu people of East Africa residing mainly in the counties of Bungoma and Trans Nzoia. They are closely related to other Luhya people and the Gisu o ...
people of Kenya. Ceremonies usually take place in August. They involve the use of mud. This is used to prevent excessive bleeding after the cut, to prevent wincing, and to commemorate a traditional legend. Amongst the
Maasai people The Maasai (; sw, Wamasai) are a Nilotic ethnic group inhabiting northern, central and southern Kenya and northern Tanzania. They are among the best-known local populations internationally due to their residence near the many game parks of t ...
of
Kenya ) , national_anthem = " Ee Mungu Nguvu Yetu"() , image_map = , map_caption = , image_map2 = , capital = Nairobi , coordinates = , largest_city = Nairobi , ...
and
Tanzania Tanzania (; ), officially the United Republic of Tanzania ( sw, Jamhuri ya Muungano wa Tanzania), is a country in East Africa within the African Great Lakes region. It borders Uganda to the north; Kenya to the northeast; Comoro Islands ...
, male circumcision has historically been the graduation element of an educational program which taught tribal beliefs, practices, culture, religion and history to youth who were on the verge of becoming full-fledged members of society. The circumcision ceremony was very public, and required a display of courage under the knife in order to maintain the honor and prestige of the young man and his family. The only form of anesthesia was a bath in the cold morning waters of a river, which tended to numb the senses to a minor degree. The youths being circumcised were required to maintain a stoic expression and not to flinch from the pain. The Turkana tribe do not perform ritual circumcision.


Madagascar

The male circumcision rate in the island nation of
Madagascar Madagascar (; mg, Madagasikara, ), officially the Republic of Madagascar ( mg, Repoblikan'i Madagasikara, links=no, ; french: République de Madagascar), is an island country in the Indian Ocean, approximately off the coast of East Afric ...
is estimated to be 94.7%.


Mauritius

The male circumcision rate in the island nation of
Mauritius Mauritius ( ; french: Maurice, link=no ; mfe, label= Mauritian Creole, Moris ), officially the Republic of Mauritius, is an island nation in the Indian Ocean about off the southeast coast of the African continent, east of Madagascar. It ...
is estimated to be 16.6%.


Somalia

The male circumcision rate in
Somalia Somalia, , Osmanya script: 𐒈𐒝𐒑𐒛𐒐𐒘𐒕𐒖; ar, الصومال, aṣ-Ṣūmāl officially the Federal Republic of SomaliaThe ''Federal Republic of Somalia'' is the country's name per Article 1 of thProvisional Constitut ...
is estimated to be 93.5%.


Tanzania

The male circumcision rate in
Tanzania Tanzania (; ), officially the United Republic of Tanzania ( sw, Jamhuri ya Muungano wa Tanzania), is a country in East Africa within the African Great Lakes region. It borders Uganda to the north; Kenya to the northeast; Comoro Islands ...
is estimated to be 72%. In 2015, the Johns Hopkins Program for International Education in Gynecology and Obstetrics, a non profit health association affiliated with
Johns Hopkins University Johns Hopkins University (Johns Hopkins, Hopkins, or JHU) is a private research university in Baltimore, Maryland. Founded in 1876, Johns Hopkins is the oldest research university in the United States and in the western hemisphere. It consi ...
, completed a voluntary circumcision project, covering three traditionally non-circumcising Tanzanian regions,
Iringa Iringa is a city in Tanzania with a population of 151,345 (). It is situated at a latitude of 7.77°S and longitude of 35.69°E. The name is derived from the Hehe word ''lilinga'', meaning fort. Iringa is the administrative capital of Iringa ...
, Njombe and
Tabora Tabora is the capital of Tanzania's Tabora Region and is classified as a municipality by the Tanzanian government. It is also the administrative seat of Tabora Urban District. According to the 2012 census, the district had a population of 226,999 ...
, which circumcised 400,000 men. It was done in collaboration with the National AIDS Control Programme. They offered the services in 500 health facilities across the three regions. Mobile health clinics have been launched, funded by
USAID The United States Agency for International Development (USAID) is an independent agency of the U.S. federal government that is primarily responsible for administering civilian foreign aid and development assistance. With a budget of over $27 bi ...
, to offer circumcision and sexual health advice to adult men. Efforts are being made to scale up circumcision where there is low prevalence of circumcision; the areas cited are:
Iringa Iringa is a city in Tanzania with a population of 151,345 (). It is situated at a latitude of 7.77°S and longitude of 35.69°E. The name is derived from the Hehe word ''lilinga'', meaning fort. Iringa is the administrative capital of Iringa ...
,
Tabora Tabora is the capital of Tanzania's Tabora Region and is classified as a municipality by the Tanzanian government. It is also the administrative seat of Tabora Urban District. According to the 2012 census, the district had a population of 226,999 ...
, Mbeya, Songwe,
Rukwa Rukwa Region (''Mkoa wa Rukwa'' in Swahili) is one of Tanzania's 31 administrative regions with a postcode number 55000. The regional capital is the municipality of Sumbawanga. According to the 2012 national census, the region had a population ...
, Katavi, Shinyanga, Simiyu,
Mwanza Mwanza City, also known as Rock City to the residents, is a port city and capital of Mwanza Region on the southern shore of Lake Victoria in north-western Tanzania. With an urban population of 1,182,000 in 2021, it is Tanzania's second largest c ...
, Geita, Kagera and Musoma. Following this,
Singida Singida is a town in central Tanzania. The town is the location of the regional headquarters of Singida Region as well as the district headquarters of Singida Urban District. The region and district are named after the town. Transport Road l ...
, Kigoma,
Mara Mara or MARA may refer to: Animals *Mara (mammal), a species of the cavy family *Mara the Lioness, in the movie ''Born Free'' Arts and entertainment Fictional characters * Mara (''Doctor Who''), an evil being in two ''Doctor Who'' serials *Mara, ...
and Morogoro will also see efforts to scale up circumcision Amongst the
Maasai people The Maasai (; sw, Wamasai) are a Nilotic ethnic group inhabiting northern, central and southern Kenya and northern Tanzania. They are among the best-known local populations internationally due to their residence near the many game parks of t ...
of
Kenya ) , national_anthem = " Ee Mungu Nguvu Yetu"() , image_map = , map_caption = , image_map2 = , capital = Nairobi , coordinates = , largest_city = Nairobi , ...
and
Tanzania Tanzania (; ), officially the United Republic of Tanzania ( sw, Jamhuri ya Muungano wa Tanzania), is a country in East Africa within the African Great Lakes region. It borders Uganda to the north; Kenya to the northeast; Comoro Islands ...
, male circumcision has historically been the graduation element of an educational program which taught tribal beliefs, practices, culture, religion and history to youth who were on the verge of becoming full-fledged members of society. The circumcision ceremony was very public, and required a display of courage under the knife in order to maintain the honor and prestige of the young man and his family. The only form of anesthesia was a bath in the cold morning waters of a river, which tended to numb the senses to a minor degree. The youths being circumcised were required to maintain a stoic expression and not to flinch from the pain.


Uganda

The male circumcision rate in
Uganda }), is a landlocked country in East Africa. The country is bordered to the east by Kenya, to the north by South Sudan, to the west by the Democratic Republic of the Congo, to the south-west by Rwanda, and to the south by Tanzania. The ...
is estimated to be 26.7%. In Uganda, circumcision is performed for religious, cultural, and medical reasons. Medical related circumcision is mainly to reduce the transmission of human immunodeficiency virus and sexually transmitted illnesses. It is performed by non-physicians, including for infants and neonates. In Uganda, Sebei, Bagisu, Baamba, and Bakonzo ethnic groups practice TMC. As of 2012, 70% of Ugandan men are not circumcised. Around 10% of Ugandan men belong to groups which practice traditional male circumcision. The age range for eastern Ugandan candidates is relatively older (14–18 years) than that of western Uganda (2–15 years). The cost of TMC varies from UGX 5,000 to 40,000, or approximately US$2.00 to 16.00 (Uganda GDP per capita is US$1,300.00). The candidate's parents are responsible for the payment, although the price is negotiable and depends on the family's financial ability. Those who undertake a hospital circumcision rather than a traditional circumcision are said to be shunned by their community. The
Gisu people The Gisu people, or ''Bamasaba'' people of Elgon, are a Bantu tribe of the Masaba people of eastern Uganda, closely related to the Bukusu people of Kenya. Bamasaba live mainly in the Mbale District of Uganda on the slopes of Mount Elgon. Ancesto ...
of Uganda are closely related to the Bukusu and also practice circumcision. In Uganda, a circumcision ceremony is called Imbalu.


Southern Africa

Bantu Bantu may refer to: *Bantu languages, constitute the largest sub-branch of the Niger–Congo languages *Bantu peoples, over 400 peoples of Africa speaking a Bantu language * Bantu knots, a type of African hairstyle * Black Association for Nationa ...
circumcisions have been declining.


Angola

The male circumcision rate in
Angola , national_anthem = "Angola Avante"() , image_map = , map_caption = , capital = Luanda , religion = , religion_year = 2020 , religion_ref = , coordinat ...
is estimated to be 57.5%.


Botswana

The male circumcision rate in
Botswana Botswana (, ), officially the Republic of Botswana ( tn, Lefatshe la Botswana, label= Setswana, ), is a landlocked country in Southern Africa. Botswana is topographically flat, with approximately 70 percent of its territory being the Kal ...
is estimated to be 15.1%.


Comoros

The male circumcision rate in the island nation of The Comoros is estimated to be 99.4%.


Eswatini

The male circumcision rate in
Eswatini Eswatini ( ; ss, eSwatini ), officially the Kingdom of Eswatini and formerly named Swaziland ( ; officially renamed in 2018), is a landlocked country in Southern Africa. It is bordered by Mozambique to its northeast and South Africa to its no ...
is estimated to be 8.2%.


Lesotho

The male circumcision rate in
Lesotho Lesotho ( ), officially the Kingdom of Lesotho, is a country landlocked as an enclave in South Africa. It is situated in the Maloti Mountains and contains the highest mountains in Southern Africa. It has an area of over and has a population ...
is estimated to be 52%.


Malawi

The male circumcision rate in
Malawi Malawi (; or aláwi Tumbuka: ''Malaŵi''), officially the Republic of Malawi, is a landlocked country in Southeastern Africa that was formerly known as Nyasaland. It is bordered by Zambia to the west, Tanzania to the north and northe ...
is estimated to be 21.6%. In the South of Malawi, the Yao and Lomwe tribes practice tribal circumcision. There are fears that there is a heightened risk of spreading human immunodeficiency virus as the surgeons use the same blade and encourage boys to have sex with women after the ceremony.


Mozambique

The male circumcision rate in
Mozambique Mozambique (), officially the Republic of Mozambique ( pt, Moçambique or , ; ny, Mozambiki; sw, Msumbiji; ts, Muzambhiki), is a country located in southeastern Africa bordered by the Indian Ocean to the east, Tanzania to the north, Malawi ...
is estimated to be 47.4%.


Namibia

The male circumcision rate in
Namibia Namibia (, ), officially the Republic of Namibia, is a country in Southern Africa. Its western border is the Atlantic Ocean. It shares land borders with Zambia and Angola to the north, Botswana to the east and South Africa to the south and ea ...
is estimated to be 25.5%.


South Africa

The male circumcision rate in
South Africa South Africa, officially the Republic of South Africa (RSA), is the southernmost country in Africa. It is bounded to the south by of coastline that stretch along the South Atlantic and Indian Oceans; to the north by the neighbouring coun ...
is estimated to be 44.7%. In some South African ethnic groups, circumcision has roots in several belief systems, and is performed most of the time on teenage boys:
The young men in the eastern Cape belong to the Xhosa ethnic group for whom circumcision is considered part of the passage into manhood. ... A law was recently introduced requiring initiation schools to be licensed and only allowing circumcisions to be performed on youths aged 18 and older. But Eastern Cape provincial Health Department spokesman Sizwe Kupelo told Reuters news agency that boys as young as 11 had died. Each year thousands of young men go into the bush alone, without water, to attend initiation schools. Many do not survive the ordeal.
According to one article, as of December 2015, 10 million men have undergone voluntary circumcision in East and Southern Africa. since 2008. In 2017, celebrities were recruited to launch the "man up" campaign to encourage more men to get circumcised. South Africa refuses infant circumcisions, but with mixed reception. Additionally, they have boycotted "Do-It-Yourself" Circumcision devices, but only the ones made in Israel which was part of an already-existing boycott of Israel.


Zambia

The male circumcision rate in
Zambia Zambia (), officially the Republic of Zambia, is a landlocked country at the crossroads of Central, Southern and East Africa, although it is typically referred to as being in Southern Africa at its most central point. Its neighbours are t ...
is estimated to be 12.8%. In Zambia there is a circumcision programme underway because some believe it could reduce the transmission of human immunodeficiency virus.


Zimbabwe

The male circumcision rate in
Zimbabwe Zimbabwe (), officially the Republic of Zimbabwe, is a landlocked country located in Southeast Africa, between the Zambezi and Limpopo Rivers, bordered by South Africa to the south, Botswana to the south-west, Zambia to the north, and ...
is estimated to be 9.2%.


Circumcision to prevent the spread of human immunodeficiency virus in Africa

WHO identified 14 countries with high rates of heterosexual human immunodeficiency virus transmission and historically low levels of male circumcision coverage (nationally or sub-nationally), and were priorities for scale-up. They are
Botswana Botswana (, ), officially the Republic of Botswana ( tn, Lefatshe la Botswana, label= Setswana, ), is a landlocked country in Southern Africa. Botswana is topographically flat, with approximately 70 percent of its territory being the Kal ...
,
Ethiopia Ethiopia, , om, Itiyoophiyaa, so, Itoobiya, ti, ኢትዮጵያ, Ítiyop'iya, aa, Itiyoppiya officially the Federal Democratic Republic of Ethiopia, is a landlocked country in the Horn of Africa. It shares borders with Eritrea to the ...
,
Kenya ) , national_anthem = " Ee Mungu Nguvu Yetu"() , image_map = , map_caption = , image_map2 = , capital = Nairobi , coordinates = , largest_city = Nairobi , ...
,
Lesotho Lesotho ( ), officially the Kingdom of Lesotho, is a country landlocked as an enclave in South Africa. It is situated in the Maloti Mountains and contains the highest mountains in Southern Africa. It has an area of over and has a population ...
,
Malawi Malawi (; or aláwi Tumbuka: ''Malaŵi''), officially the Republic of Malawi, is a landlocked country in Southeastern Africa that was formerly known as Nyasaland. It is bordered by Zambia to the west, Tanzania to the north and northe ...
,
Mozambique Mozambique (), officially the Republic of Mozambique ( pt, Moçambique or , ; ny, Mozambiki; sw, Msumbiji; ts, Muzambhiki), is a country located in southeastern Africa bordered by the Indian Ocean to the east, Tanzania to the north, Malawi ...
,
Namibia Namibia (, ), officially the Republic of Namibia, is a country in Southern Africa. Its western border is the Atlantic Ocean. It shares land borders with Zambia and Angola to the north, Botswana to the east and South Africa to the south and ea ...
,
Rwanda Rwanda (; rw, u Rwanda ), officially the Republic of Rwanda, is a landlocked country in the Great Rift Valley of Central Africa, where the African Great Lakes region and Southeast Africa converge. Located a few degrees south of the Equator ...
,
South Africa South Africa, officially the Republic of South Africa (RSA), is the southernmost country in Africa. It is bounded to the south by of coastline that stretch along the South Atlantic and Indian Oceans; to the north by the neighbouring coun ...
,
Eswatini Eswatini ( ; ss, eSwatini ), officially the Kingdom of Eswatini and formerly named Swaziland ( ; officially renamed in 2018), is a landlocked country in Southern Africa. It is bordered by Mozambique to its northeast and South Africa to its no ...
,
Uganda }), is a landlocked country in East Africa. The country is bordered to the east by Kenya, to the north by South Sudan, to the west by the Democratic Republic of the Congo, to the south-west by Rwanda, and to the south by Tanzania. The ...
,
Zambia Zambia (), officially the Republic of Zambia, is a landlocked country at the crossroads of Central, Southern and East Africa, although it is typically referred to as being in Southern Africa at its most central point. Its neighbours are t ...
,
Zimbabwe Zimbabwe (), officially the Republic of Zimbabwe, is a landlocked country located in Southeast Africa, between the Zambezi and Limpopo Rivers, bordered by South Africa to the south, Botswana to the south-west, Zambia to the north, and ...
and
Tanzania Tanzania (; ), officially the United Republic of Tanzania ( sw, Jamhuri ya Muungano wa Tanzania), is a country in East Africa within the African Great Lakes region. It borders Uganda to the north; Kenya to the northeast; Comoro Islands ...
. From 2008 to mid 2014, around 5.8 million men were circumcised as part of an effort to prevent HIV. PEPFAR (the US President's Emergency Fund for AIDS Relief) supported over 15 million circumcisions in 14 countries in Southern and Eastern Africa from 2007 to 2017. In 2020, the
World Health Organization The World Health Organization (WHO) is a specialized agency of the United Nations responsible for international public health. The WHO Constitution states its main objective as "the attainment by all peoples of the highest possible level o ...
(WHO) reiterated that male circumcision is an efficacious intervention for HIV prevention if carried out by medical professionals under safe conditions.


References

{{Africa in topic, Culture of African culture History of Africa Circumcision Body modification