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Presented by Hally Mahler Director, Male Circumcision Program MCHIP/Tanzania IAS 2011

Delivering Highly Efficient Male Circumcision (MC) Services for HIV Prevention within the Public Sector in Campaign Mode in Iringa , Tanzania. Presented by Hally Mahler Director, Male Circumcision Program MCHIP/Tanzania IAS 2011 Abstract No. TUPDC0101. Tanzania’s First MC Campaign.

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Presented by Hally Mahler Director, Male Circumcision Program MCHIP/Tanzania IAS 2011

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  1. Delivering Highly Efficient Male Circumcision (MC) Services for HIV Prevention within the Public Sector in Campaign Mode in Iringa, Tanzania Presented by Hally Mahler Director, Male Circumcision Program MCHIP/Tanzania IAS 2011 Abstract No. TUPDC0101

  2. Tanzania’s First MC Campaign Demand Efficiencies Developed for Iringa • Conducted in three districts of Iringa region from June 21–July 31 2010in five facilities —a mix of hospitals and health centers, public, FBO and private. • 10,352 adolescents and men circumcised. • Used MOVE efficiencies to manage supply of MC, and developed demand efficiencies to bring in and manage clients. • Used existing local government structures, USG-funded NGOs in the field, supplemented with BCC to create adequate demand • Decongested service delivery sites by preparing/following up clients in their communities (education, counseling, pre-op exams, follow-up exams) using tents, lower level facilities and other structures • Hired additional counselors during campaign periods to remove typical bottleneck point • Advance scheduled clients–to better match supply and demand of providers/commodities • Effectively managed HR–recognizing extreme conditions of campaigning • Developed “live” database and hired data clerks for each site so that real-time data were available • Local government officials were leaders, conducted supervision during campaign

  3. Public Sector Contributions • Provider salaries (120 people for six weeks) • Coverage of clinical areas affected by campaign • Some commodities such as HIV test kits, condoms • Furniture, facility space • Supervision, quality assurance, general oversight • Planning committees (regional and local officials) Tremendous Political Commitment

  4. Results HIV Test Results Client Age Return Visits Number of AEs

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