Adverse Events Action Guide for VMMC

This guide was developed by Population Services International (PSI) and the College of Surgeons of East, Central and Southern Africa (COSECSA) with contributions from numerous clinical and public health experts at the U.S. Centers for Disease Control and Prevention (CDC) and World Health Organization (WHO). It was developed to help VMMC program managers address the most common adverse events (AEs) associated with both surgical and device-related male circumcision. The guide covers how to identify AEs, criteria for classifying severity (mild, moderate or severe) and timing of AEs, guidance on safe and effective procedures for managing AEs, and PEPFAR-specific reporting requirements. The document also provides guidance on how to avoid AEs and offers several appendices that can be used as job aids.