This guide was developed to help VMMC program managers address the most common adverse events (AEs) associated with both surgical and device-related male circumcision.
This document synthesizes the changes designed to help struggling health workers to improve circumcision that were tested at 30 health units in Uganda.
This short report examines gender issues in VMMC, including harmful gender-related myths and traditions, female partners’ roles in VMMC decision, post-operative care, adherence, and risk-reduction behaviors, and the negative consequences of excluding women.
This VMMC CQI assessment tool was developed by the national technical working group for VMMC led by the Ministry of Health. This version was updated in 2017.
This action plan template was developed by the USAID ASSIST Project to support CQI teams in Namibia.
This CQI assessment tool was developed by the USAID ASSIST Project, adapting the VMMC CQI assessment tool the project had developed for use in South Africa.
This In-service Communication Best Practices Guide was developed by the Communications Sub-group of the PEPFAR VMMC Technical Work Group to present, in a user-friendly format, the minimum essential in-service communication and counseling content across the VMMC service continuum, based on recent evidence updates and changes in VMMC programming and policies.
The document provides recommendations from the USAID ASSIST Project in South Africa for addressing challenges that are commonly experienced in VMMC programs.
This case study illustrates the need for facility-based improvement in standardized documentation of client forms and registers to increase and improve post-operative client follow-up.
This coaching guide was developed by the USAID ASSIST Project to guide CQI support visits to VMMC sites in South Africa.
This report describes an April 2015 workshop at which National and Provincial Department of Health, implementing partners, and USG representatives reflected on lessons from continuous quality improvement interventions in South Africa.
These guidelines issued by the National Department of Health of the Republic of South Africa, provide comprehensive guidance for organizing and assuring the quality of VMMC service delivery.
This assessment tool was developed by the USAID ASSIST Project in 2015 to conduct CQI assessments in PEPFAR-supported sites in South Africa.
The case study describes the experience of Moroto Regional Referral Hospital (RRH), located in Uganda’s Karamoja Region in applying CQI to improve post-operative follow-up.
This tool lists the minimum standards for VMMC for HIV prevention defined by the Ministry of Health, Community Development, Gender, Elderly and Children (MOHCDGEC) of the United Republic of Tanzania and provides verification criteria to guide health care providers and their supervisors to measure compliance.
This case study describes how the CQI team at mobile van clinic in operating in Kayunga, Mukono, Buikwe, and Buvuma districts of Uganda improved its detection and management of adverse events.
This document is a sample agenda from a three-day learning session convened by USAID ASSIST with the Ministry of Health of Uganda to bring together representatives of site teams, implementing partners, and district health offices to share results from VMMC CQI work.
This excerpt from the Guide to Improving the Quality of Safe Male Circumcision in Uganda describes the successful changes tested by CQI team to improve client follow-up beyond 7 days after the procedure.
This excerpt from the Guide to Improving the Quality of Safe Male Circumcision in Uganda describes the successful changes tested by CQI teams to reduce rates of moderate and severe adverse events.
The Ministry of Health of Uganda developed this VMMC assessment tool in 2013 based on the WHO quality assessment tool.
In Uganda, this form is used by the CQI team to quickly abstract from VMMC registers the numerators and denominators needed to calculate key patient-level quality indicators for VMMC services.
This coaching tool was developed by the USAID ASSIST Project to guide coaches during sites visits to VMMC CQI teams.
This collection of tools was developed by the USAID ASSIST Project for the Department of Health, service providers, and implementing partners in South Africa.
This guidance was developed as part of the USAID-led EQA training carried out in Malawi in March 2017.
The Site Characteristics Tool was developed by PEPFAR for use in external quality assessments to gather background information on a VMMC site that would be helpful to understand how the site operates and its capacity to provide VMMC services.
These are the versions of the PEPFAR VMMC EQA Tools in use as of March 2017 as provided in a single PDF for convenience. Note that these versions of the EQA tools also include SIMS questions.
Additional Resources - VMMC CQI/EQA
This short film describes the support provided by the PEPFAR-funded USAID Applying Science to Strengthen and Improve Systems (ASSIST) Project to introduce continuous quality improvement (CQI) in PEPFAR-supported voluntary medical male circumcision (VMMC) services in South Africa. It includes short interview with various implementers—Provincial Department of Health, implementing partners, private sector, and improvement coaches—who talk about what they have learned about improving and sustaining quality of VMMC services.
This news article, published by the Bhekisisa Centre for Health Journalism, describes the experience of men seeking VMMC services in a private clinic in South Africa. It points to the value of VMMC for linking men to other preventative health services, since seeking medical circumcision might be their only interaction with formal health care. Services offered as part of the standard VMMC package includes a full physical examination during which temperature, heart rate, blood pressure, blood sugar, and weight are measured; as a result, health conditions that would otherwise not be picked up can be diagnosed and treated.
In this excerpt from a June 2016 webinar on "What’s New in Scaling Up Continuous Quality Improvement for Voluntary Medical Male Circumcision," Dr. John Byabagambi of the USAID ASSIST Project describes how continuous quality improvement has been applied in Uganda to improve post-op care processes and follow-up to identify and safely manage adverse events.
In this excerpt from a In this excerpt from a June 2016 webinar titled "What’s New in Scaling Up Continuous Quality Improvement for Voluntary Medical Male Circumcision," Dr. John Byabagambi from the USAID Applying Science to Strengthen and Improve Systems (ASSIST) Project discusses tetanus risk mitigation efforts in voluntary medical male circumcision work in Uganda.
This PEPFAR-sponsored webinar shared the latest results, research, and tools in continuous quality improvement (CQI) in PEPFAR-supported voluntary medical male circumcision (VMMC) programs. Hosted by the USAID ASSIST Project, the webinar featured five presentations from USAID, USAID ASSIST, AIDSFree, and the Health Communications Capacity Collaborative (HC3), showcasing VMMC quality improvement efforts in Mozambique, Uganda, Tanzania, South Africa, Malawi, Lesotho, Namibia, and Swaziland. Jackie Sallet, AIDSFree Project Director (JSI), moderated the webinar. Speakers included: Emmanuel Njeuhmeli (USAID); Patrick Devos (Johns Hopkins Center for Communication Programs); John Byabagambi (ASSIST/URC); Saidi Mkungume (AIDSFree/Jhpiego) and Joseph Kundy (ASSIST/URC); and Lani Marquez (ASSIST/URC).
PEPFAR hosted a webinar on November 19, 2014 on the importance of women's role in the success of Voluntary Male Medical Circumcision (VMMC). The webinar discussed:
- The impact of VMMC on women, including new and established data on medical impact
- Women's perceptions of VMMC
- Women's roles in scale-up.