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  Conducted in three districts of Iringa region from June 21– July in 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 Demand Efficiencies Developed for Iringa

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

Results Client AgeHIV Test Results Return Visits Number of AEs