Surgical Efficiencies and Quality in the Performance of Voluntary Medical Male Circumcision (VMMC) Procedures in Kenya, South Africa, Tanzania, and Zimbabwe

by Dino Rech, Jane T. Bertrand, Nicholas Thomas et al.
PLoS ONE 9(5): e84271. (6 May 2014)

10 pp. 217 kB:
http://www.plosone.org/article/fetchObject.action;jsessionid=41D797E3588AD956CF940
4B9F6266930?uri=info%3Adoi%2F10.1371%2Fjournal.pone.0084271&representation=PDF

This analysis explores the association between elements of surgical efficiency in voluntary medical male circumcision (VMMC), quality of surgical technique, and the amount of time required to conduct VMMC procedures in actual field settings. Efficiency outcomes are defined in terms of the primary provider’s time with the client (PPTC) and total elapsed operating time (TEOT). The data confirm the efficiency benefits of task-sharing of suturing and use of electrocautery for decreasing TEOT. Reduced TEOT and PPTC in high volume setting did not result in decreased quality of surgical care.

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