Manual for Male Circumcision under Local Anaesthesia

Male circumcision under local anaesthesia
Version 3.1(Dec09)
and developed countries. The manual and materials were reviewed by actual and potential
providers of male circumcision services representing a range of health care and cultural
settings where demand for male circumcision services is high.
This manual is one of several documents and guidelines developed by WHO, UNAIDS and
partners to assist countries develop and implement programmes for safe medical male
circumcision for HIV prevention within the context of their existing HIV prevention activities,
and sexual and reproductive health programmes. All documents can be downloaded from
the Clearinghouse on Male Circumcision for HIV Prevention (www.malecircumcision.org), a
web site created to share technical and policy guidance, knowledge, tools and experience
relevant to implementing male circumcision programmes. The most relevant documents
include:
New data on male circumcision and HIV prevention: Policy and programme
implications − provides guidance to policy makers and programme managers on
issues that need to be considered and addressed when planning for programme
scale-up.
Operational guidance for scaling up male circumcision services for HIV prevention.
This document provides operational and programmatic guidance to decision-makers,
programme managers and technical support agencies on scaling up programmes in
the public and private sectors.
Male Circumcision Quality Assurance: A Guide to Enhancing the Safety and Quality
of Services − outlines the roles and responsibilities of national and district
programme managers for implementing safe quality male circumcision services and
provides guidance for the planning of a national quality assurance programme. It
defines ten quality standards against which the quality of services can be measured
and used as part of a continuous process of service improvement. The guide is
supplemented by the Male circumcision services quality assessment toolkit which is
used by facility managers and providers to assess their own performance. It can be
used by national and district managers to conduct external assessments of facilities.
The toolkit includes a scoring tool, into which users can enter assessment findings
and monitor progress towards meeting the standards.
Considerations for implementing models for optimizing the volume and efficiency of
male circumcision services for HIV prevention. This document provides guidance to
help programmes improve the efficiency of clinical and surgical activities so that they
can strengthen their capacity to meet demand for male circumcision services. It
addresses clinical techniques, staffing, facility space, client scheduling and flow,
commodities management, cost efficiencies, and quality assurance. It also includes
detailed model lists of equipment and supplies required to support a male
circumcision programme.
A guide to indicators for male circumcision programmes in the formal health care
system lists indicators that programmes can use to monitor and evaluate progress
towards their programme objectives. Adaptable to different country situations, the
guide includes indicators of demand for, and supply of, male circumcision services,
as well as measures to assess secondary effects of the programme, such as
changes in sexual behaviours at the individual and community levels.
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