Male Circumcision Under Local Anaesthesia: Training Package

This three-part training package contains support materials designed for use by qualified clinical trainers to instruct health service providers on how to competently offer male circumcision to adults and adolescents under local anaesthesia. The training package is intended to be used comprehensively with the WHO/UNAIDS/Jhpiego Manual for Male Circumcision under Local Anaesthesia (2009, PDF, 2.87 MB). Ideally, for each course, trainers should build competencies in a single surgical method: forceps-guided, dorsal slit, or sleeve resection.

A qualified male circumcision trainer is one who:

• Is proficient in one of the three male circumcision methods described in the Manual
• Has successfully completed a clinical training skills course following competency-based training principles
• Has the clinical and didactic resources needed to meet all of the male circumcision training objectives associated with competency

Trainers' Notebook (2008 PDF, 3.36 MB): This document provides a detailed course outline with objectives for each training activity, a suggested course schedule, visual aids, instructions for all learning activities, and tools for assessing knowledge and clinical skills.
Part 1 (PDF, 369 KB): Overview/introduction, course exercises
Part 2 (PDF, 1.57 MB): Presentation slides/graphics
Part 3 (PDF, 497 KB): Learning guides, practice checklists
Part 4 (PDF, 914 KB): Questionnaire answer key, trainer guidelines

Participants' Handbook (2008 PDF, 2.52 MB): This resource provides learners with visual aids and learning guides. The Handbook should be used along with the Manual, which will guide trainees through the group-based training outlined in the Trainers Notebook.
Part 1 (PDF, 308 KB): Overview/introduction, course exercises
Part 2 (PDF, 1.56 MB): Presentation slides/graphics
Part 3 (PDF, 366 KB): Learning guides, practice checklists

Presentation Graphics: These PowerPoint presentations focus on each of the chapters in the Manual. The presentations can be used by clinical trainers within group-based training on male circumcision, or by learners for review.
Chapter 1 (PPS, 466 KB): Male Circumcision and HIV Infection
Chapter 2 (PPS, 1.05 MB): Linking Male Circumcision to Other Male Sexual and Reproductive Health Services
Chapter 3 (PPS, 1.16 MB): Educating and Counselling Clients and Obtaining Informed Consent
Chapter 4 (PPS, 1.35 MB): Facilities and Supplies, Screening of Patients, and Preparations for Surgery
Chapter 5 (PPS, 1.94 MB): Surgical Procedures for Adults and Adolescents
Chapter 5.1 (PPS, 1.44 MB): Dorsal Slit Method
Chapter 5.2 (PPS, 3.06 MB): Forceps Guided Method
Chapter 6 (No slides available)
Chapter 7 (PPS, 572 KB): Postoperative Care and Management of Complications
Chapter 8 (PPS, 1.80 MB): Prevention of Infection
Chapter 9 (PPS, 468 KB): Managing a Circumcision Service
Male Circumcision "Jeopardy!" Game (PPS, 1.02 MB)

Further information on becoming a qualified clinical trainer can be obtained from Jhpiego, a U.S.-based non-profit health organisation that strengthens the delivery of health care services in limited-resource settings. Contact Ms. Laura Fitzgerald at info@jhpiego.net.