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

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

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Lewis Masimba

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

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Vernon Murenje

International Training and Education Center for Health (I-TECH), .

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Simon Nyadundu

Ministry of Health and Child Care, .

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Brian Musayerenge

Ministry of Health and Child Care, .

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Sinokuthemba Xaba

Ministry of Health and Child Care, .

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Brian Nachipo

Ministry of Health and Child Care, .

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Vuyelwa Chitimbire

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

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Batsirai Makunike

International Training and Education Center for Health (I-TECH), .

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Marrianne Holec

International Training and Education Center for Health (I-TECH), .

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Takarubuda Chinyoka

Representative of the VaRemba ethnic group, .

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John Mandisarisa

U.S. Centers for Disease Control and Prevention, .

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Shirish Balachandra

U.S. Centers for Disease Control and Prevention, .

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Mufuta Tshimanga

Community Health Intervention Project (ZiCHIRe), .

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Scott Barnhart

International Training and Education Center for Health (I-TECH), .

Department of Global Health, University of Washington, .

Department of Medicine, University of Washington, .

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Caryl Feldacker

International Training and Education Center for Health (I-TECH), .

Department of Global Health, University of Washington, .

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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