Outcomes of voluntary medical male circumcision performed by medical doctors and non‑doctor health workers in central Uganda

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dc.contributor.authorKibansha Matumaini, Hope
dc.contributor.authorBatte, Anthony
dc.contributor.authorOtwombe, Kennedy
dc.contributor.authorLebotsa, Emily
dc.contributor.authorLuboga, Sam
dc.date.accessioned2022-03-11T08:03:20Z
dc.date.available2022-03-11T08:03:20Z
dc.date.issued2021
dc.description.abstractVoluntary medical male circumcision (VMMC) reduces the risk of HIV transmission. Task shifting of VMMCs to non-doctor health workers is recommended to enhance scale-up of VMMC programs. This study evaluated outcomes of circumcision conducted by doctors compared to non-doctors in central Uganda. Methods: In this prospective observational 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 h post-surgery and assessed at 24 h, 3 days and after one week for adverse events. Results: The median age of the circumcised men was 24.00(IQR, 20.00–28.00) years. Of the VMMCs, 19.3% (53/274) were carried out by doctors while 80.7% (221/274) by non-doctors. Following VMMC, 5.47% (15/274) men experienced adverse events and proportions of adverse events by cadre were similar; doctors (5.66% [3/53]) and non-doctor health workers (5.43% [12/221]), p = 0.99. Seven participants had pus discharge (all had been operated by non-doctors), 2 participants had bleeding at 2 h (one by doctor and one by non-doctor), and 4 participants had excessive skin removal (2 by doctors vs 2 by non-doctors). There was no reported urethral injury or glans amputation. Conclusion: Our study found no statistically significant difference in the incidence of adverse events among VMMCs conducted by doctors compared to non-doctor health workers. Our study showed no incidence of serious adverse events such as death, urethral injury or glans amputation following VMMCs. Our results add to the existing literature to guide task shifting in the context of VMMCs.en_US
dc.identifier.citationMatumaini, H. K., Batte, A., Otwombe, K., Lebotsa, E., & Luboga, S. (2021). Outcomes of voluntary medical male circumcision performed by medical doctors and non-doctor health workers in central Uganda. African Journal of Urology, 27(1), 1-5. https://doi.org/10.1186/s12301-021-00156-8en_US
dc.identifier.urihttps://doi.org/10.1186/s12301-021-00156-8
dc.identifier.urihttps://nru.uncst.go.ug/xmlui/handle/123456789/2687
dc.language.isoenen_US
dc.publisherAfrican Journal of Urologyen_US
dc.subjectMale circumcisionen_US
dc.subjectAfricaen_US
dc.subjectUgandaen_US
dc.subjectTask shiftingen_US
dc.titleOutcomes of voluntary medical male circumcision performed by medical doctors and non‑doctor health workers in central Ugandaen_US
dc.typeArticleen_US
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