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Innovative and Efficient Approaches for Meeting the Human Resource Needs of the Male Circumcision Scale up in Southern a

by: Kelly Curran; 1 Emmanuel Njeuhmeli; 2 Andrew Mirelman; 3 Kim Dickson; 4 Tigistu Adamu; 1 Peter Cherutich; 5 Thembisile Khumalo Mavuso; 6 Jennifer Albertini; 7 Laura Fitzgerald; 8 Naomi Bock; 9 Jason Reed; 9 and David Stanton 2

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Innovative and Efficient Approaches for Meeting the Human Resource Needs of the Male Circumcision Scale up in Southern a

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  1. by: Kelly Curran;1 Emmanuel Njeuhmeli;2 Andrew Mirelman;3 Kim Dickson;4 Tigistu Adamu;1 Peter Cherutich;5ThembisileKhumalo Mavuso;6 Jennifer Albertini;7Laura Fitzgerald;8Naomi Bock;9 Jason Reed;9 and David Stanton2 1Jhpiego/Baltimore; 2USAID/Washington, D.C.; 3JohnsHopkins Bloomberg School of Public Health; 4WHO/Geneva; 5National AIDS and STI Control Programme, Kenya; 6Ministry of Health, Swaziland; 7USAID/Swaziland; 8Jhpiego/Swaziland and 9CDC/Atlanta Innovative and Efficient Approaches for Meeting the Human Resource Needs of the Male Circumcision Scale up in Southern and Eastern Africa

  2. Male circumcision (MC) reduces female to male HIV transmission by approximately 60% 80% coverage within five years would avert over 3 million new HIV infections in 14 African countries by 2025, but would require over 20 million MCs The shortage of health professionals poses a critical challenge to the MC scale-up Background 20,373,693 Adult Men, Ages 15−49 to be Circumcised across All 14 Countries

  3. Absolute shortage of health care workers WHO estimates sub-Saharan Africa has 25% of the world’s disease burden but only three percent of the world’s health workforce Underutilization of existing health care workers Unemployed and recently retired healthcare workers Methods: Review of Existing HR Situation and MC Program Responses

  4. Findings: Optimizing ScarceHuman Resources

  5. A policy change (task shifting) empowered nurses to conduct MC surgery Number of MCs performed increased while maintaining safety 268,000 MCs in first 2.5 years of programme, including 36,000 and 50,000 during two Rapid Results Initiatives (RRI) Findings: Kenya Task Shifting and Campaign Approaches

  6. Findings: Quantification of Nursing Workforce in Swaziland

  7. Conclusions and Recommendations It is possible to increase the productivity and expand the size of the MC workforce through • Surgical efficiency approaches • Efforts to match supply with demand • Task shifting • Task sharing • Redeployment of existing staff during campaign periods • Engaging “on leave” staff • Targeted recruitment of new graduates, recently retired, unemployed and expatriate volunteer healthcare workers

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