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Between 2010 and 2012, Ayanda wrote several columns for Swazi newspapers on male circumcision. Ayanda brings over ten years of experience in social aspects of HIV, health systems, health policy, and strategies for male involvement in reproductive health issues. Ayanda has been active in training traditional care-givers on application of health standards during traditional male circumcision in South Africa. Ayanda has conducted his work in several languages spoken in Southern Africa. For over 15 years, Ayanda has committed himself to bridging the gap between understandings of health from Western to local traditional perspectives.
Mr. Ayanda Nqeketo is a director of [http://ikamvainstitute.org/ Ikamva Lesizwe Institute]. Ikamva Lesizwe Institute is a South African not-for-profit organization that was formed in 2016 to assist government and other concerned agencies in certain regions of the country, to facilitate and improve the implementation of both medical and traditional circumcision initiatives, among other things. Ikamva Lesizwe Institute’s approach to its work revolves around working with local communities and traditional leadership structures, to create an environment of consensus and mutual support. In addition to its founding directors, Ikamva’s intervention in communities relies on a number of stakeholders: medical practitioners, local facilitators or gatekeepers who assist in reaching and educating local people about pending medical intervention within traditional male circumcision. Ikamva teams in different localities work hand in hand with traditional custodians of [[TMC]] with respect and sensitivity to local cultures.<ref>{{REFdocument
|url=https://www.who.int/hiv/mediacentre/news/WHOVMMCGDG-Sep2018.pdf?ua=1
|title=Biographies of Guideline Development Group (GDG) members for WHO guidance