Stigma in some communities is the reason many young boys feel under pressure to attend illegal traditional initiation ceremonies – even going as far as risking their lives by refusing to be rescued when things go wrong.
During each initiation season, forums that monitor initiation schools (amabhoma) have their work cut out visiting schools and shutting down illegal ones that are run by unscrupulous and bogus ingcibi (traditional surgeons) who are not registered with the department of health.