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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
    10–1415–1920–2425–2930–4950+Total
    HIV status, No. (%)
    HIV-negative224 (34.1)148 (22.5)118 (18.0)73 (11.1)89 (13.5)1 (0.2)653 (99.4)
    HIV-positive1 (0.2)0 (0.0)0 (0.0)0 (0.0)3 (0.5)0 (0.0)4 (0.6)
    Unknown0 (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 slit225 (34.2)0 (0.0)0 (0.0)0 (0.0)0 (0.0)0 (0.0)225 (34.2)
    Forceps-guided0 (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: 7 (1)
Global Health: Science and Practice
Vol. 7, No. 1
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
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
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
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
Global Health: Science and Practice Mar 2019, 7 (1) 138-146; DOI: 10.9745/GHSP-D-18-00352
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