Manual for Male Circumcision under Local Anaesthesia

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Male circumcision under local anaesthesia Version 3.1 (Dec09) REFERENCES 1 Counselling and testing. Geneva; Joint United Nations Programme on HIV/AIDS (http://www.unaids.org/en/Policies/Testing/default.asp). 2 Family Health International. Men and reproductive health. Network 1998; 18(3): 6. 3 Foumbi, Lovich. Role of men in the lives of children. New York: UNICEF; 1997. 4 Looking at men’s sexual and reproductive health needs. The Guttmacher Report 2002; 5(2). 5 Kirby D. Emerging answers: research findings on programs to reduce teen pregnancy. Washington, DC: National Campaign to Prevent Teen Pregnancy; 2001. 6 Bearman PS, Bruckner H. Promising the future: virginity pledges and the transition to first intercourse. American Journal of Sociology 2001; 106(4): 859-912. 7 Cates W, Farley TMM, Rowe PJ. Worldwide patterns of infertility: is Africa different Lancet 1985 ii; 596–598. 8 World Health Organization. WHO manual for the standardized investigation and diagnosis of the infertile couple. Cambridge: Cambridge University Press; 1993. Linking male circumcision and other male SRH services Chapter 2-12
Male circumcision under local anaesthesia Version 3.1 (Dec09) Chapter 3 Educating and counselling clients, and obtaining informed consent Summary • Group education is used to support counselling services. It allows clients to be given basic information on sexual and reproductive health, including HIV, before an individual counselling session. • Providers of male circumcision services have a duty to (a) ensure that voluntary and informed consent is obtained before the procedure is performed, (b) maintain confidentiality, and (c) provide services without discrimination. • Where tradition demands group circumcision for boys, health care providers should work with the community to design a way of combining the surgical procedure with education, integrating traditional customs and practices with modern clinical techniques. • All counsellors need basic counselling skills in order to talk with clients in a helpful way. EDUCATION ABOUT SEXUAL AND REPRODUCTIVE HEALTH AND MALE CIRCUMCISION Group education is used to support individual counselling services. It allows clients to be given basic information about male circumcision before an individual counselling session. Counsellors can then work with clients, and/or their parents, on specific issues related to male circumcision, or sexual and reproductive health in general. Group education allows the first counselling session to be shorter, which is an advantage in busy clinics. The information given to clients during an education session may differ slightly from site to site. Counsellors should be familiar with the standard education on male circumcision offered at the place where they work, so that messages and information given are consistent. In conducting group education on male circumcision, the counsellor should include the following main messages: • Underline that, like women and girls, men and boys have sexual health and reproductive health needs. • Explain what male circumcision is, outline the benefits and risks, and describe how the surgical procedure is performed and what happens afterwards. • Emphasize that male circumcision does not provide complete protection against HIV infection. Explain that circumcised men can become infected and can pass on HIV infection to their sexual partners. Educating and Counselling Clients and Obtaining Informed Consent Chapter 3-1
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Manual for Male Circumcision under Local Anaesthesia

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