1. Overview of MC Research in Kenya Country Update Meeting on MC Scale Up Eastern and Southern Africa Region, Arusha Dr Mores Loolpapit BSc, MB ChB, MPH 10 June 2010

2. Introduction Building on RCT undertaken by UNIM Project, expanded site into a Research and Training Centre (the URTC) Currently undertaking 17 studies in 10 of the 13 WHO theme areas Most undertaken through the Male Circumcision Consortium (MCC) with funding from the Bill & Melinda Gates Foundation Studies to inform MC Scale- Up in Kenya and beyond

3. Initial Research Agenda - MCC Assessing behaviour, attitudes, beliefs, and acceptability of MC in Nyanza Evaluating the impact of MC on sexual risk behaviour and rates of HIV Assessing safety of MC services to help identify ways to improve and expand male circumcision services Assessing the potential for private sector providers, clinical officers, and nurses to provide safe, high-quality male circumcision services Determining the viability of using outreach services to enhance access to safe male circumcision

4. Additional Research Activities Evaluation of Safe Voluntary Infant Male Circumcision (The Mtoto Msafi Project) Text Messaging to Improve Follow-up and Abstinence (UoW, Fogarty) The Shang Ring Study (EH, Cornell, BMGF) Cohort Post-RCT Study evaluating HIV & STI incidence amongst circ and uncirc men (UIC, & DAIDS, NIH) Post-Surgical Wound Healing Study Communicating Partial Protection of MC MOVE Concept Evaluation (WHO/USAID)

5. Current Status Data collection completed, reports finalized/ almost complete: private sector, MCMES, HRD studies Client recruitment completed, follow-up on- going: SHABS, Outreach and Non-Physician Clinician Studies On-ongoing Studies: CIRCIS, CPP, Mtoto Msafi Protocol development/ awaiting IRB approval: Text Messaging, Wound Healing, MOVE Concept, Active Surveillance of AE (CDC)

6. Next Steps Convene meeting for Researchers, Policy Makers, Programme Managers and Implementers to review findings and implications for Policy and Practice: October 2010 Distill findings and make recommendations for policy and practice Share findings through appropriate forums: stakeholder forums, media, conferences, meetings Identify additional priority research issues to be addressed based on emerging challenges in- country and in the region.

7. Acknowledgments Ministries of Health in Kenya MC Partners: FHI, EngenderHealth, University of Illinois at Chicago, Nyanza Reproductive Health Society, CDC Kenya and Cornell University National & Nyanza Provincial Male Circumcision Taskforce Our donors: Bill & Melinda Gates Foundation and others Communities in Nyanza

8. Asanteni Sana!