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FIELD ACTION REPORT
Open Access

Covering the Last Kilometer: Using GIS to Scale-Up Voluntary Medical Male Circumcision Services in Iringa and Njombe Regions, Tanzania

Hally Mahler, Sarah Searle, Marya Plotkin, Yusuph Kulindwa, Seth Greenberg, Erick Mlanga, Emmanuel Njeuhmeli and Gissenje Lija
Global Health: Science and Practice September 2015, 3(3):503-515; https://doi.org/10.9745/GHSP-D-15-00151
Hally Mahler
aJhpiego, Dar Es Salaam, Tanzania
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Sarah Searle
bJhpiego, Baltimore, MD, USA
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  • For correspondence: sarah.searle{at}jhpiego.org
Marya Plotkin
bJhpiego, Baltimore, MD, USA
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Yusuph Kulindwa
aJhpiego, Dar Es Salaam, Tanzania
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Seth Greenberg
cUnited States Agency for International Development (USAID), Dar Es Salaam, Tanzania
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Erick Mlanga
cUnited States Agency for International Development (USAID), Dar Es Salaam, Tanzania
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Emmanuel Njeuhmeli
dUSAID, Washington, DC, USA
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Gissenje Lija
eTanzania Ministry of Health and Social Welfare, Dar Es Salaam, Tanzania
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  • FIGURE 1
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    FIGURE 1

    Voluntary Medical Male Circumcision Focus Regions in Tanzania

    Map image adapted from Sémhur/Wikimedia Commons/CC‐BY‐SA‐3.0.

  • FIGURE 2
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    FIGURE 2

    Maps Used to Plan 2012 Voluntary Medical Male Circumcision Outreach Campaign, Iringa and Njombe Regions, Tanzania

  • FIGURE 3
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    FIGURE 3

    Map of Total Population Layered With Number of Voluntary Medical Male Circumcisions Performed, by Ward, Iringa and Njombe Regions, Tanzania, April 2012

    Abbreviation: MC, male circumcision.

  • FIGURE 4
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    FIGURE 4

    Map of Male Population Ages 10–49 Layered With Number of Voluntary Medical Male Circumcisions (VMMCs) Performed, by Ward, Iringa and Njombe Regions, Tanzania, August 2013

  • FIGURE 5
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    FIGURE 5

    Interactive Map Displaying Information on Manda Health Centre Site, Njombe Region, Tanzania

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    FIGURE 6

    Interactive Map Displaying Satellite Imagery of Facility Layout

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    FIGURE 7

    Interactive Map of Facilities Performing 0–1,000 Voluntary Medical Male Circumcisions (VMMCs)a and Quality of Roads

    a Shown as yellow (no VMMCs) and pink (<1,000 VMMCs) circles.

  • FIGURE 8
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    FIGURE 8

    Percentage of VMMCs Performed in Urban Versus Rural Health Facilities and Total Number of Health Facilities Reached, by Fiscal Year, Iringa and Njombe Regions, Tanzania, 2010–2014

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    TABLE Number of VMMCs Performed in Urban Versus Rural Settings and Description of Facilities, Iringa and Njombe Regions, Tanzania, Fiscal Year 2010–2014
    YearNo. of VMMCsNo. (%) of VMMCs Performed in Urban FacilitiesNo. (%) of VMMCs Performed in Rural FacilitiesNo. of FacilitiesDescription of Facilities
    FY 201022,97014,634 (64)8,336 (36)5All hospitals
    FY 201142,66722,345 (52)20,322 (48)2111 hospitals and 9 health centers
    FY 201249,9495,977 (12)43,972 (88)7613 hospitals, 21 health centers, and 42 (lower-level) dispensaries; the 42 dispensaries contributed 46% of the achievement for the year with the hospitals and health centers contributing the remainder
    FY 201364,40710,069 (16)54,338 (84)9910 hospitals, 13 health centers, and 76 dispensaries; dispensaries contributed 75% of the achievement for the year
    FY 201487,9246,125 (7)81,799 (93)28412 hospitals, 24 health centers, and 248 dispensaries; dispensaries contributed 81% of the achievement for the year
    • Abbreviations: FY, fiscal year; VMMC, voluntary medical male circumcision.

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Global Health: Science and Practice: 3 (3)
Global Health: Science and Practice
Vol. 3, No. 3
September 10, 2015
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Covering the Last Kilometer: Using GIS to Scale-Up Voluntary Medical Male Circumcision Services in Iringa and Njombe Regions, Tanzania
Hally Mahler, Sarah Searle, Marya Plotkin, Yusuph Kulindwa, Seth Greenberg, Erick Mlanga, Emmanuel Njeuhmeli, Gissenje Lija
Global Health: Science and Practice Sep 2015, 3 (3) 503-515; DOI: 10.9745/GHSP-D-15-00151

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Covering the Last Kilometer: Using GIS to Scale-Up Voluntary Medical Male Circumcision Services in Iringa and Njombe Regions, Tanzania
Hally Mahler, Sarah Searle, Marya Plotkin, Yusuph Kulindwa, Seth Greenberg, Erick Mlanga, Emmanuel Njeuhmeli, Gissenje Lija
Global Health: Science and Practice Sep 2015, 3 (3) 503-515; DOI: 10.9745/GHSP-D-15-00151
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