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Male circumcision in Rwanda

Male circumcision in Rwanda. Presented by:. Background. Population: 9.3M HIV Prevalence : 3% MC Prevalence: 15% ( 15-49 years ) MC integrated in the national HIV prevention policy since 2007

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Male circumcision in Rwanda

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  1. Male circumcision in Rwanda Presented by:

  2. Background • Population: 9.3M • HIV Prevalence : 3% • MC Prevalence: 15% (15-49 years) • MC integrated in the national HIV prevention policy since 2007 • MC Partnerships: WHO, UNAIDS, UNICEF, USG, Jhpiego, Civil Society Organizations

  3. Figure 1: Scenario for MC Service Expansion in Rwanda - Adult, Adolescent (10-19yrs) and Neonatal MC Programme Sources: Rwanda NIS 2009; Rwanda NSP 2009-2012

  4. Implementation Status • Leadership: • NAC (CNLS) coordination of MC activities • MOH responsible for MC in health facilities • TRAC Plus responsible for development of MC tools • Technical Working Group (TWG) since 2008(National and Partners) • MC focal person in TRAC Plus & CNLS.

  5. Implementation Status… • Situation Analysis: *3 studies: -Cost& effectiveness of MC -Facility readiness assessment (data analysis: Ongoing) -MC KAP study (data analysis) *DMPPT Model (ongoing)

  6. Accomplishment • Policy & Regulation :-MC integrated in National HIV prevention Policy; -MC guidelines under approval. • Advocacy with civil society umbrellas (with support from AVAC/IHV) • QA ,M&E framework under discussion

  7. Accomplishment… • Training: 2 Programme Managers ; 6 National trainers;50 MC service providers, 91MC counselors (military HF) • Service Delivery: MC in 9 Military sites (542 circumcised men since 10/2009 to 04/2010), • MC pilot project is planned in 2 districts hospitals (Musanze & Nyanza)

  8. Lessons Learnt • Political engagement / commitment of stakeholders. • Community acceptability is likely to be high • Existing of certain cultural/sexual practices that could undermine MC impact and or acceptability • Willingness of women to be involved in MC rollout

  9. Challenges • The operational plan under discussion with technical support of UNAIDS; • Insufficient medical staff and mobility of trained staff • Insufficiency of MC kits • High cost of the MC / Funding availability • Task shifting • Communication plan • Service coverage and M&E framework

  10. Way Forward • Finalize DMPPT model: Operational Plan • Evidence based policies • Capacity building • Development of communication plan and tools • Modeling effective service delivery at district level

  11. Support need to scale up • Technical expertise: • Operational plan; • BCC; • Capacity Building;

  12. Thank you

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