Randomised trial of early infant circumcision performed by clinical officers and registered nurse midwives using the Mogen clamp in Rakai, Uganda

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dc.contributor.authorKankaka, Edward N.
dc.contributor.authorMurungi, Teddy
dc.contributor.authorKigozi, Godfrey
dc.contributor.authorMakumbi, Frederick
dc.contributor.authorNabukalu, Dorean
dc.contributor.authorWatya, Stephen
dc.contributor.authorKighoma, Nehemiah
dc.contributor.authorNampijja, Resty
dc.contributor.authorKayiwa, Daniel
dc.contributor.authorNalugoda, Fred
dc.contributor.authorSerwadda, David
dc.contributor.authorWawer, Maria
dc.contributor.authorGray, Ronald H.
dc.date.accessioned2025-05-20T09:25:48Z
dc.date.available2025-05-20T09:25:48Z
dc.date.issued2017
dc.description.abstractTo assess the safety and acceptability of early infant circumcision (EIC) provided by trained clinical officers (COs) and registered nurse midwives (RNMWs) in rural Uganda. Subjects and Methods We conducted a randomised trial of EIC using the Mogen clamp provided by newly trained COs and RNMWs in four health centres in rural Rakai, Uganda. The trial was registered with clinicaltrials.gov # NCT02596282. In all, 501 healthy neonates aged 1–28 days with normal birth weight and gestational age were randomised to COs (n = 256) and RNMWs (n = 245) for EIC, and were followed-up at 1, 7 and 28 days. Results In all, 701 mothers were directly invited to participate in the trial, 525 consented to circumcision (74.9%) and 23 were found ineligible on screening (4.4%). The procedure took an average of 10.5 min. Adherence to follow-up was >90% at all scheduled visits. The rates of moderate/severe adverse events were 2.4% for COs and 1.6% for RNMWs (P = 0.9). All wounds were healed by 28 days after circumcision. Maternal satisfaction with the procedure was 99.6% for infants circumcised by COs and 100% among infants circumcised by RNMWs. Conclusions EIC was acceptable in this rural Ugandan population and can be safely performed by RNMWs who have direct contact with the mothers during pregnancy and delivery. EIC services should be made available to parents who are interested in the service.
dc.identifier.citationKankaka, E. N., Murungi, T., Kigozi, G., Makumbi, F., Nabukalu, D., Watya, S., ... & Gray, R. H. (2017). Randomised trial of early infant circumcision performed by clinical officers and registered nurse midwives using the Mogen clamp in Rakai, Uganda. BJU international, 119(1), 164-170.
dc.identifier.urihttps://nru.uncst.go.ug/handle/123456789/11704
dc.language.isoen
dc.publisherBJU international
dc.titleRandomised trial of early infant circumcision performed by clinical officers and registered nurse midwives using the Mogen clamp in Rakai, Uganda
dc.typeArticle
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