(VMMC_CIRC) Number of males circumcised as part of the voluntary medical male circumcision (VMMC) for HIV prevention program within the reporting period

Export Indicator

Number of males circumcised as part of the voluntary medical male circumcision (VMMC) for HIV prevention program within the reporting period
What it measures

This indicator tracks the number of male circumcisions conducted during the reporting period and assists in potentially determining coverage of circumcision in the population over time. The total number of males circumcised indicates a change in the supply of and/or demand for VMMC services. Additionally, disaggregations are required and are used to evaluate whether prioritized services have been successful at reaching the intended population (by age, HIV status, and circumcision technique), targets have been achieved, and whether modeling inputs should be adjusted. An additional level of disaggregation below the circumcision technique level is required for follow-up status, since post-operative clinical assessments are part of good clinical care and low follow-up rates may indicate a problem in program quality.

Numerator

Number of males circumcised

Denominator

N/A

Calculation

How to calculate annual total:

Sum results across quarters.

Method of measurement

The numerator can be generated by counting the number of males circumcised as part of the VMMC for HIV prevention program. This information can generally be found in VMMC Register, or client medical records maintained by each program/site/service provider.

How to review for data quality

Disaggregations for HIV status and outcome and circumcision technique should be equal to (but not exceed) the numerator. The circumcision technique by follow-up status disaggregate should be less or equal to the circumcision technique disaggregate.

Reporting Level:

Facility

Measurement frequency

Reporting frequency:

Quarterly

Disaggregation

Numerator Disaggregations:

Disaggregate Groups:

1. Age [Required]

2. HIV Status and Outcome by Age [Required]
Underlined portions auto-populate into the VMMC HTS_TST modality.
 
3. Circumcision Technique [Required]
 
4. Circumcision Technique/Follow-up Status (Sub-disaggregation of the VMMC circumcision technique disaggregation) [Required]
 
Disaggregates:
 

1. • 0-60 days, 2 months - 4 years, 5-9, 10-14, 15-19, 20-24, 25-29, 30-34, 35-39, 40-44, 45-49, 50+, Unknown Age

2. • Number of HIV-positive clients (tested HIV positive at VMMC site) by: <1 1-4, 5-9, 10-14, 15-19, 20-24, 25-29, 30-34, 35-39, 40-44, 45-49, 50+, Unknown Age
• Number of HIV-negative clients (tested HIV negative at VMMC site) by: <1 1-4, 5-9, 10-14, 15-19, 20-24, 25-29, 30-34, 35-39, 40-44, 45-49, 50+, Unknown Age
• Number of clients with indeterminate HIV status or not tested for HIV at site (regardless of previous documentation) by: <1 1-4, 5-9, 10-14, 15-19, 20-24, 25-29, 30-34, 35-39, 40-44, 45-49, 50+, Unknown Age
 
3. • Surgical VMMC
• Device-based VMMC
 
4. • Surgical VMMC: Followed-up within 14 days of surgery
• Surgical VMMC: Did not follow-up within 14 days of surgery or did not follow-up within the reporting period
• Device-based VMMC: Followed-up within 14 days of device placement.
• Device-based VMMC: Did not follow-up within 14 days of device placement or did not follow-up within the reporting period

 

Denominator Disaggregations:

Disaggregate Groups:

N/A

Disaggregates:

N/A

 

Disaggregate descriptions & definitions:

N/A

Explanation of the numerator

The numerator can be generated by counting the number of males circumcised.

Further information

Indicator changes (MER 2.0 v2.2 to v2.3):

• Age disaggregations updated.
 
• Age disaggregations added to the “HIV Status and Outcome” disaggregate in order for VMMC results to auto-populate into HTS_TST.

PEPFAR Support definition:

Standard definition of DSD and TA-SDI used.

Provision of key staff or commodities for VMMC include: medical instruments, supplies, or medicines needed for the VMMC procedure, or funding for salaries for HCW who deliver VMMC services.

Ongoing support for VMMC service delivery improvement includes: training of VMMC service providers; clinical mentoring and supportive supervision of HCW at VMMC sites; infrastructure/facility renovation; support of VMMC service-related data collection, reporting, data quality assessments (DQA); CQI/EQA of VMMC services at point of service delivery; or commodities consumption forecasting and supply chain management support.

Guiding narrative questions:

1. Is the age distribution of males 60% or more 15+ years of age?
• Is this age distribution getting older as compared to previous quarters?

2. If OU is using compression collar type device for VMMC
• Are they adhering to WHO Guidelines for tetanus immunization?
• Were there any tetanus AEs reported?

3. What proportion of clients are returning for follow-up (should be at least 80%)?

4. What barriers are there to further scaling up VMMC services?