Male circumcision uptake, postoperative complications, and satisfaction associated with mid-level providers in rural Kenya

Thoai D Ngo1, George Obhai21Research and Metrics Team, Health System Department, Marie Stopes International; 2Monitoring and Evaluation Team, Marie Stopes International Kenya, Nairobi, KenyaObjective: The purpose of this study was to assess postoperative complications and patient satisfaction associ...

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Autores principales:	Ngo TD, Obhai G
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2012
Materias:	Immunologic diseases. Allergy RC581-607
Acceso en línea:	https://doaj.org/article/90a79fe031af47fd82df3641fe624441
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spelling	oai:doaj.org-article:90a79fe031af47fd82df3641fe6244412021-12-02T00:27:44ZMale circumcision uptake, postoperative complications, and satisfaction associated with mid-level providers in rural Kenya1179-1373https://doaj.org/article/90a79fe031af47fd82df3641fe6244412012-04-01T00:00:00Zhttp://www.dovepress.com/male-circumcision-uptake-postoperative-complications-and-satisfaction--a9655https://doaj.org/toc/1179-1373Thoai D Ngo1, George Obhai21Research and Metrics Team, Health System Department, Marie Stopes International; 2Monitoring and Evaluation Team, Marie Stopes International Kenya, Nairobi, KenyaObjective: The purpose of this study was to assess postoperative complications and patient satisfaction associated with mid-level provision of male circumcision in rural Kenya.Methods: A prospective cohort study was conducted among children, adolescents, and adult men undergoing male circumcision from September 1, 2008 to December 4, 2008 at Marie Stopes International Kenya mobile outreach sites located in eight districts in the Nyanza and Western Provinces, Kenya. Male circumcision procedures were performed by registered nurses, surgical technicians, or nurse aides. Postoperative follow-up visits took place on the day of the procedure and at postoperative days 3, 7, and 30, with additional visits as necessary. Data on adverse events, healing conditions, satisfaction level, and resumption of activities were assessed at each follow-up visit.Results: A total of 285 individuals were screened, and 240 underwent male circumcision procedures. All procedures were performed using the guided forceps technique by mid-level providers. At the first follow-up visit (postoperative day 3), 5.8% (n = 14) individuals did not return for post-surgical assessment. Retention rates at the second (day 7) and third (day 30) follow-up visits were 91.3% (n = 219) and 84.6% (n = 203), respectively. The prevalence of complications (moderate and severe adverse events) was 1.3% (3/240). At the first and second follow-up visits, 91.7% of patients (n = 220) were capable of resuming their daily activities, and 100% by day 30. The majority of patients (&gt;99%) were satisfied with the procedure, counseling, and information received.Conclusion: Male circumcisions can be delivered safely and successfully by mid-level providers in rural settings with high client satisfaction, thereby increasing access to human immunodeficiency virus prevention services in Kenya.Keywords: male circumcision, human immunodeficiency virus, reproductive health, mid-level providers, KenyaNgo TDObhai GDove Medical PressarticleImmunologic diseases. AllergyRC581-607ENHIV/AIDS: Research and Palliative Care, Vol 2012, Iss default, Pp 37-43 (2012)
institution	DOAJ
collection	DOAJ
language	EN
topic	Immunologic diseases. Allergy RC581-607
spellingShingle	Immunologic diseases. Allergy RC581-607 Ngo TD Obhai G Male circumcision uptake, postoperative complications, and satisfaction associated with mid-level providers in rural Kenya
description	Thoai D Ngo1, George Obhai21Research and Metrics Team, Health System Department, Marie Stopes International; 2Monitoring and Evaluation Team, Marie Stopes International Kenya, Nairobi, KenyaObjective: The purpose of this study was to assess postoperative complications and patient satisfaction associated with mid-level provision of male circumcision in rural Kenya.Methods: A prospective cohort study was conducted among children, adolescents, and adult men undergoing male circumcision from September 1, 2008 to December 4, 2008 at Marie Stopes International Kenya mobile outreach sites located in eight districts in the Nyanza and Western Provinces, Kenya. Male circumcision procedures were performed by registered nurses, surgical technicians, or nurse aides. Postoperative follow-up visits took place on the day of the procedure and at postoperative days 3, 7, and 30, with additional visits as necessary. Data on adverse events, healing conditions, satisfaction level, and resumption of activities were assessed at each follow-up visit.Results: A total of 285 individuals were screened, and 240 underwent male circumcision procedures. All procedures were performed using the guided forceps technique by mid-level providers. At the first follow-up visit (postoperative day 3), 5.8% (n = 14) individuals did not return for post-surgical assessment. Retention rates at the second (day 7) and third (day 30) follow-up visits were 91.3% (n = 219) and 84.6% (n = 203), respectively. The prevalence of complications (moderate and severe adverse events) was 1.3% (3/240). At the first and second follow-up visits, 91.7% of patients (n = 220) were capable of resuming their daily activities, and 100% by day 30. The majority of patients (&gt;99%) were satisfied with the procedure, counseling, and information received.Conclusion: Male circumcisions can be delivered safely and successfully by mid-level providers in rural settings with high client satisfaction, thereby increasing access to human immunodeficiency virus prevention services in Kenya.Keywords: male circumcision, human immunodeficiency virus, reproductive health, mid-level providers, Kenya
format	article
author	Ngo TD Obhai G
author_facet	Ngo TD Obhai G
author_sort	Ngo TD
title	Male circumcision uptake, postoperative complications, and satisfaction associated with mid-level providers in rural Kenya
title_short	Male circumcision uptake, postoperative complications, and satisfaction associated with mid-level providers in rural Kenya
title_full	Male circumcision uptake, postoperative complications, and satisfaction associated with mid-level providers in rural Kenya
title_fullStr	Male circumcision uptake, postoperative complications, and satisfaction associated with mid-level providers in rural Kenya
title_full_unstemmed	Male circumcision uptake, postoperative complications, and satisfaction associated with mid-level providers in rural Kenya
title_sort	male circumcision uptake, postoperative complications, and satisfaction associated with mid-level providers in rural kenya
publisher	Dove Medical Press
publishDate	2012
url	https://doaj.org/article/90a79fe031af47fd82df3641fe624441
work_keys_str_mv	AT ngotd malecircumcisionuptakepostoperativecomplicationsandsatisfactionassociatedwithmidlevelprovidersinruralkenya AT obhaig malecircumcisionuptakepostoperativecomplicationsandsatisfactionassociatedwithmidlevelprovidersinruralkenya
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Male circumcision uptake, postoperative complications, and satisfaction associated with mid-level providers in rural Kenya

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