scholarly journals Identifying factors associated with successful implementation and uptake of an evidence-based voluntary medical male circumcision program in Zambia: the Spear and Shield 2 Program

2019 ◽  
Vol 10 (4) ◽  
pp. 970-977 ◽  
Author(s):  
Violeta J Rodriguez ◽  
Antonio Chahine ◽  
Aileen de la Rosa ◽  
Tae Kyoung Lee ◽  
Nicholas V Cristofari ◽  
...  
Keyword(s):  
Health Care Providers ◽  
Male Circumcision ◽  
Qualitative Data ◽  
Sexual Practices ◽  
Successful Implementation ◽  
Evidence Based ◽  
Voluntary Medical Male Circumcision ◽  
Care Providers ◽  
Medical Male Circumcision ◽  
Implementation And Dissemination

Abstract Voluntary medical male circumcision has been shown to provide a 50%–70% reduction in the risk of HIV infection without contributing to behavioral disinhibition of safer sexual practices. This study examined the interim implementation and dissemination data of Spear and Shield 2, an HIV risk-reduction program in Zambia. The purpose of this interim review was to identify contextual challenges to implementation and implement midcourse corrections associated with sustainability of program delivery. Using a mixed-methods design, quantitative evaluations of organizational functioning, barriers to implementation, burnout, and organizational readiness, as well as qualitative data utilizing the Consolidated Framework for Implementation Research (CFIR), were examined to evaluate program implementation. Participants were 184 health care providers from 46 clinics in Zambia. Successful implementation was associated with better community and leader support, and employee readiness and motivation. Quantitative assessments were not related to implementation and provided a limited picture of implementation outcomes. Results suggest that the qualitative data underlying the CFIR constructs provided a nuanced, contextual assessment of implementation, and dissemination outcomes. The CFIR may be valuable in informing the implementation of evidence-based interventions in other parts of Zambia.

COPD360social Online Community: A Social Media Review

2018 ◽  
Vol 19 (4) ◽  
pp. 489-491 ◽  
Author(s):  
Michael Stellefson ◽  
Samantha R. Paige ◽  
Julia M. Alber ◽  
Margaret Stewart
Keyword(s):  
Health Care ◽  
Social Media ◽  
Chronic Disease ◽  
Health Care Providers ◽  
Online Community ◽  
Self Management ◽  
Successful Implementation ◽  
Evidence Based ◽  
Care Providers ◽  
Media Review

People living with chronic obstructive pulmonary disease (COPD) commonly report feelings of loneliness and social isolation due to lack of support from family, friends, and health care providers. COPD360social is an interactive and disease-specific online community and social network dedicated to connecting people living with COPD to evidence-based resources. Through free access to collaborative forums, members can explore, engage, and discuss an array of disease-related topics, such as symptom management. This social media review provides an overview of COPD360social, specifically its features that practitioners can leverage to facilitate patient–provider communication, knowledge translation, and community building. The potential of COPD360social for chronic disease self-management is maximized through community recognition programming and interactive friend-finding tools that encourage members to share their own stories through blogs and multimedia (e.g., images, videos). The platform also fosters collaborative knowledge dissemination and helping relationships among patients, family members, friends, and health care providers. Successful implementation of COPD360social has dramatically expanded patient education and self-management support resources for people affected by COPD. Practitioners should refer patients and their families to online social networks such as COPD360social to increase knowledge and awareness of evidence-based chronic disease management practices.

scholarly journals Voluntary Medical Male Circumcision and Sexual Practices among Sexually Active Circumcised Men in Mzuzu, Malawi: A Cross-Sectional Study

2019 ◽  
Author(s):  
Zimveka Jones Chatsika ◽  
Andrew Kumitawa ◽  
Vincent Samuel ◽  
Steven Chifundo Azizi ◽  
Vincent C Jumbe
Keyword(s):  
Protective Effect ◽  
Male Circumcision ◽  
Cross Sectional Study ◽  
Sexual Practices ◽  
Voluntary Medical Male Circumcision ◽  
Low Density ◽  
Sectional Study ◽  
Cross Sectional ◽  
Medical Male Circumcision ◽  
Risky Sexual Practices

Abstract Background Voluntary Medical Male Circumcision (VMMC) is one of the strategies being promoted to prevent sexual heterosexual transmission of HIV. It has been adopted by 14 countries with high HIV prevalence and low circumcision rates. The 60% protective efficacy of VMMC has come with misconceptions in some societies in Malawi, hence VMMC clients may opt for risky sexual practices owing to its perceived protective effect. The study estimated proportion of circumcised men engaging in risky sexual behaviors post-VMMC, assessed knowledge on VMMC protective effect and identified socio-demographic factors associated with risky sexual practices. Method A cross sectional study was conducted at two sites of Mzuzu city. Systematic random sampling was used to select 322 clients aged 18-49 who had undergone VMMC. The independent variables included age, location, occupation, religion, marital status and education. Outcome variables were non condom use, having multiple sexual partners and engaging in transactional sex. Data from questionnaires was analyzed using Pearson’s chi square test and logistic regression. Results Out of 322 respondents, 84.8% (273) understood the partial protection offered by VMMC in HIV prevention. Ninety-six percent of the participants self-reported continued use of condoms post VMMC. Overall 23.7% - 38.3% clients self-reported engaging in risky sexual practices post VMMC, 23.7% (76) had more than one sexual partner; 29.2% (94) paid for sex while 39.9% (n=187) did not use a condom. Residing in high density areas was associated with non-condom use, (p = 0.043). Being single (p <0.0001), and residing in low density areas (p = 0.004) was associated with engaging in transactional sex. Conclusion Risky sexual practices are evident among clients that have undergone VMMC. Messages on safer sexual practices and limitations of VMMC need to be emphasized to clients, especially unmarried or single and those residing in low density areas.

scholarly journals Voluntary Medical Male Circumcision and Sexual Practices among Sexually Active Circumcised Men in Mzuzu, Malawi: A Cross-Sectional Study

2019 ◽  
Author(s):  
Zimveka Jones Chatsika ◽  
Andrew Kumitawa ◽  
Vincent Samuel ◽  
Steven Chifundo Azizi ◽  
Vincent C Jumbe
Keyword(s):  
Protective Effect ◽  
Male Circumcision ◽  
Cross Sectional Study ◽  
Sexual Practices ◽  
Voluntary Medical Male Circumcision ◽  
Low Density ◽  
Sectional Study ◽  
Cross Sectional ◽  
Medical Male Circumcision ◽  
Risky Sexual Practices

Abstract Background: Voluntary Medical Male Circumcision (VMMC) is one of the strategies being promoted to prevent sexual heterosexual transmission of HIV. It has been adopted by 14 countries with high HIV prevalence and low circumcision rates. The 60% protective efficacy of VMMC has come with misconceptions in some societies in Malawi, hence VMMC clients may opt for risky sexual practices owing to its perceived protective effect. The study estimated proportion of circumcised men engaging in risky sexual behaviors post-VMMC, assessed knowledge on VMMC protective effect and identified socio-demographic factors associated with risky sexual practices. Method: A cross sectional study was conducted at two sites of Mzuzu city. Systematic random sampling was used to select 322 participants aged 18-49 who had undergone VMMC. The independent variables included age, location, occupation, religion, marital status and education. Outcome variables were non condom use, having multiple sexual partners and engaging in transactional sex. Data from questionnaires was analyzed using Pearson’s chi square test and logistic regression. Results: Out of 322 respondents, 84.8% (273) understood the partial protection offered by VMMC in HIV prevention. Ninety-six percent of the participants self-reported continued use of condoms post VMMC. Overall 23.7% - 38.3% participants self-reported engaging in risky sexual practices post VMMC, 23.7% (76) had more than one sexual partner; 29.2% (94) paid for sex while 39.9% (n=187) did not use a condom. Residing in high density areas was associated with non-condom use, (p = 0.043). Being single (p <0.001), and residing in low density areas (p = 0.004) was associated with engaging in transactional sex. Conclusion: Risky sexual practices are evident among participants that have undergone VMMC. Messages on safer sexual practices and limitations of VMMC need to be emphasized to clients, especially unmarried or single and those residing in low density areas.

scholarly journals Voluntary Medical Male Circumcision and Sexual Practices among Sexually Active Circumcised Men in Mzuzu, Malawi: A Cross-Sectional Study

2020 ◽  
Author(s):  
Zimveka Jones Chatsika ◽  
Andrew Kumitawa ◽  
Vincent Samuel ◽  
Steven Chifundo Azizi ◽  
Vincent C Jumbe
Keyword(s):  
Protective Effect ◽  
Male Circumcision ◽  
Cross Sectional Study ◽  
Sexual Practices ◽  
Voluntary Medical Male Circumcision ◽  
Low Density ◽  
Sectional Study ◽  
Cross Sectional ◽  
Medical Male Circumcision ◽  
Risky Sexual Practices

Abstract Background: Voluntary Medical Male Circumcision (VMMC) is one of the strategies being promoted to prevent sexual heterosexual transmission of HIV. It has been adopted by 14 countries with high HIV prevalence and low circumcision rates. The 60% protective efficacy of VMMC has come with misconceptions in some societies in Malawi, hence VMMC clients may opt for risky sexual practices owing to its perceived protective effect. The study estimated proportion of circumcised men engaging in risky sexual behaviors post-VMMC, assessed knowledge on VMMC protective effect and identified socio-demographic factors associated with risky sexual practices.Method: A cross sectional study was conducted at two sites of Mzuzu city. Systematic random sampling was used to select 322 participants aged 18-49 who had undergone VMMC. The independent variables included age, location, occupation, religion, marital status and education. Outcome variables were non condom use, having multiple sexual partners and engaging in transactional sex. Data from questionnaires was analyzed using Pearson’s chi square test and logistic regression. Results: Out of 322 respondents, 84.8% (273) understood the partial protection offered by VMMC in HIV prevention. Ninety-six percent of the participants self-reported continued use of condoms post VMMC. Overall 23.7% - 38.3% participants self-reported engaging in risky sexual practices post VMMC, 23.7% (76) had more than one sexual partner; 29.2% (94) paid for sex while 39.9% (n=187) did not use a condom. Residing in high density areas was associated with non-condom use, (p = 0.043). Being single (p <0.001), and residing in low density areas (p = 0.004) was associated with engaging in transactional sex. Conclusion: Risky sexual practices are evident among participants that have undergone VMMC. Messages on safer sexual practices and limitations of VMMC need to be emphasized to clients, especially unmarried or single and those residing in low density areas.

scholarly journals Voluntary Medical Male Circumcision and Sexual Practices among Sexually Active Circumcised Men in Mzuzu, Malawi: A Cross-Sectional Study

2020 ◽  
Author(s):  
Zimveka Jones Chatsika ◽  
Andrew Kumitawa ◽  
Vincent Samuel ◽  
Steven Chifundo Azizi ◽  
Vincent C Jumbe
Keyword(s):  
Protective Effect ◽  
Male Circumcision ◽  
Cross Sectional Study ◽  
Sexual Practices ◽  
Voluntary Medical Male Circumcision ◽  
Low Density ◽  
Sectional Study ◽  
Cross Sectional ◽  
Medical Male Circumcision ◽  
Risky Sexual Practices

Abstract Background: Voluntary Medical Male Circumcision (VMMC) is one of the strategies being promoted to prevent sexual heterosexual transmission of HIV. It has been adopted by 14 countries with high HIV prevalence and low circumcision rates. The 60% protective efficacy of VMMC has come with misconceptions in some societies in Malawi, hence VMMC clients may opt for risky sexual practices owing to its perceived protective effect. The study estimated proportion of circumcised men engaging in risky sexual behaviors post-VMMC, assessed knowledge on VMMC protective effect and identified socio-demographic factors associated with risky sexual practices. Method: A cross sectional study was conducted at two sites of Mzuzu city. Systematic random sampling was used to select 322 participants aged 18-49 who had undergone VMMC. The independent variables included age, location, occupation, religion, marital status and education. Outcome variables were non condom use, having multiple sexual partners and engaging in transactional sex. Data from questionnaires was analyzed using Pearson’s chi square test and logistic regression. Results: Out of 322 respondents, 84.8% (273) understood the partial protection offered by VMMC in HIV prevention. Ninety-six percent of the participants self-reported continued use of condoms post VMMC. Overall 23.7% - 38.3% participants self-reported engaging in risky sexual practices post VMMC, 23.7% (76) had more than one sexual partner; 29.2% (94) paid for sex while 39.9% (n=187) did not use a condom. Residing in high density areas was associated with non-condom use, (p = 0.043). Being single (p <0.001), and residing in low density areas (p = 0.004) was associated with engaging in transactional sex. Conclusion: Risky sexual practices are evident among participants that have undergone VMMC. Messages on safer sexual practices and limitations of VMMC need to be emphasized to clients, especially unmarried or single and those residing in low density areas.

scholarly journals Knowledge, Attitudes, Practices and Beliefs about Medical Male Circumcision (MMC) among a Sample of Health Care Providers in Haiti

PLoS ONE ◽  
2015 ◽  
Vol 10 (8) ◽  
pp. e0134667 ◽  
Author(s):  
Jessy G. Dévieux ◽  
Anshul Saxena ◽  
Rhonda Rosenberg ◽  
Jeffrey D. Klausner ◽  
Michèle Jean-Gilles ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Male Circumcision ◽  
Care Providers ◽  
Medical Male Circumcision

scholarly journals Development of a women empowerment framework to promote voluntary medical male circumcision uptake for HIV prevention in Zimbabwe

2021 ◽  
Author(s):  
Grace Danda ◽  
Thandisizwe Mavundla ◽  
Christina Mudokwenyu Rawdon
Keyword(s):  
Hiv Prevention ◽  
Literature Review ◽  
Male Circumcision ◽  
Relevant Literature ◽  
Voluntary Medical Male Circumcision ◽  
Women Empowerment ◽  
Care Providers ◽  
Medical Male Circumcision ◽  
Role Of Women

ABSTRACT Introduction: This study aimed to develop a women empowerment framework to promote Voluntary Medical Male Circumcision (VMMC) uptake for human immune-deficiency virus (HIV) prevention, guided by the following objectives: To explore relevant literature on the role of women in promoting male circumcision uptake; To develop a women empowerment framework to promote male circumcision uptake; To describe the women empowerment framework to promote male circumcision uptake. Methods: The study used a theory-generation design to explore, describe and develop a women empowerment framework from a broad literature review. Results: A three-phase approach suitable for the framework development emerged from the literature review. Phase one involved exploring relevant literature on role of women in male circumcision uptake, using the Population/problem, Intervention, Comparison and Outcome (PICO) method to identify and define the key concepts. Phase 2 adopted and adapted Maibvise and Mavundla model in identifying the following concepts: change agents as the health care providers, recipients as the women to influence men eligible for male circumcision, promoting male circumcision uptake and success of the male circumcision program. Phase 3 provided a detailed description of the framework including three key steps of empowerment of women, influencing positive perceptions of men and utilisation of male circumcision services. Conclusions: The identified concepts resulted in development of a women empowerment framework, which can be used as an education and advocacy tool in building the capacity of women in supporting the male circumcision programme to promote uptake. Further research is required to expand the utilisation of the framework in male circumcision healthcare services. KEY WORDS: Women empowerment, framework, voluntary medical male circumcision, male circumcision uptake, HIV prevention

scholarly journals Implementation challenges and perception of care providers on Electronic Medical Records at St. Paul’s and Ayder Hospitals, Ethiopia

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Alemayehu Bisrat ◽  
Dagne Minda ◽  
Bekalu Assamnew ◽  
Biruk Abebe ◽  
Teshome Abegaz
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Qualitative Data ◽  
Current Status ◽  
Successful Implementation ◽  
Care Providers ◽  
Gregorian Calendar ◽  
Management Commitment ◽  
Ict Infrastructure

Abstract Background In resources constrained settings, effectively implemented Electronic Medical Record systems have numerous benefits over paper-based record keeping. This system was implemented in the 2009 Gregorian Calendar in the two Ethiopian territory hospitals, Ayder and St. Paul’s. The pilot implementation and similar re-deployment efforts done in 2014 and 2017 Gregorian Calendar failed at St. Paul's. This study aimed to assess the current status, identify challenges, success factors and perception of health care providers to the system to inform on future roll-outs and scale-up plans. Methods A cross sectional study design with quantitative and qualitative methods was employed. A survey was administered October to December 2019 using a structured questionnaire. A total of 240 health care providers participated in the study based on a stratified random sampling technique. An interview was conducted with a total of 10 persons that include IT experts and higher managements of the hospital. Descriptive statistics were employed to summarize the survey data using SPSS V.21. Qualitative data were thematically presented. Results St. Paul’s hospital predominantly practiced the manual medical recording system. The majority of respondents (30.6%) declared that a lack of training and follow up, lack of management commitment, poor network infrastructure and hardware/software-related issues were challenges and contributed to EMR system failure at St. Paul’s. Results from the qualitative data attested to the above results. The system is found well-functioning at Ayder, and the majority of respondents (38%) noted that lack of training and follow-up was the most piercing challenge. As per the qualitative findings, ICT infrastructure, availability of equipment, incentive mechanisms, and management commitment are mentioned as supportive for successful implementation. At both hospitals, 70 to 95% of participants hold favorable perceptions and are willing to use the system. Conclusion Assessing the readiness of the hospital, selecting and acquiring standard and certified EMR systems, provision of adequate logistic requirements including equipment and supplies, and upgrading the hospital ICT infrastructure will allow sustainable deployment of an EMR system.

An evidence-based analysis of voluntary medical male circumcision devices

2016 ◽  
Vol 13 (5) ◽  
pp. 295-295 ◽  
Author(s):  
Aaron A. R. Tobian ◽  
Jason Reed ◽  
Emmanuel Njeuhmeli
Keyword(s):  
Male Circumcision ◽  
Evidence Based ◽  
Voluntary Medical Male Circumcision ◽  
Medical Male Circumcision
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