1. MMC OVERVIEW 02 March 2011 DR SANDILE TSHABALALA MANAGER: MMC & TM PROGRAMME

2. BACKGROUND His Majesty the King of the Zulus announced during uMkhosi woKweshwama that he is reviving the circumcision practice as an endeavor to strengthen the HIV prevention. The Department of Health has integrated MMC as one of the strategies to strengthen HIV prevention in the province.

3. PROVINCIAL ROLL OUT (DEPARTMENT) Medical MC Forceps guided method Tara klamp

4. CIRCUMCISIONS PERFORMED Male circumcision performed on adult 15-49 years25 193 Male circumcision performed on adult 50 years and older277 Male circumcision performed on child 4 months to 14 years 1 978 Male circumcision performed on neonate 0-3 months42 GRAND TOTAL27490 +- 95% of circumcised males are HIV negative

5. ADVERSE Circumcised adult 15-49 years who experienced moderate adverse events due to surgery492 Circumcised adult 15-49 years who experienced severe adverse events due to surgery38 Circumcised adult 50 years and older who experienced moderate adverse events due to surgery36 Circumcised adult 50 years and older who experienced severe adverse events due to surgery2 Circumcised child 4 months - 14 years who experienced moderate adverse events due to surgery110 Circumcised child 4 months - 14 years who experienced severe adverse events due to surgery5 Circumcised neonate 0-3 months who experienced moderate adverse events due to surgery0 Circumcised neonate 0-3 months who experienced severe adverse events due to surgery2 GRAND TOTAL685

6. CHALLENGES & RECOMMENDATIONS CHALLENGES Shortage of staff Reluctance of participation at facilities Shortage of resources RECOMMENDATIONS Urgent creation of posts for the district roving teams Facilities to mobilize the programme Provision of resources at district level

7. Thank you