piloting early infant male circumcision using two devices in zimbabwe: a randomized trial
DESCRIPTION
Piloting early infant male circumcision using two devices in Zimbabwe: A randomized trial. Mavhu W , Ncube G, Hatzold K, Weiss HA, Mugurungi O, Larke N, Mufuka J, Samkange CA, Sherman J, Madidi N, Cowan FM, Ticklay I, Gwinji G. Background and Methods. - PowerPoint PPT PresentationTRANSCRIPT
![Page 1: Piloting early infant male circumcision using two devices in Zimbabwe: A randomized trial](https://reader035.vdocument.in/reader035/viewer/2022062500/56815377550346895dc17cdf/html5/thumbnails/1.jpg)
Piloting early infant male circumcision using two devices in Zimbabwe: A randomized
trial
Mavhu W, Ncube G, Hatzold K, Weiss HA, Mugurungi O, Larke N, Mufuka J, Samkange CA, Sherman J, Madidi N,
Cowan FM, Ticklay I, Gwinji G
![Page 2: Piloting early infant male circumcision using two devices in Zimbabwe: A randomized trial](https://reader035.vdocument.in/reader035/viewer/2022062500/56815377550346895dc17cdf/html5/thumbnails/2.jpg)
Background and Methods
• Zimbabwe MoH piloting safety & acceptability of EIMC using devices
• Trial randomization 2:1 to either AccuCirc device or Mogen clamp
• Total sample size 150 (100 AccuCirc; 50 Mogen clamp)
• EIMC performed by doctors
![Page 3: Piloting early infant male circumcision using two devices in Zimbabwe: A randomized trial](https://reader035.vdocument.in/reader035/viewer/2022062500/56815377550346895dc17cdf/html5/thumbnails/3.jpg)
Mogen clamp and AccuCirc device
![Page 4: Piloting early infant male circumcision using two devices in Zimbabwe: A randomized trial](https://reader035.vdocument.in/reader035/viewer/2022062500/56815377550346895dc17cdf/html5/thumbnails/4.jpg)
Results
• 13% (150/1,151) of all eligible male infants whose parents were offered EIMC enrolled in the trial
• 150 infants aged 6-54 days circumcised 9 Jan- 19
June 2013 (23 weeks)
• 2 moderate AEs in AccuCirc arm (95% CI 0.4-7.7%); none in Mogen clamp arm (95% CI 0.0-8.9%)
![Page 5: Piloting early infant male circumcision using two devices in Zimbabwe: A randomized trial](https://reader035.vdocument.in/reader035/viewer/2022062500/56815377550346895dc17cdf/html5/thumbnails/5.jpg)
Parental SatisfactionCharacteristic AccuCirc Device
(N=100)Mogen Clamp
(N=50)Mothers’ satisfaction
(0-10)<=5 1 (1%) 0 (0%)
6-8 2 (2%) 3 (6%)
9 7 (7%) 2 (4%)
10 90 (90%) 45 (90%)
Mother would recommend
98 (98%) 50 (100%)
Mother would have next son circumcised
99 (99%) 50 (100%)
![Page 6: Piloting early infant male circumcision using two devices in Zimbabwe: A randomized trial](https://reader035.vdocument.in/reader035/viewer/2022062500/56815377550346895dc17cdf/html5/thumbnails/6.jpg)
Discussion
• It is feasible and safe to offer EIMC using devices in Zimbabwe
• Despite the health benefits of EIMC, actual uptake remains low
• However, parental satisfaction with the procedure and the outcome is very high
• Culturally appropriate EIMC demand-creation activities need to be developed and introduced to support scale-up
![Page 7: Piloting early infant male circumcision using two devices in Zimbabwe: A randomized trial](https://reader035.vdocument.in/reader035/viewer/2022062500/56815377550346895dc17cdf/html5/thumbnails/7.jpg)
Acknowledgements
• Study staff• Research participants
• Study being conducted at Edith Opperman & Mabvuku clinics
• Study funded by BMGF through PSI-Zimbabwe
![Page 8: Piloting early infant male circumcision using two devices in Zimbabwe: A randomized trial](https://reader035.vdocument.in/reader035/viewer/2022062500/56815377550346895dc17cdf/html5/thumbnails/8.jpg)
Thank You!