(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

Tracks the number of VMMCs conducted during the reporting period and potentially determine 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

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

Denominator

N/A

Calculation

Sum across all reporting periods.

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

Numerator ≥ subtotal of each of the disaggregation.

Reporting Level

Site level: facility

Measurement frequency

Quarterly

Disaggregation

Numerator: The number of males circumcised as part of the voluntary medical male circumcision (VMMC) for HIV prevention program within the reporting period

Age

(0-60 days, 2 months - 9 years, 10-14 years, 15-19 years, 20-24 years, 25-29 years, 30-49, 50+ years)

HIV Status and Outcome

  1. Number of HIVpositive clients (tested HIV positive at VMMC site)
  2. Number of HIVnegative clients (tested HIV negative at VMMC site)
  3. Number of clients with indeterminate HIV status or not tested for HIV at site (regardless of previous documentation).

Circumcision Technique

Surgical VMMC, device-based VMMC

Circumcision Technique/F ollow-up status

Number of VMMC clients who returned at least once for follow-up care within 14 days of surgery.

Number of VMMC clients who returned at least once for follow-up care within 14 days of their device placement. Follow up may include device removal.

Description of Disaggregate

Age disaggregates for VMMC clients

HIV status of VMMC clients tested at VMMC sites (As this is a status indicator and not testing indicator All men tested through the VMMC program should also be counted in the general HTS indicator “HTS_TST” VMMC service delivery modality)

Surgical VMMC, device-based VMMC

For Surgical VMMC: Returned at least once for follow-up care within 14 days of surgery;

For Device-based VMMC: Returned at least once for follow-up care within 14 days of their device placement. Follow-up may include device removal.

Further information

MER 1.0 to 2.0 Change

Age disaggregate improved to align with VMMC technical considerations. Follow-up disaggregation to include device-based VMMC.

EA/SIMS considerations

To ensure accuracy of HTC unit expenditures, please ensure that all men tested through the VMMC program should also be counted in the general HTC indicator “HTC_TST” VMMC service delivery modality.

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.

DREAMS SNU Specific Guidance

DREAMS SNUs set targets and report on results in DREAMS SNUs similarly to nonDREAMS SNUs, therefore no additional DREAMS specific target setting or reporting is required.