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 %); none in Mogen clamp arm (95% CI %)

5. Parental Satisfaction
Characteristic
AccuCirc Device (N=100)
Mogen Clamp
(N=50)
Mothers’ satisfaction (0-10)
<=5
1 (1%)
0 (0%)
6-8
2 (2%)
3 (6%) 9
7 (7%)
2 (4%) 10
90 (90%)
45 (90%)
Mother would recommend
98 (98%)
50 (100%)
Mother would have next son circumcised
99 (99%)

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!