Professional Documents
Culture Documents
by: Webby Kanjipite1, Mainza Lukobo-Durrell2, Joseph Nikisi1, Jackson Okuku1, Makawa D. Daniel3 and Kwame Asiedu1 affiliate: 1Jhpiego, an affiliate of Johns Hopkins University/Zambia, 2Jhpiego, an affiliate of Johns Hopkins University/USA, 3Ministry of Health, Zambia
Jhpiego-specific factors
National-level factors
MC Prevalence
HIV Prevalence
Jhpiego-Specific Factors
Early preparation
combination of service delivery models (outreach and static sites) areas with high demand
BASIS OF SUCCESS
and high-level advocacy through traditional chiefs, political leaders and active MOH leadership
Campaign strategy
op
Provinces
comprehensive HIV prevention and treatment programs by the Government of the Republic of Zambia (Operational Plan, 2012). country to achieve VMMC coverage of 80% among the targeted group by 2015 to maximize the public health benefit in regard to HIV prevention.
analyzed retrospectively; total numbers of clients circumcised were compared by the campaign modes that were used each year.
or th
n This exceeded the set target of 16,000 n Jhpiego contributed 36% toward the
national figure for 2012. adverse events.
the number of VMMCs conducted at Jhpiego-supported sites in the August 2012 campaign was four times higher (22,590) than the numbers in the 2010 (5,493) and 2011 (5,283) campaigns. MCs during the 2012 VMMC campaign.
to Provincial Medical Officers, District Medical Officers and Facility Managers to work closely with partners and release health workers for the campaign
access to and coverage of VMMC services require continued use of more efficient campaigns with a variety of service delivery models. a successful campaign include a combination of diverse demand creation strategies, involving the media and advocacy of traditional and political leaders, and MOH leadership and support.
To Achieve Universal Coverage, Zambia Needs to Reach 1.949 Million HIV-Negative Adult Males by 2015
868,538 526,818 84,604 2011 198,511 2012 270,528 2013 2014 2015 Annual VMMCs decrease in 2016 126,463 2016 Sustainability phase
n Less than 2% of clients had reported n Almost 80% of clients had been tested
for HIV during VMMC campaigns.
References
87%
88%
Catch-up phase
86%
20,000 84%
Expected impact in Zambia: 339,632 HIV infections (29.9%) averted US$1.7 billion in savings (20112025)
80% 10,000
78%
78%
76% 5,000
74%
2010 2011 2012
74%
72%
campaigns has increased access to and coverage of VMMC services over the last 3 years (2010, 2011 and 2012). supporting the Ministry of Health (MOH) with annual VMMC campaigns at MOH health facilities:
MCs
This work has been supported by the Presidents Emergency Plan for AIDS Relief (PEPFAR) through the Cooperative Agreement Number 3U2GPS001414 from the U.S. Centers for Disease Control and Prevention (CDC). The opinions expressed herein are those of the authors and do not necessarily reflect the views of PEPFAR, CDC or the United States Government.
15,000
82%
1. Central Statistical Office (CSO) [Zambia] and Macro International, Inc. 2009. Zambia Demographic and Health Survey 2007: Key Findings. Calverton, Maryland, USA: CSO and Macro International, Inc. 2. Ministry of Health (MOH). 2012. Country Operational Plan for the Scale-Up of Voluntary Medical Male Circumcision in Zambia, 20122015. http://www. malecircumcision.org/country_updates/ documents/Zambia_VMMC_operational_plan. pdf. Accessed on June 12, 2013. 3. World Health Organization. 2007. New data on voluntary medical male circumcision and HIV prevention: policy and programme implications. http://www.malecircumcision. org/advocacy/documents/WHO_UNAIDS_ New_Data_MC_recommendations. Accessed on June 12, 2013.