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Piloting early infant male circumcision using two devices in Zimbabwe: A randomized trial

Piloting early infant male circumcision using two devices in Zimbabwe: A randomized trial. Mavhu W , Ncube G, Hatzold K, Weiss HA, Mugurungi O, Larke N, Mufuka J, Samkange CA, Sherman J, Madidi N, Cowan FM, Ticklay I, Gwinji G. Background and Methods.

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Piloting early infant male circumcision using two devices in Zimbabwe: A randomized trial

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  1. Piloting early infant male circumcision using two devices in Zimbabwe: A randomized trial Mavhu W, Ncube G, Hatzold K, Weiss HA, Mugurungi O, Larke N, Mufuka J, Samkange CA, Sherman J, Madidi N, Cowan FM, Ticklay I, Gwinji G

  2. Background and Methods • Zimbabwe MoH piloting safety & acceptability of EIMC using devices • Trial randomization 2:1 to either AccuCirc device or Mogen clamp • Total sample size 150 (100 AccuCirc; 50 Mogen clamp) • EIMC performed by doctors

  3. Mogen clamp and AccuCirc device

  4. Results • 13% (150/1,151) of all eligible male infants whose parents were offered EIMC enrolled in the trial • 150 infants aged 6-54 days circumcised 9 Jan- 19 June 2013 (23 weeks) • 2 moderate AEs in AccuCirc arm (95% CI 0.4-7.7%); none in Mogen clamp arm (95% CI 0.0-8.9%)

  5. Parental Satisfaction

  6. Discussion • It is feasible and safe to offer EIMC using devices in Zimbabwe • Despite the health benefits of EIMC, actual uptake remains low • However, parental satisfaction with the procedure and the outcome is very high • Culturally appropriate EIMC demand-creation activities need to be developed and introduced to support scale-up

  7. Acknowledgements • Study staff • Research participants • Study being conducted at Edith Opperman & Mabvuku clinics • Study funded by BMGF through PSI-Zimbabwe

  8. Thank You!

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