medical male circumcision in kzn
DESCRIPTION
Medical Male Circumcision in KZN. 12 October 2010. Support KZN DOH in rapid scale up of MMC in all 11 districts Support delivery of comprehensive, safe, affordable, accessible MMC services Increase skills and capacity of health providers in provision of MMC - PowerPoint PPT PresentationTRANSCRIPT
Medical Male Circumcision in KZN
12 October 2010
Objectives Support KZN DOH in rapid scale up of MMC in all 11 districts Support delivery of comprehensive, safe, affordable,
accessible MMC services Increase skills and capacity of health providers in provision of
MMC Strengthen community structures that support implementation
of an integrated MMC Service delivery model Develop standardized guidelines, SOPs, tools, methods and
equipment for MMC service delivery Disseminate correct and consistent messaging around MMC Scale-up innovative and successful models of MMC service
delivery in other districts and provinces.
Training MatCH team of 4 doctors and 20 nurses trained in
forceps guided/MOVE model 3 sessional doctors trained @ OF 6 DOH staff (doctors & nurses) trained @ OF 20 M&E support staff eThekwini:
3 one-day trainings for 24 doctors and 300 nurses 292 counselors trained on MMC counseling 43 DOH M&E staff trained
On-site training @ camps/fixed sites 104 doctors & 345 nurses observed/participated in surgical
procedures*
* Data from 17 camps
Camps
2-day camps for males aged 14-25 during school holidays/long weekends
Recruitment through traditional leaders, local media, schools and HCWs
Screened at PHC (CT, STI, medical screening to determine eligibility & informed consent obtained)
Day 1: procedure Day 2: social and cultural program & follow up
assessment Day 7: follow up @ PHC
Results 23 camps in 11 districts since
June 2010 Supported by CHAPS, St
Mary’s, SFH, Africa Centre, Zuzimpilo, BRHC
Circumcised 3648 males 80% 15-24 years *Adverse Events (all 2%;
mod/severe < 0.5%) Mild - 42 Moderate -9 Severe -2
Age Number %
10-14 199 5
15-19 1928 53
20-24 987 27
25-34 349 10
35-49 50 1
50+ 9 0
Unknown age 126 3
* Data for 17 camps
Fixed Sites
eThekwini sites (Addington, St Aidens, PMMH, R K Khan, Wentworth, Osindisweni in process; still to set up MG, and KEH VIII, St Mary’s already functional) Providing equipment & supplies Support with M&E Mentoring & HR support
All KZN Districts - Diathermies, TA, IEC
Technical Assistance
Support to province in developing MMC implementation plan, including target setting
TA to facilities and all district offices in setting up fixed clinics and camps
SOPs for camps and fixed clinics in process
Challenges
National-Provincial communication Parallel roll-out of Tara Klamp Multiple requests for support of camps Set up & logistics for camps Limited by # diathermies & kits Power failures during camps DOH staff availability Data submission via DHIS & tracking follow up Impact of strike on fixed site set up Changes in leadership @ provincial level
Plans S2S vehicles, diathermies & kits Proposal for discretionary funds (R400 per circumcision)
from treasury Massive scale up at fixed sites in all districts – target
60,000 in 6 months Printing & distribution of national guidelines/IEC
materials MMC program manager & staff M&E support in all districts Tracking 7 day follow-up Integration of MMC into HCT program including linking
with schools MMC Train in partnership with Metrorail
NGIYABONGA
THANK YOU