Voluntary Medical Male Circumcision: Strategies for Meeting the Human Resource Needs of Scale-Up in Southern and Eastern Africa
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{"title"=>"Voluntary medical male circumcision: Strategies for meeting the human resource needs of scale-up in Southern and Eastern Africa", "type"=>"journal", "authors"=>[{"first_name"=>"Kelly", "last_name"=>"Curran", "scopus_author_id"=>"54412158200"}, {"first_name"=>"Emmanuel", "last_name"=>"Njeuhmeli", "scopus_author_id"=>"54409139600"}, {"first_name"=>"Andrew", "last_name"=>"Mirelman", "scopus_author_id"=>"53664136300"}, {"first_name"=>"Kim", "last_name"=>"Dickson", "scopus_author_id"=>"8316622100"}, {"first_name"=>"Tigistu", "last_name"=>"Adamu", "scopus_author_id"=>"57190022838"}, {"first_name"=>"Peter", "last_name"=>"Cherutich", "scopus_author_id"=>"23487908700"}, {"first_name"=>"Hally", "last_name"=>"Mahler", "scopus_author_id"=>"54408882600"}, {"first_name"=>"Bennett", "last_name"=>"Fimbo", "scopus_author_id"=>"54794072100"}, {"first_name"=>"Thembisile Khumalo", "last_name"=>"Mavuso", "scopus_author_id"=>"54412799300"}, {"first_name"=>"Jennifer", "last_name"=>"Albertini", "scopus_author_id"=>"54793924800"}, {"first_name"=>"Laura", "last_name"=>"Fitzgerald", "scopus_author_id"=>"54794129300"}, {"first_name"=>"Naomi", "last_name"=>"Bock", "scopus_author_id"=>"7004448322"}, {"first_name"=>"Jason", "last_name"=>"Reed", "scopus_author_id"=>"54794425100"}, {"first_name"=>"Delivette", "last_name"=>"Castor", "scopus_author_id"=>"14055544500"}, {"first_name"=>"David", "last_name"=>"Stanton", "scopus_author_id"=>"12782463200"}], "year"=>2011, "source"=>"PLoS Medicine", "identifiers"=>{"sgr"=>"82455175780", "doi"=>"10.1371/journal.pmed.1001129", "pui"=>"363017213", "pmid"=>"22140364", "scopus"=>"2-s2.0-82455175780", "issn"=>"15491277", "isbn"=>"1549-1676 (Electronic)\\r1549-1277 (Linking)"}, "id"=>"a1772471-1974-309c-a6b2-903c6c3b6d8b", "abstract"=>"Voluntary medical male circumcision (VMMC) reduces female-to-male HIV transmission by approximately 60%; modeling suggests that scaling up VMMC to 80% of men 15- to 49-years-old within five years would avert over 3.3 million new HIV infections in 14 high priority countries/regions in southern and eastern Africa by 2025 and would require 20.33 million circumcisions. However, the shortage of health professionals in these countries must be addressed to reach these proposed coverage levels. To identify human resource approaches that are being used to improve VMMC volume and efficiency, we looked at previous literature and conducted a program review. We identified surgical efficiencies, non-surgical efficiencies, task shifting, task sharing, temporary redeployment of public sector staff during VMMC campaign periods, expansion of the health workforce through recruitment of unemployed, recently retired, newly graduating, or on-leave health care workers, and the use of volunteer medical staff from other countries as approaches that address human resource constraints. Case studies from Kenya, Tanzania, and Swaziland illustrate several innovative responses to human resource challenges. Although the shortage of skilled personnel remains a major challenge to the rapid scale-up of VMMC in the 14 African priority countries/regions, health programs throughout the region may be able to replicate or adapt these approaches to scale up VMMC for public health impact.", "link"=>"http://www.mendeley.com/research/voluntary-medical-male-circumcision-strategies-meeting-human-resource-needs-scaleup-southern-eastern-4", "reader_count"=>63, "reader_count_by_academic_status"=>{"Professor > Associate Professor"=>2, "Librarian"=>2, "Researcher"=>12, "Student > Doctoral Student"=>3, "Student > Ph. D. Student"=>8, "Student > Postgraduate"=>6, "Student > Master"=>18, "Other"=>4, "Student > Bachelor"=>6, "Lecturer > Senior Lecturer"=>1, "Professor"=>1}, "reader_count_by_user_role"=>{"Professor > Associate Professor"=>2, "Librarian"=>2, "Researcher"=>12, "Student > Doctoral Student"=>3, "Student > Ph. D. Student"=>8, "Student > Postgraduate"=>6, "Student > Master"=>18, "Other"=>4, "Student > Bachelor"=>6, "Lecturer > Senior Lecturer"=>1, "Professor"=>1}, "reader_count_by_subject_area"=>{"Engineering"=>1, "Unspecified"=>1, "Nursing and Health Professions"=>6, "Mathematics"=>1, "Medicine and Dentistry"=>31, "Agricultural and Biological Sciences"=>4, "Design"=>1, "Business, Management and Accounting"=>3, "Psychology"=>4, "Social Sciences"=>8, "Decision Sciences"=>1, "Economics, Econometrics and Finance"=>2}, "reader_count_by_subdiscipline"=>{"Design"=>{"Design"=>1}, "Engineering"=>{"Engineering"=>1}, "Medicine and Dentistry"=>{"Medicine and Dentistry"=>31}, "Social Sciences"=>{"Social Sciences"=>8}, "Decision Sciences"=>{"Decision Sciences"=>1}, "Psychology"=>{"Psychology"=>4}, "Economics, Econometrics and Finance"=>{"Economics, Econometrics and Finance"=>2}, "Agricultural and Biological Sciences"=>{"Agricultural and Biological Sciences"=>4}, "Nursing and Health Professions"=>{"Nursing and Health Professions"=>6}, "Business, Management and Accounting"=>{"Business, Management and Accounting"=>3}, "Mathematics"=>{"Mathematics"=>1}, "Unspecified"=>{"Unspecified"=>1}}, "reader_count_by_country"=>{"Bangladesh"=>1, "United States"=>3, "Brazil"=>1, "Uganda"=>1, "United Kingdom"=>1}, "group_count"=>10}

Scopus | Further Information

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  • {"files"=>["https://ndownloader.figshare.com/files/708468"], "description"=>"<p>For Ethiopia (Gambella Region) and Kenya (Nyanza Province), only one region or province with low circumcision rates and high HIV prevalence is included, as most men in these countries are already circumcised.</p>", "links"=>[], "tags"=>["circumcisions", "men", "aged", "15", "49", "years", "14"], "article_id"=>378803, "categories"=>["Medicine"], "users"=>["Kelly Curran", "Emmanuel Njeuhmeli", "Andrew Mirelman", "Kim Dickson", "Tigistu Adamu", "Peter Cherutich", "Hally Mahler", "Bennett Fimbo", "Thembisile Khumalo Mavuso", "Jennifer Albertini", "Laura Fitzgerald", "Naomi Bock", "Jason Reed", "Delivette Castor", "David Stanton"], "doi"=>"https://dx.doi.org/10.1371/journal.pmed.1001129.g001", "stats"=>{"downloads"=>0, "page_views"=>4, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Number_of_circumcisions_among_men_aged_15_to_49_years_needed_to_reach_80_coverage_in_each_of_14_priority_countries_regions_within_five_years_/378803", "title"=>"Number of circumcisions among men aged 15 to 49 years needed to reach 80% coverage in each of 14 priority countries/regions within five years.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2013-02-20 11:18:05"}
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  • {"files"=>["https://ndownloader.figshare.com/files/708720"], "description"=>"<p>Sources: <a href=\"http://www.plosmedicine.org/article/info:doi/10.1371/journal.pmed.1001129#pmed.1001129-World6\" target=\"_blank\">[32]</a>,<a href=\"http://www.plosmedicine.org/article/info:doi/10.1371/journal.pmed.1001129#pmed.1001129-Pincock1\" target=\"_blank\">[33]</a>.</p>a<p>VMMC programming focuses on the Gambella Region of Ethiopia and the Nyanza Province of Kenya, but these data refer to health care densities over the whole country in both cases.</p>b<p>Mean density of African-country-specific data is from different years.</p>", "links"=>[], "tags"=>["physicians", "vmmc"], "article_id"=>379066, "categories"=>["Medicine"], "users"=>["Kelly Curran", "Emmanuel Njeuhmeli", "Andrew Mirelman", "Kim Dickson", "Tigistu Adamu", "Peter Cherutich", "Hally Mahler", "Bennett Fimbo", "Thembisile Khumalo Mavuso", "Jennifer Albertini", "Laura Fitzgerald", "Naomi Bock", "Jason Reed", "Delivette Castor", "David Stanton"], "doi"=>"https://dx.doi.org/10.1371/journal.pmed.1001129.t001", "stats"=>{"downloads"=>0, "page_views"=>16, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Density_of_physicians_and_nurses_midwives_in_VMMC_priority_countries_/379066", "title"=>"Density of physicians and nurses/midwives in VMMC priority countries.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2013-02-20 11:19:33"}
  • {"files"=>["https://ndownloader.figshare.com/files/708548"], "description"=>"<p>(A) The conventional approach to MC provision requires 20–30 minutes per procedure and allows only two surgeries per hour (ten surgeries per day) because of the doctors “downtime” between procedures. (B) With the modified surgical approach to MC provision (MOVE), each procedure still takes 20–30 minutes, but task sharing reduces the doctor's time to 6–8 minutes per procedure, which allows eight surgeries per hour (40 surgeries per day).</p>", "links"=>[], "tags"=>["modified", "surgical", "approaches", "mc"], "article_id"=>378887, "categories"=>["Medicine"], "users"=>["Kelly Curran", "Emmanuel Njeuhmeli", "Andrew Mirelman", "Kim Dickson", "Tigistu Adamu", "Peter Cherutich", "Hally Mahler", "Bennett Fimbo", "Thembisile Khumalo Mavuso", "Jennifer Albertini", "Laura Fitzgerald", "Naomi Bock", "Jason Reed", "Delivette Castor", "David Stanton"], "doi"=>"https://dx.doi.org/10.1371/journal.pmed.1001129.g002", "stats"=>{"downloads"=>0, "page_views"=>10, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Conventional_and_modified_surgical_approaches_to_MC_provision_/378887", "title"=>"Conventional and modified surgical approaches to MC provision.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2013-02-20 11:18:37"}

PMC Usage Stats | Further Information

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  • {"unique-ip"=>"7", "full-text"=>"5", "pdf"=>"3", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2015", "month"=>"1"}
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Relative Metric

{"start_date"=>"2011-01-01T00:00:00Z", "end_date"=>"2011-12-31T00:00:00Z", "subject_areas"=>[{"subject_area"=>"/Medicine and health sciences", "average_usage"=>[303, 571, 709, 823, 937, 1038, 1133, 1216, 1298, 1370, 1447, 1518, 1588, 1656, 1725, 1790, 1856, 1926, 1992, 2054, 2118, 2182, 2242, 2301, 2363, 2425, 2484, 2544, 2602, 2662, 2716, 2776, 2841, 2901, 2960, 3016, 3071]}, {"subject_area"=>"/People and places/Geographical locations", "average_usage"=>[349, 607, 734, 834, 925, 1022, 1116, 1209, 1272, 1340, 1414, 1481, 1562, 1654, 1718, 1792, 1862, 1939, 1999, 2047, 2102, 2155, 2208, 2273, 2334, 2392, 2456, 2533, 2588, 2640, 2688, 2769, 2813, 2872, 2941, 3011, 3083]}, {"subject_area"=>"/People and places/Population groupings", "average_usage"=>[344, 630, 756, 876, 981, 1083, 1179, 1272, 1346, 1421, 1508, 1583, 1659, 1744, 1809, 1891, 1954, 2030, 2105, 2174, 2247, 2324, 2386, 2441, 2502, 2557, 2621, 2685, 2753, 2825, 2882, 2935, 2989, 3052, 3117, 3181, 3242]}]}
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