Male Circumcision Program (MC)

United Mall

P.O. Box 1764 Kisumu

Phone: 254 - 057 - 2024691

Fax: 254 - 057 - 2024657

The Nyanza Reproductive Health Society (NRHS) is funded by FHI as one of the members of the Male Circumcision Consortium (MCC) working in Kisumu East, Kisumu West and Nyando Districts of Nyanza Province. NRHS is also a recipient of PEPFAR funding to work in Suba and Siaya Districts. The MCC Project is a five-year initiative (August 2007 - July 2012) to help reduce the number of HIV infections.

The key roles of the MC Program are to provide training, perform circumcisions, and conduct operational research to evaluate the roll-out of MC as an HIV prevention strategy within Nyanza Province. In order to fulfill these roles, the MC Program will carry out the following:

1. Establish and operate the Male Circumcision Research and Training Center.
2. Manage the in-house and mobile surgical training teams who will teach Ministry of Health staff how to provide safe and voluntary male circumcisions. Training activities will take place in Kisumu East, Kisumu West, Nyando, Suba, and Siaya districts.
3. Provide material support to participating health facilities in the above districts
4. Design and implement selected research studies; and
5. Provide mobile MC services.

In order to standardize MC training, the MC Program has developed a comprehensive training curriculum and manual. This has been adapted from the larger WHO manual for "Male Circumcision Under Local Anesthesia" and is specific to the Nyanza setting and the lessons learned from UNIM.

The research activities to be carried out by the MC Program will focus on the following three areas:

1. Establishing and evaluating a monitoring and evaluation system to collect information about adverse events as well as factors that promote and inhibit the uptake of male circumcision. This study will take place in 16 selected health facilities in Kisumu East, Kisumu West, and Nyando districts.
2. Examining the issue of behavioral disinhibition/risk compensation among men who become circumcised versus those who do not. This study will compare changes in sexual behavior, assess perceptions of HIV risk, and assess sexual function and overall satisfaction. This study will take place in six selected health facilities, three in Kisumu East and three in Nyando Districts.
3. Assessing attitudes and beliefs about MC and its effect on sexual risk behavior and HIV/STI rates. This will be a population-based survey and will be carried out in Kisumu East District only.