scholarly journals Skills Training of Health Workers in the Use of a Non Surgical Device (PrePex) for Adult Safe Male Circumcision

PLoS ONE ◽  
2014 ◽  
Vol 9 (8) ◽  
pp. e104893 ◽  
Author(s):  
Moses Galukande ◽  
Kevin Duffy ◽  
Jean Paul Bitega ◽  
Nick Wooding
Keyword(s):  
Male Circumcision ◽  
Health Workers ◽  
Skills Training ◽  
Surgical Device ◽  
Safe Male Circumcision

scholarly journals Prevalence and factors associated with safe male circumcision among Makerere University undergraduate students, Kampala - Uganda

2019 ◽  
Author(s):  
Jean Nyamwiza ◽  
John Mukisa ◽  
Jerry Ictho ◽  
Ronald Ssenyonga ◽  
Annet Nalutaaya ◽  
...  
Keyword(s):  
Undergraduate Students ◽  
Male Circumcision ◽  
Health Workers ◽  
Prevalence Ratio ◽  
Focus Group Discussions ◽  
Group Discussions ◽  
Makerere University ◽  
Factors Associated ◽  
Safe Male Circumcision ◽  
University Undergraduate Students

Abstract Background Safe male circumcision (SMC) is currently recognized as a preventive strategy in reducing the risk of HIV; however, the prevalence of circumcised men in Uganda is still quite low at 26%. This study aimed to determine the prevalence and factors associated with SMC and among Makerere University undergraduate students, in Kampala Uganda. Methods We conducted a cross-sectional study among 602 participants selected using multistage probability sampling strategy. Pretested semi-structured questionnaires and focus group discussions were used to collect data. Quantitative data were analyzed with Stata 12.0, the prevalence ratio and p-values were calculated. Possible interactions and confounding variables were assessed with the Poisson regression model while qualitative data was analyzed with content analysis. Results The overall prevalence of safe male circumcision among male undergraduates was 58.3% (95% CI: 54.37 – 62.24). Factors associated with SMC prevalence included: safety of SMC procedure (Prevalence Ratio (PR) = 1.13, 95% Confidence Interval (CI): 1.03 – 1.25) and friendly health workers (PR = 0.78, 95% CI: 0.74 – 0.83). The perceived benefits of SMC included hygiene (86.5%, n = 521), reduced risk of HIV transmission (4.5%, n = 26) and reduced risk of penile cancer (45.7%, n = 275) while, the perceived barrier was pain (10.1%, n = 61). The students perceived that SMC recipient’s first sexual partner post-procedure should not be his girlfriend. Most participants in all the focus group discussions perceived SMC increases sexual pleasure. Conclusion The overall self-reported SMC success rate among participants was high, along with the safety of SMC services and friendly health workers as important factors among male students. There is a need for continuous sensitization campaigns and communication strategies to address beliefs about SMC, some related misconceptions, and barriers so as to increase its prevalence.

scholarly journals Communication Skills Training in the Medical Curriculum

2013 ◽  
Vol 7 (3) ◽  
pp. 129-134
Author(s):  
Branet Partric ◽  
Yasar Albushra Ahmed
Keyword(s):  
Communication Skills ◽  
Health Workers ◽  
Medical Curriculum ◽  
Skills Training ◽  
Health Care Team ◽  
Patient’S Satisfaction ◽  
The Public ◽  
Communication Problems ◽  
Graduate Curricula ◽  
Medical Regimens

Communication is an essential skill in the armory of any worker in the health field. It is an integral part of the skills required, not only in medical doctors, but in all health workers. Communication is more than history taking; it includes all methods of interaction with patients, patient's relatives, members of the health care team, and the public. Many studies stressed that the main complaints of patients are related to communication problems and not to clinical competency. This has contributed to an increase in the number of law suits, non-adherence to medical regimens, and the tendency of patients to keep changing physicians and hospitals. Also, it has been shown that health outcome is positively affected by proper communication. This includes patient's satisfaction and cooperation, decrease in treatment duration, decrease in painkillers requirements, and decrease in hospital stay. Also, it has been shown that communication skills can be taught and important changes in physician's behavior and in their communication skills have been demonstrated after courses of communication skills. Thus, many medical colleges in the world are including communication skills courses in their undergraduate and graduate curricula.

scholarly journals Pos UKK Cumi dan Pos UKK Kerapuh Sebagai Upaya Meningkatkan Kesehatan Keluarga di Wilayah Tambakwedi Kecamatan Kenjeran, Surabaya

2018 ◽  
Vol 2 (1) ◽  
Author(s):  
Pipit Festi Wiliyanarti
Keyword(s):  
Skin Diseases ◽  
Safety Management ◽  
Health Workers ◽  
Health And Safety ◽  
Skills Training ◽  
Respiratory Illness ◽  
Fishing Communities ◽  
Family Management ◽  
Management Skills ◽  
Management Capabilities

UKK Kerapuh and UKK Cumi  not develop because of the low participation of fishing communities in the region in the implementation of the program Tambak Wedi  UKK . Volunteers or health workers who are not active, people do not understand about the benefits and management of UKK .Health education activities have not been carried out routinely by cadres of health workers. Poor work habits, among others squat and bend over too long, working without protective , complaints Hypertension disease, respiratory illness, back pain, skin diseases on the fishermen.The  Matter UKK group health was hypertension, disorders of the respiratory tract (cough), family members of fishermen 10% are anemic.The approach offered to resolve the issue is to carry out workshops, training and mentoring, in improving the skills of cadre pos UKK and the fishing communities of Tambakwedi region, help improve management capabilities UKK .Output Increased knowledge and skills of partners in managing the UKK, healthy eating family management skills, Training Module Health and Safety, Management Pos UKK, Scientific; Proceending; and Poster. Keywords: fishing communities, UKK .

scholarly journals Exploring drivers for safe male circumcision: Experiences with health education and understanding of partial HIV protection among newly circumcised men in Wakiso, Uganda

PLoS ONE ◽  
2017 ◽  
Vol 12 (3) ◽  
pp. e0175228 ◽  
Author(s):  
Simon P. S. Kibira ◽  
Marguerite Daniel ◽  
Lynn Muhimbuura Atuyambe ◽  
Fredrick Edward Makumbi ◽  
Ingvild Fossgard Sandøy
Keyword(s):  
Health Education ◽  
Male Circumcision ◽  
Safe Male Circumcision

scholarly journals Outcomes of male circumcision performed by medical doctors and non–doctor health workers in central Uganda

2020 ◽  
Author(s):  
Hope Kibansha Matumaini ◽  
Anthony Batte ◽  
Kennedy Otwombe ◽  
Emily Lebotsa ◽  
Sam Luboga
Keyword(s):  
Adverse Events ◽  
Male Circumcision ◽  
Health Workers ◽  
Medical Doctor ◽  
Urethral Injury ◽  
Medical Doctors ◽  
Post Surgery ◽  
Skin Removal ◽  
Event Rates ◽  
Excessive Skin

Abstract Objective: Task shifting for male circumcision is still a challenge. The aim of this study was to evaluate the outcomes of circumcision conducted by doctors compared to non-doctors in Kampala, UgandaResults: In this prospective cohort study, we observed and followed 274 males at 3 health facilities in Kampala, Uganda. Each participant was observed during the circumcision procedure, monitored for 2 hours post-surgery and assessed at 24hours, 3 days and after one week for adverse events. The mean age of the circumcised men was 24.82 (6.36) years. Of the circumcisions, 19.3% (53/274) were carried out by doctors while 80.7% (221/274) by non-doctor health workers. About 5.47% (15/274) experienced adverse events and the proportions by cadre were similar; medical doctors (5.66% [3/53]) and non-doctor health workers (5.43% [12/221]), p=0.99. Seven patients had evidence of pus discharge (all had been operated by non-doctors), only 2 patients had bleeding at 2 hours (one by medical doctor and one by non-doctor), 4 patients had evidence of excessive skin removal (2 by medical doctor vs 2 by non-doctors). There was no reported urethral injury or glans amputation. These results indicate that non-doctor health workers can offer circumcision services safely with low adverse event rates.

scholarly journals Strategies for Scaling up HIV prevention among Adolescents: TASO Masaka Safe Male Circumcision Experience

2016 ◽  
Vol 7 (10) ◽  
Author(s):  
Ivan Magala ◽  
Robert Mwesigwa ◽  
William S Senkirikimbe ◽  
Rose Nalubega ◽  
Musa Nsubuga ◽  
...  
Keyword(s):  
Hiv Prevention ◽  
Male Circumcision ◽  
Scaling Up ◽  
Safe Male Circumcision

scholarly journals Community Engagement for the Voluntary Medical Male Circumcision (VMMC) Program: an Analysis of Key Stakeholder Roles to Promote a Sustainable Program in Zambia

2021 ◽  
Author(s):  
Joseph Mumba Zulu ◽  
Trevor Mwamba ◽  
Alyssa Rosen ◽  
Tulani Francis L. Matenga ◽  
Joseph M Mulanda ◽  
...  
Keyword(s):  
Social Media ◽  
Community Engagement ◽  
Male Circumcision ◽  
Rural Areas ◽  
Health Workers ◽  
Health Centre ◽  
Urban Setting ◽  
Voluntary Medical Male Circumcision ◽  
Medical Male Circumcision ◽  
Community Stakeholders

Abstract BackgroundWithin the Voluntary Medical Male Circumcision (VMMC) programme, community engagement has been central in facilitating the acceptance of VMMC, especially in non-circumcising communities. To date, there has been inadequate mapping of community stakeholders, their power, roles, and strategies in facilitating sustainability of VMMC programmes. We use the case of the development of community engagement plans for sustainability of VMMC in Zambia to illustrate diversity of stakeholders, their power, roles, and strategies in community engagement. The analysis was guided by the power and interest model.MethodsData were collected using document review, in-depth interviews (n=35) and focus group discussions (n=35) with community stakeholders, health workers, health centre committees, counsellors, teachers, community volunteers and parents/caregivers. Data were analysed using thematic analysis. ResultsDifferences were noted between the rural and urban sites in terms of power/influence and interest rating of community stakeholders who could be involved in the sustainability phase of the VMMC response in Zambia. For example, in the urban setting, neighbourhood health committees (NHCs), health workers, leaders of clubs, community health workers (CHWs), radio, television and social media platforms were ranked highest. From this list, social media and television platforms were not highly ranked in rural areas. Some stakeholders had more sources of power than others. Forms or sources of power included technical expertise (knowledge, skills, roles), local authority (traditional, political, religious leadership), financial resources, collective action (action through schools, churches, media platforms, other community spaces), and relational power (community / family bonds). Key roles and strategies included strengthening community engagement in the planning processes by broadening local coordination and engagement systems, enhancing community involvement in providing VMMC information through the use of locally recognised communication spaces and channels, facilitating ownership of VMMC through promoting a community-led monitoring and evaluation process, as well as improving local accountability processes in VMMC activities.ConclusionBy consulting with the most relevant stakeholders, and considering community needs in programme development, the VMMC programme may be able to leverage the community structures and systems to reduce long term demand generation costs for VMMC and increase the acceptability and frequency of male circumcision.

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