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SAFETY AND QUALITY OF CARE FOR MALE CIRCUMCISION

SAFETY AND QUALITY OF CARE FOR MALE CIRCUMCISION. Douglas Huber MD, MSc Management Sciences for Health September 18, 2002. Elements of Surgical Safety and Quality Counseling and Informed Choice/Consent Screening Preoperative and Postoperative Instructions Asepsis Anesthesia

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SAFETY AND QUALITY OF CARE FOR MALE CIRCUMCISION

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  1. SAFETY AND QUALITY OF CARE FOR MALE CIRCUMCISION Douglas Huber MD, MSc Management Sciences for Health September 18, 2002

  2. Elements of Surgical Safety and Quality Counseling and Informed Choice/Consent Screening Preoperative and Postoperative Instructions Asepsis Anesthesia Competence of Provider/Surgical Training/Supplies/Setting Postoperative Care & Managing Complications Overview

  3. Accurate only in prospective studies Surgical complications 90-99% underreported in internationally supported service delivery settings Protected interviews useful in understanding causes of complications Expect complication rate of 2-3% (?) with clinical MC Complication Rates

  4. Contextual Issues of Surgical Safety for MC Clinical setting—MC only Clinical setting—MC plus training for responsible manhood Traditional MC practices 1. Need to know much more 2. Improve health care services through traditional practitioners?

  5. Conclusions Improve informed choice for MC now (quickly and with low cost) Encourage national programs to provide quality MC services Support clinical interventions with prospective follow-up Combine orientation for healthy manhood & MC (“Seize the Day”) Engage private sector for MC services

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