TABLE 2.
Voluntary medical male circumcision (VMMC) progress, HIV testing and counseling (HTC) acceptance, human immunodeficiency virus (HIV) prevalence among VMMC clients, postoperative follow-up reviews among VMMC clients, and postoperative moderate or severe VMMC adverse event (AE) rates, by country and year, 2010–2012
| Total VMMCs performed | HTC uptake among VMMC clients | HIV prevalence among VMMC clients | Postoperative follow-up within 14 days of VMMC | Postoperative moderate or severe AEs | |||||
|---|---|---|---|---|---|---|---|---|---|
|
|
|
|
|
|
|||||
| Country | No. | No. | (%) | No. | (%) | No. | (%) | No. | (%) |
| 2012 | |||||||||
| Botswana | 8,590 | 7,702 | (89.7) | 234 | (3.0) | 6,571 | (76.5) | 136 | (2.1) |
| Kenya | 116,311 | 97,647 | (84.0) | 3,386 | (3.5) | 40,084 | (34.5) | 506* | (1.3) |
| Malawi | 7,420 | 526 | (53.1) | 38 | (7.2) | 398 | (40.2) | — | — |
| Mozambique | 68,924 | 68,924 | (100.0) | 1,915 | (1.3) | — | — | — | — |
| Namibia | 5,965 | 5,259 | (88.2) | 69 | (1.3) | 5,777 | (96.8) | 62 | (1.1) |
| South Africa | 80,701 | 79,087 | (98.0) | 1,788 | (2.3) | 72,631 | (90.0) | 290 | (0.4) |
| Tanzania† | 49,756 | 43,637 | (87.7) | 590 | (1.4) | 41,561 | (83.5) | 272* | (0.7) |
| Uganda | 139,628 | — | — | — | — | — | — | — | — |
| Zambia | 58,309 | 23,802 | (40.8) | 165 | (0.7) | 45,026 | (77.2) | 351* | (0.8) |
| Total | 535,604 | 326,584 | (83.8) | 8,185 | (2.5) | 212,048 | (64.8) | 1,617 | (0.8) |
| 2011 | |||||||||
| Botswana | — | — | — | — | — | — | — | — | — |
| Kenya | 166,310 | — | — | — | — | 42,937 | (25.8) | 284* | (0.7) |
| Malawi | 778 | — | — | — | — | — | — | — | — |
| Mozambique | 18,472 | 18,472 | (100.0) | 753 | (4.1) | — | — | — | — |
| Namibia | 5,292 | 4,770 | (90.1) | 71 | (1.5) | 5,084 | (96.1) | 92 | (1.8) |
| South Africa | 15,574 | 13,091 | (84.1) | 526 | (4.0) | 12,023 | (77.2) | 87 | (0.7) |
| Tanzania† | 50,325 | 47,658 | (94.8) | 636 | (1.3) | 48,078 | (95.5) | 421* | (0.9) |
| Uganda | 57,132 | — | — | — | — | — | |||
| Zambia | 33,841 | 33,841 | (100.0) | 339 | (1.0) | 27,530 | (81.4) | 252 | (0.9) |
| Total | 347,724 | 117,832 | (95.4) | 2,325 | (2.0) | 135,652 | (50.0) | 1,196 | (0.9) |
| 2010 | |||||||||
| Botswana | — | — | — | — | — | — | — | — | — |
| Kenya | 104,131 | — | — | — | — | — | — | — | — |
| Malawi | — | — | — | — | — | — | — | — | — |
| Mozambique | 4,009 | 3,701 | (92.3) | 154 | (4.2) | — | — | — | — |
| Namibia | 1,197 | 996 | (83.2) | 26 | (2.6) | 891 | (74.4) | 20 | (2.2) |
| South Africa | 3,820 | — | — | — | — | — | — | — | — |
| Tanzania† | 1,519 | 1,346 | (88.6) | 16 | (1.2) | 1,267 | (83.4) | 53* | (4.2) |
| Uganda | 9,052 | — | — | — | — | — | — | — | — |
| Zambia | 13,368 | 10,864 | (81.3) | 227 | (2.1) | 10,023 | (75.0) | 130 | (1.3) |
| Total | 137,096 | 16,907 | (84.1) | 423 | (2.5) | 12,181 | (75.7) | 203 | (1.7) |
| Summary 2010–2012 | |||||||||
| Botswana | 8,590 | 7,702 | (89.7) | 234 | (3.0) | 6,571 | (76.5) | 136 | (2.1) |
| Kenya | 386,752 | 97,647 | (84.0) | 3,386 | (3.5) | — | — | 790 | (—) |
| Malawi | 8,198 | 526 | (53.1) | 38 | (7.2) | 398 | (5.4) | — | (—) |
| Mozambique | 91,405 | 91,097 | (99.7) | 2,822 | (3.1) | — | — | 446 | (—) |
| Namibia | 12,454 | 11,025 | (88.5) | 166 | (1.5) | 11,752 | (94.4) | 174 | (1.5) |
| South Africa | 100,095 | 92,178 | (95.7) | 2,314 | (2.5) | 84,654 | (87.9) | 377 | (0.4) |
| Tanzania† | 101,600 | 92,641 | (91.2) | 1,242 | (1.3) | 90,906 | (89.5) | 746 | (0.8) |
| Uganda | 205,812 | — | — | — | — | — | — | 470 | (—) |
| Zambia | 105,518 | 68,507 | (64.9) | 731 | (1.1) | 82,579 | (78.3) | 733 | (0.9) |
| Total | 1,020,424 | 461,323 | (86.5) | 10,933 | (2.4) | 359,881 | (58.6) | 3,016 | (0.8) |
*
Contains both intraoperative and moderate or severe postoperative AEs.
†
Tanzania’s data for postoperative follow-up visits are within 48 hours of surgery, not 14 days. Tanzania’s national database collects HTC data on all patients regardless of whether they received VMMC. HTC acceptance among VMMC clients in this table has been imputed by using HTC data from all clients testing at the VMMC site.