MMC OVERVIEW

02 March 2011

DR SANDILE TSHABALALAMANAGER: MMC & TM PROGRAMME

BACKGROUND

His Majesty the King of the Zulus announced during uMkhosi woKweshwama that he is reviving the circumcision practice as an endeavor to strengthen the HIV prevention.

The Department of Health has integrated MMC as one of the strategies to strengthen HIV prevention in the province.

PROVINCIAL ROLL OUT (DEPARTMENT) Medical MC

Forceps guided method Tara klamp

CIRCUMCISIONS PERFORMED

Male circumcision performed on adult 15-49 years 25 193

Male circumcision performed on adult 50 years and older 277

Male circumcision performed on child 4 months to 14 years

1 978

Male circumcision performed on neonate 0-3 months 42

GRAND TOTAL 27490

+- 95% of circumcised males are HIV negative

ADVERSE

Circumcised adult 15-49 years who experienced moderate adverse events due to surgery 492

Circumcised adult 15-49 years who experienced severe adverse events due to surgery 38

Circumcised adult 50 years and older who experienced moderate adverse events due to surgery 36

Circumcised adult 50 years and older who experienced severe adverse events due to surgery 2

Circumcised child 4 months - 14 years who experienced moderate adverse events due to surgery 110

Circumcised child 4 months - 14 years who experienced severe adverse events due to surgery 5

Circumcised neonate 0-3 months who experienced moderate adverse events due to surgery 0

Circumcised neonate 0-3 months who experienced severe adverse events due to surgery 2

GRAND TOTAL 685

CHALLENGES & RECOMMENDATIONS

CHALLENGES

Shortage of staff

Reluctance of participation at facilities

Shortage of resources

RECOMMENDATIONS

Urgent creation of posts for the district roving teams

Facilities to mobilize the programme

Provision of resources at district level

Thank you