Male circumcision in Rwanda Presented by:. Background Population: 9.3M HIV Prevalence : 3% MC Prevalence: 15% (15-49 years) MC integrated in the national.

Slides:

Advertisements

Similar presentations

An operational package for Integrated Management of HIV/AIDS prevention, treatment and care ICASA - Abuja, Nigeria 5 December 2005.

Advertisements

The U.S. Presidents Emergency Plan for AIDS Relief Title The U.S Presidents Emergency Plan for AIDS Relief PEPFAR Male Circumcision Technical Working Group.

Family Planning/HIV Integration in a Large PEPFAR HIV Program – the ZPCT II Experience Prisca Kasonde MD, MMed, MPH Director Technical Support, ZPCT II/FHI.

Lessons Learned in Social Protection in health Group 8.

Jhpiego Male Circumcision Programs Jabbin Mulwanda Kelly Curran Technical Leadership Office 19 May 2009.

Scaling up voluntary medical male circumcision Catherine Hankins MD MSc FRCPC Chief Scientific Adviser to UNAIDS Office of the Deputy Executive Director,

SCALING UP SAFE MALE CIRCUMCISION IN BOTSWANA COUNTRY UPDATE MEETING TO SHARE LESSONS, EXPLORE OPPORTUNITIES AND OVERCOME CHALLENGES TO SCALE UP: 8-10.

From Research to Practice: Scale-up of Male Circumcision for HIV prevention in Tanzania Wambura Mwita National Institute for Medical Research Mwanza, Tanzania.

Volunteer Program to Support MC Scale Up in Swaziland

CITAM+ Engaging HIV Civil Society in TB ACSM Meeting, Cancun 30 Nov 2009 Carol Nawina Nyirenda National Coordinator Community Initiative for TB, HIV/AIDS.

AIDS 2012— Turning the Tide Together Thinking Ahead: Voluntary Medical Male Circumcision Roll-Out With Non Surgical Devices: costing, global access, logistic,

New insights into Research and Evidence on how Investments in PMTCT and Paediatric AIDS have contributed to Health Systems Strengthening Rene Ekpini E.

SCALING UP MALE CIRCUMCISION PROGRAMMES IN THE EASTERN AND SOUTHERN AFRICA REGION TANZANIA 8 TH TO 10 TH JUNE 2010 Malawi Presentation.

1 Experiences with integrated Community Health Workers in the Partnership for HIV Free Survival project Roland van de Ven – Technical Director Tatu Mtambalike.

Presentation to IPU HIV/AIDS Advisory committee Mark Heywood Deputy Chairperson, SANAC.

Strengthening National HIV Community Based Programs Reporting A case of Community – Based Organizations Reporting System in Kenya Presented.

Zambia MC Up-Date Arusha, Tanzania 8 th – 10 th June 2010.

Elements and Applications of the NACS Approach Serigne Diene, Senior Nutrition and HIV Advisor (FANTA/FHI360) AIDS Turning the Tide Together.

Male Circumcision in Namibia Frieda Katuta National Prevention Coordinator Namibian Ministry of Health and Social Services.

Integration of Antiretroviral Therapy (ART) in Maternal and Child Health (MCH) settings: the way forward for increasing access to ART for.

Capacity Development – Haïti case study PMU May HAITI Program Management Unit Global Fund.

The U.S. President’s Emergency Plan for AIDS Relief 2011 Country Operational Plan Briefing to Development Partners in Health in Kenya December 3, 2011.

Pioneering IMAI: Developing an integrated approach in Uganda Dr Elizabeth Madraa, Program Manager National STD/AIDS Control Program MOH - UGANDA 5 th Dec.

Downloaded from 1 HIV Prevention, Care and Treatment The Rwandan Experience Dr Anita Asiimwe, Treatment.

Background NMR: 19/1000 (57% of IMR) ; Neonatal Infection is the 3rd major killer ~ 54% home delivery, low access of newborn care, cultural & geographical.

CHAZ Public Private Partnership in PBF Public Private Partnership in PBF Church State Collaboration) Presentation to the PBF Multi-Country Conference In.

Country Team Action Plan Cambodia. Tracks 1 & 2 2 Where are we now? Key program/country needs and challenges –MMR of 472 / 100,000 hasn’t budged in 15.

Expanding Service Delivery in Swaziland Dr S.V. Magagula – Deputy Director of Health Services - MCTF Chairperson.

From the Ground Up: The Case of Integrating Family Planning and HIV/AIDS Services in Tanzania Integrated Approaches, Local Answers Presenter: Ms. Christine.

Montreux, Switzerland, March 2007 New Data on Male Circumcision and HIV Prevention: Policy and Programme Implications New Data on Male Circumcision and.

Capitalisation of good practices on HIV programming for persons with disabilities in Rwanda from 2008 to 2013 Muriel Mac-Seing and Elie Mugabowishema Handicap.

Philippe Chiliade, MD, MHA Technical Advisor, Clinical Care, FHI 12 August 2008 Family Health International Implementing HIV Care & Treatment Progress.

Towards a National Alliance against Chronic Respiratory Diseases Nikolai Khaltaev, MD, PhD March 2006, GARD General Meeting, Beijing, China.

Consultant Advance Research Team. Outline UNDERSTANDING M&E DATA NEEDS PEOPLE, PARTNERSHIP AND PLANNING 1.Organizational structures with HIV M&E functions.

EngenderHealth’s Work on Male Circumcision

8-10 June 2010 Arusha, Tanzania By AYANDA NQEKETO National MC Coordinator Ministry of Health, Swaziland.

The U.S. President’s Emergency Plan for AIDS Relief Title Cost and Impacts of expanding male circumcision services in Eastern and Southern Africa Emmanuel.

The Cost and Impact of Scaling-up Medical Male Circumcision in Uganda: An Empirical Analysis International AIDS Conference Vienna July 2010 Nazarius Mbona.

Update on Male Circumcision Programme Presented By: Sinokuthemba Xaba National MC Focal Person/AIDS & TB Unit MOHCW 8-10 June 2010 Zimbabwe Country Presentation.

Facility supervision by the District Health Teams (DHTs) in Rwanda Track1 Meeting Maputo, Mozambique, August 10 th -12 th Dr. Ruben Sahabo.

1 Coordinating Line Ministry Response To HIV/AIDS Sierra Leone’s Experience African Region Consultation on HIV/AIDS 14 – 18 February 2005, Addis Ababa,

Innovations for HR challenges in Resource Limited Settings: Lessons from a rural HIV/AIDS program in Mid western Uganda Dr Richard Mwesigwa Infectious.

Division of Reproductive Health Scaling up cervical cancer prevention and treatment in Kenya DR Nakato Jumba DRH CERVICAL CANCER PARTNER FORUM, ELDORET.

HHS/CDC Track 1.0 Transition in Rwanda Dr Ida Kankindi, Rwanda Ministry of Health Dr Felix Kayigamba, CDC-Rwanda August

Prevention of Mother-to-Child Transmission of HIV: Scale-up of Critical Services in Uganda (District- based Approach) Edward Bitarakwate, MD, MPH Technical.

1 Innovative rapid scale-up of effective PMTCT services to achieve virtual elimination of new pediatric HIV infections: A Zimbabwe experience Dr. Agnes.

TANZANIA UPDATE ON MALE CIRCUMCISION ACTIVITIES Tuesday 8, 2010.

VMMC Sustainability and Early Infant Male Circumcision Dr. Tin Tin Sint HIV section, UNICEF New York.

From choice, a world of possibilities ART Delivery: Providing ART in Sexual and Reproductive Health Setting A Presentation of the Work of Family Health.

PrEP Scale Up in Kenya: Bridge to Scale Project

Key Population Community taking the Lead.

20:20 Vision Making new and old money work better

Operational Review WASH

Using Detainees and Peer Educators in HIV prevention and systematic TB screening: Kigali Central Prison (PCK) Eugenie INGABIRE.

Literacy Situation in Afghanistan

New Data on Male Circumcision and HIV Prevention: Policy and Programme Implications WHO/UNAIDS Technical Consultation on Male Circumcision and HIV.

Funding stigma reduction for key populations: innovation and actions

iCCM Experience Malawi

ROAD MAP FOR IMPROVING ADOLESCENT HEALTH IN UGANDA

Literacy Initiatives For Empowerment ( LIFE )

SCALING UP SAFE MALE CIRCUMCISION IN BOTSWANA

Leela Khanal Project Director JSI Research & Training Institute, Inc.

PARTNERS MMC meeting PEPFAR/SOUTH AFRICA

UPDATE ON MALE CIRCUMCISION IN UGANDA

Reaching those most at-risk through a general population approach: PrEP in the context of a generalized HIV epidemic Sindy Matse Eswatini Ministry of Health.

Dr Peter Cherutich, MD, MPH Deputy Director

THE SANAC RESEARCH SECTOR

The Multi-Country HIV/AIDS Program (MAP) and TB

A pathway to policy commitment for sustainability of a key population-led health services model in Thailand Dr. Preecha Prempree Deputy Director-General,

Presentation transcript:

Male circumcision in Rwanda Presented by:

Background Population: 9.3M HIV Prevalence : 3% MC Prevalence: 15% (15-49 years) MC integrated in the national HIV prevention policy since 2007 MC Partnerships: WHO, UNAIDS, UNICEF, USG, Jhpiego, Civil Society Organizations

Figure 1: Scenario for MC Service Expansion in Rwanda - Adult, Adolescent (10-19yrs) and Neonatal MC Programme Sources: Rwanda NIS 2009; Rwanda NSP

Implementation Status Leadership:  NAC (CNLS) coordination of MC activities  MOH responsible for MC in health facilities  TRAC Plus responsible for development of MC tools  Technical Working Group (TWG) since 2008(National and Partners)  MC focal person in TRAC Plus & CNLS.

Implementation Status… Situation Analysis: *3 studies: -Cost & effectiveness of MC -Facility readiness assessment (data analysis: Ongoing) -MC KAP study (data analysis) *DMPPT Model (ongoing)

Accomplishment Policy & Regulation :-MC integrated in National HIV prevention Policy; -MC guidelines under approval. Advocacy with civil society umbrellas (with support from AVAC/IHV) QA,M&E framework under discussion

Accomplishment… Training: 2 Programme Managers ; 6 National trainers;50 MC service providers, 91MC counselors (military HF) Service Delivery: MC in 9 Military sites (542 circumcised men since 10/2009 to 04/2010), MC pilot project is planned in 2 districts hospitals (Musanze & Nyanza)

Lessons Learnt Political engagement / commitment of stakeholders. Community acceptability is likely to be high Existing of certain cultural/sexual practices that could undermine MC impact and or acceptability Willingness of women to be involved in MC rollout

Challenges The operational plan under discussion with technical support of UNAIDS; Insufficient medical staff and mobility of trained staff Insufficiency of MC kits High cost of the MC / Funding availability Task shifting Communication plan Service coverage and M&E framework

Way Forward Finalize DMPPT model: Operational Plan Evidence based policies Capacity building Development of communication plan and tools Modeling effective service delivery at district level

Support need to scale up Technical expertise:  Operational plan;  BCC;  Capacity Building;