Guidelines and tools

Guidelines and other practical tools have been developed to help programme managers and providers introduce or expand voluntary medical male circumcision (VMMC) services. They include guidance on conducting a situation analysis, establishing a VMMC programme, delivering services safely, efficiently, and effectively, addressing legal and ethical issues, managing the waste generated by VMMC services, and estimating the potential cost and impact of VMMC scale-up.

Resources

 
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Strengthening Counseling for Adolescents at Voluntary Medical Male Circumcision Services

Produced with support from PEPFAR through USAID, this resource package is intended to strengthen the counselling provided to adolescents ages 15 to 19 at VMMC services.

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Guide on High Impact Practices to Create Demand for Voluntary Medical Male Circumcision Services

Voluntary medical male circumcision (VMMC) programmes have gained valuable experience in generating demand for VMMC and matching supply with demand. This reference guide synthesizes high-impact practices, resources and tools, and lessons learned for VMMC practitioners at all levels.

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VMMC Demand Creation Assessment Tool

Based on experience in several priority countries and pilot-tested in Malawi and South Africa, this tool is designed to help users assess the quality of demand creation efforts in voluntary medical male circumcision (VMMC) programmes and identify areas for improvement.

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Manual for Male Circumcision under Local Anaesthesia and HIV Prevention Services for Adolescent Boys and Men (by chapter)

The 2018 edition of this manual incorporates recommendations and lessons learned from providing voluntary medical male circumcision (VMMC) to millions of adolescent boys and men since the first edition was published in 2007.

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Global Sexual and Reproductive Health Service Package for Men and Adolescent Boys

This resource was developed to support providers of sexual and reproductive health (SRH) services to improve the range and quality of services available to meet the specific, diverse needs of men and adolescent boys.

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PEPFAR’s Best Practices for Voluntary Medical Male Circumcision Site Operations: A Service Guide for Site Operations, Second Edition (by chapter)

The second edition of this resource for site-level staff of implementing partners supported by the President’s Emergency Plan for AIDS Relief (PEPFAR) offers guidance on proven approaches to providing high-quality voluntary medical male circumcision (VMMC) services at the facility or site level.

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Technical Implementation Considerations for Early Infant Male Circumcision: A Resource Guide for Optimizing Quality

Drawing from the available scientific evidence and implementation experience with early infant male circumcision (EIMC), this document offers considerations for national decision makers and programme planners on filling identified gaps in EIMC quality standards and making the associated policy decisions.

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VMMC Continuous Quality Improvement (CQI) and External Quality Assessment (EQA) Toolkit

This toolkit was designed for voluntary medical male circumcision (VMMC) programme managers, supervisors, providers, and implementing partners to guide efforts to improve the quality of VMMC services through continuous quality improvement and external quality assessment

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Introduction and Use of Reusable Instruments in Voluntary Medical Male Circumcision Programs

This orientation and resource guide describes considerations for the planning, operation, and maintenance of a reusable surgical instrument inventory

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Voluntary Medical Male Circumcision In-Service Communication: Best Practices Guide

Developed for VMMC programmes supported by the US President’s Emergency Plan for AIDS Relief (PEPFAR), this guide helps ensure that the content of in-service communication and counselling is standardised and comprehensive. 

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PEPFAR’s Best Practices for Voluntary Medical Male Circumcision HCWM Toolkit
Voluntary Medical Male Circumcision (VMMC) Health Care Waste Management (HCWM) Toolkit

This toolkit contains guidance on developing a waste management system to support voluntary medical male services, standard operating procedures for waste disposal, and training tools for waste handlers and transporters.

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Manual for Early Infant Male Circumcision under Local Anaesthesia (updated)
Manual for Early Infant Male Circumcision under Local Anaesthesia

The World Health Organization and Jhpiego developed this manual to help providers and programme managers deliver safe, high-quality infant male circumcision services for HIV prevention and other health benefits.

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Considerations for Implementing Models for Optimizing the Volume and Efficiency of Male Circumcision Services for HIV Prevention
Considerations for Implementing Models for Optimizing the Volume and Efficiency of Male Circumcision Services for HIV Prevention

Models for Optimizing the Volume and Efficiency of Male Circumcision (MOVE) help programmes improve the efficiency of clinical and surgical activities so they can meet demand for voluntary medical male circumcision services.

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Guidance on Engaging Volunteers to Support MC Services
Guidance on Engaging Volunteers to Support the Scale-up of Male Circumcision Services

This document provides an overview of a global initiative to engage volunteer surgical teams in building local capacity and improving access to voluntary medical male circumcision for HIV prevention.

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Male Circumcision Situation Analysis Toolkit
Male Circumcision Situation Analysis Toolkit

This toolkit provides a framework and tools that can be used to carry out a situation analysis to guide decisions about scaling up voluntary medical male circumcision services.

 

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Operational Guidance for Scaling up Male Circumcision Services for HIV Prevention
Operational Guidance for Scaling up Male Circumcision Services for HIV Prevention

The World Health Organization and UNAIDS provide practical guidance to help operationalise the scale-up of voluntary medical male circumcision services in both the public and private sectors.

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UNAIDS Legal and Regulatory Self-Assessment Tool for Male Circumcision in sub-Saharan Africa
UNAIDS Legal and Regulatory Self-Assessment Tool for Male Circumcision in Sub-Saharan Africa

This self-assessment tool provides practical guidance on legal, regulatory, and policy considerations associated with implementation of voluntary medical male circumcision services for HIV prevention.

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VMMC Decision-Makers' Program Planning Tool 2 (DMPPT 2) Online

The VMMC DMPPT 2 Online is a monitoring and planning tool that generates estimates of male circumcision coverage and projections of targets and impact on new HIV infections down to the district level, disaggregated by five-year age group, for voluntary medical male circumcision programmes.

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VMMC Site Capacity and Productivity Assessment Tool

Programme managers can use the Site Capacity and Productivity Assessment Tool (SCPT) to assess the productivity and efficiency of sites providing voluntary medical male circumcision (VMMC).

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Kenya

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National Guidance on Tetanus Prevention in Voluntary Medical Male Circumcision Settings in Kenya

Of the 12 tetanus cases reported by voluntary medical male circumcision (VMMC) programmes in in eastern Africa from 2013 to mid-2016, two occurred in Kenya. Reports of tetanus cases in VMMC settings in the region revealed low immunity to tetanus among adolescent boys and men.

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Clinical Manual on Early Infant Male Circumcision (EIMC) under Local Anesthesia
Clinical Manual on Early Infant Male Circumcision (EIMC) under Local Anesthesia

Adpated for Kenya, this manual is designed to ensure that EIMC is performed safely by qualified service providers with the proper equipment.

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