Table 2.
Circumstances surrounding glans injuries occurring within PEPFAR-supported VMMC programs, 2015–2018
| Number (%), N = 36 | |
|---|---|
| Patient age in years | |
| Median (25, 75%) | 10 (10, 11) |
| Mean (range) | 10 (< 1–14) |
| Mode (n = 19) | 10 |
| Time of day glans injury occurred | |
| 8 am – Noon | 7 (19) |
| Noon – 4 pm | 13 (36) |
| After 4 pm | 8 (22) |
| Unknown | 8 (12) |
| Cadre type of VMMC provider | |
| Physician | 8 (22) |
| Clinical Officer/ Clinical Associate | 8 (22) |
| Nurse | 4 (11) |
| Other | 1 (3) |
| Unknown | 15 (42) |
| Training of VMMC provider in DS method1 | |
| Adequate | 2 (6) |
| Inadequate | 5 (14) |
| Unknown | 29 (81) |
| Reported over-worked environment during glans injury2 | |
| Yes | 9 (25) |
| No mention | 21 (58) |
| Record unavailable | 6 (17) |
| Possible attempt to conceal information3 | |
| Yes, inaccurate documentation | 11 (31) |
| Yes, failure to report as required | 3 (8) |
| No | 16 (44) |
| Unknown | 6 (17) |
| Specialty of referral provider | |
| Urologist | 17 (47) |
| Pediatric Surgeon | 8 (22) |
| Other Surgeon | 2 (6) |
| Unknown | 3 (8) |
| Not or unknown if referred | 6 (17) |
1Adequate = AE report indicates adequate training for dorsal slit method, inadequate = report indicates that there was a lack of adequate training, unknown = no mention of training in the report
2Documentation of a concern that a heavy workload may have been a contributing factor to the glans injury
3Documentation of a concern that VMMC provider or clinic attempted to hide or alter evidence concerning the glans injury (for example, documenting DS method when FG method was actually performed)