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Global Health: Science and Practice
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Global Health: Science and Practice

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More articles from ORIGINAL ARTICLE

  • Open Access
    The Mayer Hashi Large-Scale Program to Increase Use of Long-Acting Reversible Contraceptives and Permanent Methods in Bangladesh: Explaining the Disappointing Results. An Outcome and Process Evaluation
    Mizanur Rahman, M Moinuddin Haider, Sian L Curtis and Peter M Lance
    Global Health: Science and Practice August 2016, 4(Supplement 2):S122-S139; https://doi.org/10.9745/GHSP-D-15-00313

    The Mayer Hashi program resulted in a modest increase in use of long-acting reversible contraceptives and permanent methods in Bangladesh, but less of an increase than in comparison nonprogram districts, which appears to have been the result of weaknesses in the health system environment in the program districts. Addressing system issues to support providers beyond training might have led to better results.

  • Open Access
    Mentoring, Task Sharing, and Community Outreach Through the TutoratPlus Approach: Increasing Use of Long-Acting Reversible Contraceptives in Senegal
    Babacar Gueye, Jennifer Wesson, Djimadoum Koumtingue, Sara Stratton, Claire Viadro, Hawa Talla, Etienne Dioh, Carol Cissé, Boniface Sebikali and Bocar Mamadou Daff
    Global Health: Science and Practice August 2016, 4(Supplement 2):S33-S43; https://doi.org/10.9745/GHSP-D-15-00328

    Mentoring, task sharing, and community outreach at 100 rural facilities in Senegal led to an 86% increase over 6 months in the number of women choosing long-acting reversible contraceptives (from 1,552 to 2,879). Concurrent improvement of facilities and provider skills, coupled with the application of Senegal’s task-sharing policy, are increasing the range of contraceptive methods available to women throughout the country.

  • Open Access
    The Tupange Project in Kenya: A Multifaceted Approach to Increasing Use of Long-Acting Reversible Contraceptives
    Michael Muthamia, Kenneth Owino, Paul Nyachae, Margaret Kilonzo, Mercy Kamau, Jane Otai, Mark Kabue and Nelson Keyonzo
    Global Health: Science and Practice August 2016, 4(Supplement 2):S44-S59; https://doi.org/10.9745/GHSP-D-15-00306

    Use of long-acting reversible contraceptives increased significantly among women in a poor, urban setting through training, mentoring, commodity security, quality improvement, multiple service delivery models, and multiple demand-promotion approaches.

  • Open Access
    Early Infant Male Circumcision in Cameroon and Senegal: Demand, Service Provision, and Cultural Context
    Ernest Kenu, Tin Tin Sint, Claude Kamenga and Rene Ekpini
    Global Health: Science and Practice July 2016, 4(Supplement 1):S18-S28; https://doi.org/10.9745/GHSP-D-15-00185

    Despite the absence of national policies and strategies, early infant male circumcision is routinely offered at all levels of the health care system in Cameroon and Senegal, mainly because of community demand. Improving medical male circumcision will require service guidelines, preservice training, investigation of surgical and nonsurgical devices, supply chains, data collection tools, engaged communities to raise awareness, and communication strategies for men.

  • Open Access
    Comparative Cost of Early Infant Male Circumcision by Nurse-Midwives and Doctors in Zimbabwe
    Collin Mangenah, Webster Mavhu, Karin Hatzold, Andrea K Biddle, Getrude Ncube, Owen Mugurungi, Ismail Ticklay, Frances M Cowan and Harsha Thirumurthy
    Global Health: Science and Practice July 2016, 4(Supplement 1):S68-S75; https://doi.org/10.9745/GHSP-D-15-00201

    Early infant male circumcision (EIMC) conducted by nurse-midwives using the AccuCirc device was safe and less costly per procedure than when conducted by doctors: for nurse-midwives, US$38.87 in vertical programs and US$33.72 in integrated programs; for doctors, US$49.77 in vertical programs.

  • Open Access
    Perspectives of Parents and Health Care Workers on Early Infant Male Circumcision Conducted Using Devices: Qualitative Findings From Harare, Zimbabwe
    Webster Mavhu, Karin Hatzold, Getrude Ncube, Shamiso Fernando, Collin Mangenah, Kumbirai Chatora, Owen Mugurungi, Ismail Ticklay and Frances M Cowan
    Global Health: Science and Practice July 2016, 4(Supplement 1):S55-S67; https://doi.org/10.9745/GHSP-D-15-00200

    Parents who opted for early infant male circumcision (EIMC) and health care workers felt EIMC was a safe and acceptable procedure that would likely become more widely adopted over time. Barriers to EIMC uptake such as parental fears of harm and cultural beliefs are potentially surmountable with adequate education and support.

  • Open Access
    Bringing Early Infant Male Circumcision Information Home to the Family: Demographic Characteristics and Perspectives of Clients in a Pilot Project in Tanzania
    Mbaraka Amuri, Georgina Msemo, Marya Plotkin, Alice Christensen, Dorica Boyee, Hally Mahler, Semakaleng Phafoli, Mustafa Njozi, Augustino Hellar, Erick Mlanga, Aisha Yansaneh, Emmanuel Njeuhmeli and Jackson Lija
    Global Health: Science and Practice July 2016, 4(Supplement 1):S29-S41; https://doi.org/10.9745/GHSP-D-15-00210

    During a pilot project in Tanzania’s Iringa region, more than 2,000 male infants were circumcised in less than 2 years in 8 facilities, representing 16.4% of all male births in those facilities. The age of the infant at circumcision and the time of return for follow-up visits varied significantly between urban and rural dwellers. Early infant male circumcision (EIMC) outreach activities and use of health outposts for follow-up visits should be explored to overcome these geographic barriers. EIMC programs will also require targeted investments in demand creation, especially among fathers, to expand and thrive in traditionally non-circumcising settings such as Iringa.

  • Open Access
    Scale-Up of Early Infant Male Circumcision Services for HIV Prevention in Lesotho: A Review of Facilitating Factors and Challenges
    Virgile Kikaya, Rajab Kakaire, Elizabeth Thompson, Mareitumetse Ramokhele, Tigistu Adamu, Kelly Curran and Emmanuel Njeuhmeli
    Global Health: Science and Practice July 2016, 4(Supplement 1):S87-S96; https://doi.org/10.9745/GHSP-D-15-00231

    Key elements of Lesotho’s phased introduction of early infant male circumcision were strong commitment from the Ministry of Health and donors; adequate training and supervision; integration with maternal, newborn, and child health; and appropriate communication. Challenges around cultural acceptance, the availability of health care providers, and task sharing will need to be addressed.

  • Open Access
    Safety, Acceptability, and Feasibility of Early Infant Male Circumcision Conducted by Nurse-Midwives Using the AccuCirc Device: Results of a Field Study in Zimbabwe
    Webster Mavhu, Natasha Larke, Karin Hatzold, Getrude Ncube, Helen A Weiss, Collin Mangenah, Prosper Chonzi, Owen Mugurungi, Juliet Mufuka, Christopher A Samkange, Gerald Gwinji, Frances M Cowan and Ismail Ticklay
    Global Health: Science and Practice July 2016, 4(Supplement 1):S42-S54; https://doi.org/10.9745/GHSP-D-15-00199

    Early infant male circumcision (EIMC) conducted by nurse-midwives using the AccuCirc device proved safe, feasible, and acceptable to parents in Zimbabwe. The AccuCirc device has the potential to facilitate widespread scale-up of safe EIMC in sub-Saharan Africa.

  • Open Access
    Scaling Up Early Infant Male Circumcision: Lessons From the Kingdom of Swaziland
    Laura Fitzgerald, Wendy Benzerga, Munamato Mirira, Tigistu Adamu, Tracey Shissler, Raymond Bitchong, Mandla Malaza, Makhosini Mamba, Paul Mangara, Kelly Curran, Thembisile Khumalo, Phumzile Mlambo, Emmanuel Njeuhmeli and Vusi Maziya
    Global Health: Science and Practice July 2016, 4(Supplement 1):S76-S86; https://doi.org/10.9745/GHSP-D-15-00186

    Swaziland is the first country to introduce national early infant male circumcision (EIMC) into voluntary medical male circumcision (VMMC) programming for HIV prevention. With more than 5,000 EIMCs performed between 2010 and 2014, Swaziland learned that EIMC requires inclusion of stakeholders within and outside of HIV prevention bodies; robust support at the facility, regional, and national levels; and informed demand. Expansion of EIMC and VMMC has the potential to avert more than 56,000 HIV infections in Swaziland over the next 20 years.

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US AIDJohns Hopkins Center for Communication ProgramsUniversity of Alberta

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