Outcomes of male circumcision performed by medical doctors and non–doctor health workers in central Uganda
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Date
2020
Journal Title
Journal ISSN
Volume Title
Publisher
Research Square
Abstract
Task shifting for male circumcision is still a challenge. The aim of this study was to evaluate
the outcomes of circumcision conducted by doctors compared to non-doctors in Kampala, Uganda
Results: In this prospective cohort study, we observed and followed 274 males at 3 health facilities in
Kampala, Uganda. Each participant was observed during the circumcision procedure, monitored for 2
hours post-surgery and assessed at 24hours, 3 days and after one week for adverse events. The mean
age of the circumcised men was 24.82 (6.36) years. Of the circumcisions, 19.3% (53/274) were carried
out by doctors while 80.7% (221/274) by non-doctor health workers. About 5.47% (15/274) experienced
adverse events and the proportions by cadre were similar; medical doctors (5.66% [3/53]) and non-doctor
health workers (5.43% [12/221]), p=0.99. Seven patients had evidence of pus discharge (all had been
operated by non-doctors), only 2 patients had bleeding at 2 hours (one by medical doctor and one by nondoctor),
4 patients had evidence of excessive skin removal (2 by medical doctor vs 2 by non-doctors).
There was no reported urethral injury or glans amputation. These results indicate that non-doctor health
workers can offer circumcision services safely with low adverse event rates.
Description
Keywords
Circumcision, Uganda, Non-medical doctors
Citation
Matumaini, H. K., Batte, A., Otwombe, K., Lebotsa, E., & Luboga, S. (2020). Outcomes of male circumcision performed by medical doctors and non–doctor health workers in central Uganda. https://doi.org/10.21203/rs.3.rs-31743/v1