Mass Safe Male Circumcision: early lessons from a Ugandan urban site – a case study

logoThis paper was published in the PanAfrican Medical Journal on December 28th, 2012; read it here.

It has been proven in several randomised clinical trials that HIV transmission from female to male is reduced by at least 60% among circumcised males. The WHO recommends safe male circumcision (SMC) as part of a comprehensive HIV prevention package and PEPFAR has estimated that Uganda will need to perform 4.2m SMCs to reach the optimal 80% prevalence of adult males circumcised.

The objective of this study was to describe early lessons learnt at the start of the SMC programme in an urban Ugandan site (International Hospital Kampala), implemented through task shifting and a private public partnership (PPP) approach. A total of 3,000 males were circumcised in 27 days, over four months. The adverse events (AE) rate was 2.1%, all mild and reversible. The study indicated that the full SMC procedure can be safely task-shifted to non-physician clinicians.

IHK continues to use this task-shifted model and in the first 15 months successfully completed 15,000 SMCs. The IHK SMC programme passed an external safety and quality audit by PEPFAR in December 2012.

You can read the paper here.

About Kevin Duffy

Interim Management and Consulting - Global Healthcare Development. Kevin has over ten years of senior management experience in the delivery of healthcare services in Africa and South Asia. His current focus is on the strategic development of policy, guidance, and tools to help healthcare organisations achieve sustainable impact – balancing the need to become financially sustainable, with the mission of ensuring equitable access to affordable healthcare services.
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