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TANZANIA UPDATE ON MALE CIRCUMCISION ACTIVITIES Tuesday 8, 2010

Scaling-up male circumcision programmes in the Eastern and Southern Africa Region, Arusha Tanzania 8-10 June 2010. TANZANIA UPDATE ON MALE CIRCUMCISION ACTIVITIES Tuesday 8, 2010. Background. Total population is 43 million,HIV prevalence 5.7% and Male circumcision prevalence is 70%

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TANZANIA UPDATE ON MALE CIRCUMCISION ACTIVITIES Tuesday 8, 2010

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  1. Scaling-up male circumcision programmes in the Eastern and Southern Africa Region, Arusha Tanzania 8-10 June 2010 TANZANIA UPDATE ON MALE CIRCUMCISION ACTIVITIES Tuesday 8, 2010

  2. Background • Total population is 43 million,HIV prevalence 5.7% and Male circumcision prevalence is 70% • Wide regional variations of both HIV and MC prevalence • Key players • Ministry of Health and Social Welfare (MOHSW) • NIMR, WHO, CDC, UNICEF, USAID, Jhpiego, DOD, ICAP, UNAIDS

  3. Comparison between HIV and MC

  4. Key experiences 1/2 • Formation of MC Task Force under MOHSW guidance in October 2007. • Formation of MC Technical working group. • Situation analysis of MC conducted between 2008-2009. • Dissemination of results to all stake holders carried out in September 2009.

  5. Key experiences 2/2 • Development of the National Strategic Plan on MC December 2009. • The National Strategic Plan to be operational by August 2010. • Commencement of demonstration sites in three Regions (Mbeya, Iringa, Kagera) in September 2009.

  6. Quality Assurance: • Standards for MC under LA • Site start-up guide • Facility orientation • Operations guide developed for demonstration Sites.

  7. Innovations • MOVE due to start at demonstration sites. M&E: • Draft tools used by demonstration sites. Policy & Regulation: • Policy and standards issues included in the just completed national strategy

  8. Results of Situation analysis • MC rate ranges between 20% and 98%, averaging to 70%. • Males are willing to undergo MC even in areas where Traditional Male Circumcision is not practiced. • TMC are ready to cooperate with MMC for safety improvement and referral system.

  9. Mc services in Tanzania • The MC services is being provided by Health Workers( Nurses and Clinicians) • 94 providers trained. • MC client pays between 1 and 3 dollars in the Demonstration sites. • All clients receive VCT services before MC. • Over 4700 male circumcision have been done and reported from the 3 sites since September 2009 to May 2010.

  10. Lesson learnt • Demonstration on sites have contributed to strategy development. • No traditional/religious opposition to MC • High demand with minimum mobilization.

  11. Challenges • Shortage of supplies and commodities for large scale MC activities • Shortage of trained Health personnel • Fund for scaling up MC activities • Fund for getting the MC kits, materials and incentives.

  12. Key next steps • Scale up of MC activities in 8 Regions(Kagera, Mara, Mwanza, Tabora,Shinyanga, Rukwa, Mbeya & Iringa) • Advocacy to the eight sited Regions • Train staff for the sited Regions • MC Costing exercises in the selected priority regions. • Resource mobilization for sustainable services. • The MC to be part of the CCHP.

  13. Support needed • Funds • initial MC kits. • advocacy to the eight priority Regions. • Research. • Supervision • Technical Assistance • Costing exercise

  14. THANKS

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