(VMMC_CIRC_NAT / SUBNAT) Number of males circumcised during the reporting period according National standards
There is compelling evidence that male circumcision provided by well-trained health professionals in properly equipped settings is safe and can reduce the risk of heterosexually acquired HIV infection in men by approximately 60%. WHO/UNAIDS recommendations emphasize that male circumcision should be considered an efficacious intervention for HIV prevention in countries and regions in which heterosexual activity plays a significant role in HIV transmission.
This indicator is harmonized with GARPR indicator 1.23 (https://aidsreportingtool.unaids.org/static/docs/GARPR_Guidelines_2016_E...).
Males should be provided with circumcision as part of the VMMC for HIV prevention program and in accordance with the WHO/UNAIDS/Jhpiego Manual for Male Circumcision Under Local Anesthesia, or other WHO normative guidance (in the case of device-based VMMC), and per national standards by funded programs/sites in the reporting period meet the definition for the numerator. Males who are provided with circumcision using a medical device by funded programs/sites in the reporting period also meet the definition for the numerator as long as the device used is recognized or pre- qualified by WHO.
Number of males circumcised during the reporting period according National standards
This indicator measures the progress in scaling up male circumcision services and should be calculated by counting male clients documented as having received VMMC within the reporting period from VMMC Registries or clients’ medical records maintained by programs at Priority SNU level.
Data should be collected from health facility recording and reporting forms, program data, health information system, or data maintained at Priority SNU level.
Disaggregation: Disaggregated data is required. Enter data disaggregated by age.
- Age (<15, 15-29, 30+)
To adequately plan the VMMC program, these numbers are needed from both the National and subnational level. The subnational level is considered that in which the country team has prioritized their program (PSNU; District, province etc.). This data should be entered for all SNUs, regardless of PEPFAR funding supporting these geographical areas; so that the total of the sub-National number should equal the total number of National number.
This data should be entered by the country team at both National and subnational level.
Narratives should include information on how SNU estimates have been derived for both results and targets and include the time frame for which the results represent.
Host country teams often set targets by OU, and SNU level to plan their programs (please describe the target setting process that the host country employs in the narratives). If the host country does not develop targets for this indicator, then for planning purposes, data should be entered that includes MOH results from the previous reporting with the PEPFAR planned targets (at the least) should constitute the host country targets.