Table 1. VMMC provider profile in the four SYMMACS countries.
Kenya | South Africa | Tanzania | Zimbabwe | |||||
2011 | 2012 | 2011 | 2012 | 2011 | 2012 | 2011 | 2012 | |
n = 85 | n = 82 | n = 105 | n = 209 | n = 93 | n = 206 | n = 74 | n = 94 | |
Gender: | ||||||||
Male (%) | 80.0 | 69.5 | 45.7 | 41.6 | 32.3 | 39.8 | 67.6 | 67.0 |
Mean age in years, | 32.0 | 31.0 | 38.5 | 39.1 | 40.2 | 40.4 | 39.3 | 37.7 |
(Standard deviation) | (6.7) | (6.6) | (9.8) | (10.9) | (9.4) | (8.8) | (8.4) | (8.7) |
Cadre: | ||||||||
Medical Doctor | 0.0 | 0.0 | 20.0 | 16.7 | 0.0 | 1.9 | 25.7 | 26.6 |
Nurse | 52.9 | 53.7 | 80.0 | 83.3 | 80.6 | 78.6 | 74.3 | 73.4 |
Assistant medical officer (AMO) | 0.0 | 0.0 | 0.0 | 0.0 | 8.6 | 5.3 | 0.0 | 0.0 |
Clinical officer | 47.1 | 45.1 | 0.0 | 0.0 | 10.8 | 14.1 | 0.0 | 0.0 |
Role in surgical theater, % providers that: | ||||||||
Primary provider A | 0.0 | 1.2 | 15.2 | 11.0 | 47.3 | .5 | 25.7 | 26.6 |
Secondary provider B | 1.2 | 7.3 | 71.4 | 78.5 | 11.8 | .5 | 74.3 | 73.4 |
Both perform and assist with VMMC operations depending on need | 98.8 | 91.5 | 13.3 | 10.5 | 40.9 | 99.0 | 0.0 | 0.0 |
Estimated number of VMMC procedures performed or assisted (career total): | ||||||||
Median | 2430 | 1343 | 600 | 500 | 700 | 1500 | 360 | 400 |
(Interquartile range) | (500–4745) | (200–4185) | (200–2000) | (100–1000) | (275–1950) | (600–3000) | (70–1125) | (158–1000) |
Number of months performing VMMC for HIV prevention | ||||||||
Median | 25 mo. | 31 mo. | 8 mo. | 10 mo. | 12 mo. | 15 mo. | 6 mo. | 11 mo. |
(Interquartile range) | (12–40) | (16–43) | (4–14) | (4–16) | (8–16) | (10–26) | (1–20) | (5–17) |
In the past 3 months % providers that performed VMMC: | ||||||||
Full-time C | 64.7 | 45.1 | 80.0 | 78.5 | 1.1 | 50.0 | 33.8 | 13.8 |
% of providers that received: | ||||||||
VMMC training in medical or nursing school | 36.5 | 20.7 | 20.0 | 4.3 | 7.5 | 1.0 | 4.1 | 4.3 |
Additional formal training/continuing education (e.g., certificate training) in VMMC for HIV prevention | 98.8 | 97.6 | 76.7 | 75.1 | 97.8 | 100 | 100 | 100 |
Among those who had additional training: | n = 85 | n = 82 | n = 105 | n = 160 | n = 91 | n = 206 | n = 74 | n = 94 |
Mean number of days of additional training | 21.2 days | 20.8 days | 5.7 days | 5.7 days | 13.9 days | 11.5 days | 6.8 days | 7.0 days |
(Standard deviation) | (20.5) | (13.9) | (3.5) | (2.8) | (5.2) | (1.6) | (1.5) | (0.2) |
[A] Primary providers perform VMMC (removes foreskin).
[B] Secondary providers assist the primary surgical provider.
[C] full time defined as dedicated ≥90% of working hours to VMMC.