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Efficacy of knowledge and competence-based training of non-physicians in the provision of Early Infant Circumcision (EIC) using the Mogen clamp in Rakai, Uganda.

Efficacy of knowledge and competence-based training of non-physicians in the provision of Early Infant Circumcision (EIC) using the Mogen clamp in Rakai, Uganda.
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Kankaka EN, Kigozi G, Kayiwa D, Kighoma N, Makumbi F, Murungi T, Nabukalu D, Nampijja R, Watya S, Namuguzi D, Nalugoda F, Nakigozi G, Sserwadda D, Wawer M, Gray RH,


Kankaka EN, Kigozi G, Kayiwa D, Kighoma N, Makumbi F, Murungi T, Nabukalu D, Nampijja R, Watya S, Namuguzi D, Nalugoda F, Nakigozi G, Sserwadda D, Wawer M, Gray RH, (click to view)

Kankaka EN, Kigozi G, Kayiwa D, Kighoma N, Makumbi F, Murungi T, Nabukalu D, Nampijja R, Watya S, Namuguzi D, Nalugoda F, Nakigozi G, Sserwadda D, Wawer M, Gray RH,

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BJU international 2016 Oct 18() doi 10.1111/bju.13685

Abstract

Early infant circumcision (EIC) is the most common neonatal surgical procedure in males.(1) It has also been incorporated as a component in combination HIV prevention in 14 of Sub-Saharan African countries with high HIV prevalence and low circumcision coverage.(2,3) EIC has advantages over adult circumcision due to lower adverse events, no risk of early resumption of sex and potentially lower cost(4-6) . Sub-Saharan African countries have low physician coverage, but comparatively higher coverage of non-physicians who could facilitate roll out of circumcision for HIV prevention. The major concern has been safety of the procedure and complications can be mitigated by adequate training using a structured curriculum(7-11) with a didactic and supervised practicum, step-by-step checklists and immediate feedback from mentors. Anatomic models have also been shown to enhance trainee-learning.(12-15) This article is protected by copyright. All rights reserved.

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