1 / 13

Arbogast Oyanga Monitoring and Evaluation(M&E) Professional

Factors associated with post-operative follow-up after voluntary medical male circumcision in Nyanza Province, Kenya. Arbogast Oyanga Monitoring and Evaluation(M&E) Professional. Authors and Affiliations. Family AIDS Care and Education Services (FACES), Kisumu, Kenya

verdad
Download Presentation

Arbogast Oyanga Monitoring and Evaluation(M&E) Professional

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Factors associated with post-operative follow-up after voluntary medical male circumcision in Nyanza Province, Kenya Arbogast Oyanga Monitoring and Evaluation(M&E) Professional

  2. Authors and Affiliations • Family AIDS Care and Education Services (FACES), Kisumu, Kenya • Departments of Obstetrics, Gynecology and Reproductive Sciences, University of California San Francisco (UCSF), San Francisco, California, USA • Research Care and Training Program, Center for Microbiology Research, Kenya Medical Research Institute (KEMRI), Kisumu, Kenya

  3. Program Background • Family AIDS Care and Education Services (FACES) • PEPFAR funded, Family-focused program • Collaboration between Kenya Medical Research Institute (KEMRI) and University of California, San Francisco (UCSF) • Operational since September 2004 in Nyanza and Nairobi

  4. Program Background Cont’d • FACES program areas • Provider Initiated Testing and Counseling (PITC) • Prevention of Mother to Child Transmission (PMTCT) • HIV Care and Treatment • Voluntary Medical Male Circumcision (VMMC)

  5. Background • Voluntary medical male circumcision (VMMC) reduces HIV risk acquisition by upto 60% • In Kenya, VMMC services has reached over 395,000 men in less than four years • Current guidelines require a 7-day post-surgery follow-up visit to; • Monitor outcomes • Identify and treat adverse events (AEs) • Reinforce risk reduction and sexual abstinence for 6 weeks post-surgery • A large proportion of men fail to return for follow-up

  6. Study Goal • To understand the characteristics of men who undergo VMMC and the factors associated with post-surgery follow-up

  7. Methods • A retrospective cohort study was conducted • VMMC data extracted from medical records • 11,483 men • 12 FACES-supported HIV clinics in Nyanza • Between January 2011 – August 2012 • Associations between client characteristics(age, clinic locality and referral source) and 7-day visit attendance were analyzed • Logistic regression

  8. Results – Patient Characteristics

  9. Results - Associations

  10. Conclusion • Post-surgery 7-day follow-up was infrequent, particularly in more rural regions • Adverse events (AEs) reporting was uncommon

  11. Limitation • There could be other factors with urban men, like education level, socio-economic status and distance to clinic, that influence follow-up that were not evaluated

  12. Recommendations • Innovative interventions for clinic follow-up may • help improve adverse event ascertainment and; • provide an opportunity to reinforce risk reduction and sexual abstinence post-surgery

More Related