Incorporating Voluntary Medical Male Circumcision Into Traditional Circumcision Contexts: Experiences of a Local Consortium in Zimbabwe Collaborating With an Ethnic Group

Joseph Hove; Lewis Masimba; Vernon Murenje; Simon Nyadundu; Brian Musayerenge; Sinokuthemba Xaba; Brian Nachipo; Vuyelwa Chitimbire; Batsirai Makunike; Marrianne Holec; Takarubuda Chinyoka; John Mandisarisa; Shirish Balachandra; Mufuta Tshimanga; Scott Barnhart; Caryl Feldacker

doi:10.9745/GHSP-D-18-00352

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Incorporating Voluntary Medical Male Circumcision Into Traditional Circumcision Contexts: Experiences of a Local Consortium in Zimbabwe Collaborating With an Ethnic Group

Joseph Hove, Lewis Masimba, Vernon Murenje, Simon Nyadundu, Brian Musayerenge, Sinokuthemba Xaba, Brian Nachipo, Vuyelwa Chitimbire, Batsirai Makunike, Marrianne Holec, Takarubuda Chinyoka, John Mandisarisa, Shirish Balachandra, Mufuta Tshimanga, Scott Barnhart and Caryl Feldacker

Global Health: Science and Practice March 2019, 7(1):138-146; https://doi.org/10.9745/GHSP-D-18-00352

Joseph Hove

aZimbabwe Association of Church-Related Hospitals (ZACH), Harare, Zimbabwe.

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Lewis Masimba

aZimbabwe Association of Church-Related Hospitals (ZACH), Harare, Zimbabwe.

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Vernon Murenje

bInternational Training and Education Center for Health (I-TECH), Harare, Zimbabwe.

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Simon Nyadundu

cMinistry of Health and Child Care, Harare, Zimbabwe.

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Brian Musayerenge

cMinistry of Health and Child Care, Harare, Zimbabwe.

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Sinokuthemba Xaba

cMinistry of Health and Child Care, Harare, Zimbabwe.

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Brian Nachipo

cMinistry of Health and Child Care, Harare, Zimbabwe.

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Vuyelwa Chitimbire

aZimbabwe Association of Church-Related Hospitals (ZACH), Harare, Zimbabwe.

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Batsirai Makunike

bInternational Training and Education Center for Health (I-TECH), Harare, Zimbabwe.

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Marrianne Holec

dInternational Training and Education Center for Health (I-TECH), Seattle, WA USA.

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Takarubuda Chinyoka

eRepresentative of the VaRemba ethnic group, Harare, Zimbabwe.

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John Mandisarisa

fU.S. Centers for Disease Control and Prevention, Harare, Zimbabwe.

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Shirish Balachandra

fU.S. Centers for Disease Control and Prevention, Harare, Zimbabwe.

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Mufuta Tshimanga

gCommunity Health Intervention Project (ZiCHIRe), Harare, Zimbabwe.

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Scott Barnhart

dInternational Training and Education Center for Health (I-TECH), Seattle, WA USA.

hDepartment of Global Health, University of Washington, Seattle, WA, USA.

iDepartment of Medicine, University of Washington, Seattle, WA, USA.

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Caryl Feldacker

dInternational Training and Education Center for Health (I-TECH), Seattle, WA USA.

hDepartment of Global Health, University of Washington, Seattle, WA, USA.

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For correspondence: cfeld@uw.edu

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Partial view of male circumcision camp shelters in Zimbabwe. © 2018 Joseph Hove/Zimbabwe Association of Church-Related Hospitals (ZACH)
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Adult VaRemba clients receiving routine postoperative review by VaRemba nurses in Zimbabwe. © 2018 Joseph Hove/Zimbabwe Association of Church-Related Hospitals (ZACH)

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TABLE.

Key Voluntary Medical Male Circumcision Characteristics and Outcomes From Varemba Camp, Zimbabwe, August 1, 2017–September 6, 2017 (N=657)

	Age Group
	10–14	15–19	20–24	25–29	30–49	50+	Total
HIV status, No. (%)
HIV-negative	224 (34.1)	148 (22.5)	118 (18.0)	73 (11.1)	89 (13.5)	1 (0.2)	653 (99.4)
HIV-positive	1 (0.2)	0 (0.0)	0 (0.0)	0 (0.0)	3 (0.5)	0 (0.0)	4 (0.6)
Unknown	0 (0.0)	0 (0.0)	0 (0.0)	0 (0.0)	0 (0.0)	0 (0.0)	0 (0.0)
Male circumcision method, No. (%)
Dorsal slit	225 (34.2)	0 (0.0)	0 (0.0)	0 (0.0)	0 (0.0)	0 (0.0)	225 (34.2)
Forceps-guided	0 (0.0)	148 (22.5)	118 (18.0)	73 (11.1)	92 (14.2)	1 (0.2)	432 (65.7)
Moderate or severe adverse events, No. (%)	1 (0.2)	0 (0.0)	2 (0.3)	0 (0.0)	0 (0.0)	0 (0.0)	3 (0.5)
Clients with ≥1 postoperative visit within 14 days of procedure, No. (%)	225 (34.2)	148 (22.5)	118 (18.0)	73 (11.1)	92 (14.2)	1 (0.2)	657 (100.0)
Total, No. (%)	225 (34.2)	148 (22.5)	118 (18.0)	73 (11.1)	92 (14.2)	1 (0.2)	657 (100.0)

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Global Health: Science and Practice

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March 22, 2019

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Incorporating Voluntary Medical Male Circumcision Into Traditional Circumcision Contexts: Experiences of a Local Consortium in Zimbabwe Collaborating With an Ethnic Group

Global Health: Science and Practice Mar 2019, 7 (1) 138-146; DOI: 10.9745/GHSP-D-18-00352

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Incorporating Voluntary Medical Male Circumcision Into Traditional Circumcision Contexts: Experiences of a Local Consortium in Zimbabwe Collaborating With an Ethnic Group