The U.S. President’s Emergency Plan for AIDS Relief Title MALE CIRCUMCISION PROGRAM Emmanuel Njeuhmeli, MD, MPH, MBA Senior Biomedical Prevention Technical Advisor Co-Chair PEPFAR MC TWG USAID - Washington |Office of HIV/AIDS
The U.S. President’sEmergency Plan for
AIDS Relief
TitleMALE CIRCUMCISION PROGRAM
Emmanuel Njeuhmeli, MD, MPH, MBASenior Biomedical Prevention Technical Advisor Co-Chair PEPFAR MC TWG USAID - Washington |Office of HIV/AIDS
PEPFAR MALE CIRCUMCISION PROGRAM
• PEPFAR supports MC as a component of a comprehensive HIV prevention program in sub-Saharan Africa,
• PEPFAR is working to scale up quality MC programs as feasible and appropriate to the country context.
• In its next phase, PEPFAR is transitioning to a two pronged MC assistance approach. This approach would simultaneously support the immediate demand for MC and allow governments to develop policies and the necessary infrastructure for more sustained service delivery.
Two pronged approach assistanceAdult and Neonate Male Circumcision
PEPFAR Male Circumcision Future Directions
• Efficiency/Program productivity– Clinical/program efficiencies to boost productivity with given resources – Technical assistance visits – Evaluation of efficiency considerations (Operational Research)
• Accelerated ‘saturation’ of populations – Support to Swaziland to rapidly ‘saturate’ pops with MC– Greater reductions in HIV incidence as scale-up pace increases– Opportunity in Swaziland to demonstrate nationwide reductions in HIV
incidence among men and women after ASI– Subsequently allows for resources to be dedicated to neonatal MC and
other endeavors
PEPFAR MALE CIRCUMCISION BUDGET 2007 - 2009
TOTAL BUDGET BY COUNTRY 2007 - 2009
TOTAL BUDGET BY COUNTRY AND BY YEAR
PEPFAR MC Activities
• Advocacy• Service delivery• Communication• Monitoring and evaluation• Quality assurance• Operational research• Impact evaluation
Every dollar need to translate into
infection averted
THANKS