1 / 4

Presented by Dr. Dino Rech

Implications of the fast-evolving scale-up of adult Voluntary Medical Male Circumcision for quality of services in South Africa D Rech , S Frade , A Spyrelis , L Perry, M Farrell, R Fertziger , D Castor, E Njeuhmeli , C Toledo, JT Bertrand. Presented by Dr. Dino Rech.

aoife
Télécharger la présentation

Presented by Dr. Dino Rech

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Implications of the fast-evolving scale-up of adult Voluntary Medical Male Circumcision for quality of services in South AfricaD Rech, S Frade, A Spyrelis, L Perry, M Farrell, R Fertziger, D Castor, E Njeuhmeli, C Toledo, JT Bertrand Presented by Dr. Dino Rech

  2. SYMMACS South Africa • SYstematicMonitoring of the voluntary Medical Male Circumcision Scale-up in Eastern and Southern Africa • Objective: Assess implementation of VMMC under actual field conditions in four countries, including South Africa. Monitor adoption of WHO six elements of efficiency. Assess quality and safety during scale-up. • Methods: Data were collected using threeinstruments during clinicians 2-day visits to sites:  Abbreviated version of the WHO Quality Assessment of facilities (WHO, 2009)  Observation and timing of VMMC procedures  Interviews with providers and site managers • Sample: Any site operational in 2011: N = 15 Sample from more than 80 operational sites in 2012: n = 40 Same 15 sites sampled in 2011 and 2012 (repeat sites); 25 new sites in 2012, with a total of 40 sites (expanded sites) *Significant differences refer to p values < 0.05

  3. Results: Table 1. Quality assessment of VMMC sites * Difference is statistically significant in both comparisons ^ Difference is statistically significant in expanded sites only

  4. Results • Challenges Drop in ‘readiness to provide services’ in expanded (not repeat sites) ie. supplies, equipment, systems etc. • Likely due to the rapid scale-up and the large number of new sites Drop in ‘quality of surgical services’ in expanded and repeat sites ie. pre- & post-operative procedures • Likely due to ‘dilution’ of skilled staff across new sites & employment of new and inexperienced staff • Successes Actual surgical technique scored the highest Almost universal adoption of 3 efficiency elements • Recommendations • Independent team to monitor program quality and reporting of AE’s • Improve supply chain systems

More Related