Training manuals, tools, packages, and information are essential to support regional and country capacity-building efforts. The Clearinghouse on Male Circumcision for HIV Prevention provides key training materials for informational purposes only; the materials are not intended to be used for self-training by those interested in performing circumcisions.
Guided by field experience in the introduction of early infant male circumcision during the past five years, this comprehensive, competency-based training package was developed by PEPFAR and its implementing partners, the World Health Organization, and UNICEF to accompany the Manual for Early Infant Male Circumcision under Local Anaesthesia. It consists of a facilitator’s guide and learners’ workbook, which can be used to plan and implement blended (self-paced and group-based) training designs as well as prolonged post-training mentorship of providers until they have reached the desired level of competency.
Quality assurance for male circumcision services training package, 2010
This training package provides programme and facility managers with guidance and materials to assist them in conducting workshops on quality assurance and to strengthen their capacity to facilitate the implementation of safe, high-quality services in male circumcision for HIV prevention. The package should be used with the quality assurance guidance entitled Male Circumcision Quality Assurance: A Guide to Enhancing the Safety and Quality of Services (PDF, 2.12 MB) and the Male Circumcision Quality Assessment Toolkit (PDF, 989 KB).
The training package contains the following:
- Agenda (PDF, 45 KB)
- Instructor's (facilitator’s) guide for each day:
Day 1 (PDF, 65 KB)
Day 2 (PDF, 28 KB)
Day 3 (PDF, 45 KB)
Day 4 (PDF, 13 KB)
Activity 1.2: Communication planning sheets (PDF, 14 KB)
1.4: Broken squares (PDF, 21 KB)
2.1: Assessing standards (PDF, 16 KB)
3.1: Fishbone worksheet (PDF, 10 KB)
3.5: Monitoring plan worksheet (PDF, 9 KB)
Country action plan (PDF, 31 KB)
- Pre- and post-test questionnaire (PDF, 82 KB) and answer sheet (PDF, 25 KB)
- Presentation Slides
Day 1 (PDF, 0.98 MB)
Day 2 (PDF, 376 KB)
Day 3 (PDF, 817 KB)
WHO/UNAIDS/Jhpiego Surgical Manual for Male Circumcision under Local Anaesthesia (2009, PDF, 1.95 MB)
This manual contains nine chapters that provide technical guidance and information on comprehensive male circumcision services, including: the benefits and risks, the linking of male circumcision to other sexual and reproductive health services for men, educating and counselling clients and obtaining consent, facilities and supplies, surgical procedures, circumcision for infants and children, post-operative care, prevention of infection, and managing circumcision services. Technical guidance is provided on the surgical procedures for performing circumcisions for males of all ages — adults and adolescents, young boys, and neonates.
Also, a related training package, which is to be used together with the Manual, contains support materials designed for use by qualified clinical trainers to instruct health service providers on how to competently offer male circumcisions to adults and adolescents under local anaesthesia.
Training of counsellors and training workshops
SAYWHAT Male Circumcision Ambassador Training Workshop, 12 May 2011, Spilhaus, Harare (2011, PDF, 954 KB)
Students and Youths Working on Reproductive Health Action Team (SAYWHAT) is an institution that champions responses that address the Sexual and Reproductive Health (SRH) challenges of students in the tertiary institutions of Zimbabwe. The purpose of this training workshop was to:
- promote the uptake of MC amongst students
- promote behavioural change and encourage other prevention strategies and share accurate information on MC
- document key issues, gaps, challenges and opportunities for MC amongst students
PSI/Swaziland Training Package
Developed in 2009 for the male circumcision programme managed by Population Services International/Swaziland, this training package is designed for counselors who guide and support men, women and parents thinking about male circumcision. The sessions in the manuals can be used as 1) a stand-alone three-day workshop for individuals who have already been trained in client-centered HIV counseling and testing and referrals, or 2) a supplement to existing curricula for HIV counselors who will also serve as male circumcision counselors.
Facilitator Manual (2009, PDF, 432 KB)
Participant Manual (2009, PDF, 486 KB)
Session 1.3: Overview of the Male Circumcision Program (2009, PPT, 225 KB)Session 1.5: Anatomy of the Penis (2009, PPT, 125 KB)
Session 1.8: Policy and Consent (2009, PPT, 26 KB)
A calendar, adverts, and descriptions of upcoming training opportunities and events will soon be available. Links to new reports and materials produced in association with past training events will also be provided. A space will be created for alumni to contact each other and give updates on their progress with service implementation after their training.
Additional providers will be needed to scale up male circumcision services, thus decision-makers need to consider the role of non-physician providers to meet this need. The successful use of non-physician providers to perform more complex clinical and surgical procedures (e.g., nurses and clinical officers), has been well-documented in various countries (1,2,3). Experience has also shown that appropriately trained non-physician providers can safely conduct procedures such as Caesarean sections, mini-laparotomy under local anaesthesia for female sterilisation, no-scalpel vasectomy, repair of simple obstetric fistula, manual vacuum aspiration, and a variety of other surgical procedures (4). Specifically, it has been successfully demonstrated that well trained staff (including clinical officers) can be used to perform male circumcision (5). In Kenya, clinical officers who routinely conducted consultations and selected surgical procedures were trained in the techniques of adult male circumcision (6). Thus, in order to scale up the availability of male circumcision services, it is recommended that countries should identify non-physician providers that can be trained to perform this procedure and provide comprehensive services. Read more>>
Research articles related to training
Search Publications database on evidence-based materials on male circumcision, including scientific articles, books and job aids.
- Mullan F, Frehywot S. Non-physician clinicians in 47 sub-Saharan African countries. Lancet. Published online June 14, 2007; DOI: 10.1016/S0140-6736(07)60785-5.
- Hanvoravongchai P. Scaling up health workforces in response to critical shortages. Lancet. Published online June 14, 2007; DOI: 10.1016/S0140-6736(07)60786-7.
- Krieger JN, Bailey RC, Opeya J, Ayieko B, Opiyo F, Agot K, et al. Adult male circumcision: results of a standardized procedure in Kisumu District: City, Kenya. BJU International. 2005; Nov 96(7), 1109-13.
- EngenderHealth. Implementing facility-based family planning & other reproductive health services: Lessons applicable to introduction of male circumcision for HIV prevention. New York: EngenderHealth; 2006.
- Bowa K and Lukobo M. Male circumcision: Lessons learnt from a service site. (Dec 5-6, 2006) Presented at “Strategies and Approaches for Male Circumcision Programming", World Health Organization: Geneva, Switzerland.
- Bailey C, Moses S, Parker CB, Agot K, Maclean I, Krieger JN, Williams CFM, Campbell RT, Ndinya-Achola JO. Male circumcision for HIV prevention in young men in Kisumu, Kenya: a randomized controlled trial. Lancet. 2007; 369: 643-56.