division of global hiv/aids, kenya
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Abstract no. MOPDE0104. Results and Service Delivery Trends in Kenya’s Voluntary Medical Male Circumcision Scale up from 2008-2011. Division of Global HIV/AIDS, Kenya. Z. Mwandi 1 , A Ochieng 2 , J Grund 3 , S Mwalili 1 , D Kimanga 2 , K Chesang 1 , N Bock 3 , N Knight 1 , “et al” 4 - PowerPoint PPT PresentationTRANSCRIPT
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Division of Global HIV/AIDS, Kenya
Results and Service Delivery Trends in Kenya’s Voluntary Medical Male
Circumcision Scale up from 2008-2011
Z. Mwandi1, A Ochieng2, J Grund3, S Mwalili1, D Kimanga2,
K Chesang1, N Bock3, N Knight1, “et al”4
1. Division of Global HIV/AIDS, U.S. Centers for Disease Control and Prevention, Nairobi, Kenya 2. National AIDS and STI Control Program, Ministry of Health, Kenya 3. Division of Global HIV/AIDS, U.S. Centers for Disease Control and Prevention, Atlanta, USA4. CDC Implementing Partners – IRDO, NRHS, FACES,EDARP
Abstract no. MOPDE0104
Presented at AIDS 2012Washington D.C.
July 23, 2012
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Results: Age and Cadre of Provider
2008 2009 2010 20110
20000
40000
60000
80000
100000
120000
140000
160000
17,770.026,272.0
14,898.0
25,383.0
64,997.0
111,960.0
5,854.0
15,874.0
22,672.0
<1-14 years 15-24 years
25+ years
Nu
mb
er
of
MC
s d
on
e (
tho
us
an
ds
)
MCs by Age 2008 - 2011
6,323
171,793
129,653
Medical officer
Clinical officer
Nurse
MCs by Cadre of provider
Clinical officers and Nurses performed 56% and 42% of Circumcisions respectively
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Results: HTC and Adverse Events in VMMC
2008 2009 2010 201150.0%
55.0%
60.0%
65.0%
70.0%
75.0%
80.0%
85.0%
90.0%
95.0%
100.0%
63.3%63.8%
73.1%
85.2%
Prop
ortio
n of
MC
Clie
nts
Rece
ivin
g H
TC
Proportion of VMMC clients counseled and tested for HIV, 2008-2011 (n=241,408)
0.0%
0.5%
1.0%
1.5%
2.0%
2.5%
1.41.2
0.4
0.8
2.3
1.5
0.0
1.3
0.9
0.0
0.7 0.7
2008
2009
2010
2011
Cadre of the Provider
Pro
port
ion o
f P
ost-
surg
ery
A
dvers
e
Events
Proportion of Adverse Events by Cadre of provider among VMMC clients follow ups, 2008-2011 (n=102,372)
Time in Years
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Coverage against 4 year targets,
2008-2011
2008 2009 2010 2011 -
10,000
20,000
30,000
40,000
50,000
60,000
- - 3,917
13,272
Western
17,189/57,000 (Coverage: 30.2% of 4-year, 50% of Dec. 2011)
2008 2009 2010 2011 -
20,000
40,000
60,000
80,000
100,000
120,000
5,356
30,936
67,421
101,678
Nyanza
205,391/426,500 (Coverage: 48.2% of 4-year, 86% of Dec. 2011)
2008 2009 2010 2011 -
10,000
20,000
30,000
40,000
50,000
60,000
- - 301 2,969
Rift Valley
3,270/188,500
(Coverage: 1.7% of 4-year, 3% of Dec. 2011 )
2008 2009 2010 2011 -
10,000
20,000
30,000
40,000
50,000
60,000
- 301
9,232 16,274
Nairobi
25,807/129,500 (Coverage: 19.9% of 4-year, 37% of Dec. 2011)
This is a result of
1. increases in circumcisions conducted by nurses,
2. increased HIV testing of clients and their partners, and
3. decreases in AEs among VMMC clients.
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The findings and conclusions of this report are those of the authors and do not necessarily represent the official position of CDC.
Division of Global HIV/AIDS, Kenya
Acknowledgements
VMMC task force members of Ministry of Health
PEPFAR VMMC TWG
VMMC clients
VMMC Implementing partners
PEPFAR