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{"title"=>"Voluntary medical male circumcision: Matching demand and supply with quality and efficiency in a high-volume campaign in Iringa Region, Tanzania", "type"=>"journal", "authors"=>[{"first_name"=>"Hally R.", "last_name"=>"Mahler", "scopus_author_id"=>"54408882600"}, {"first_name"=>"Baldwin", "last_name"=>"Kileo", "scopus_author_id"=>"54412477300"}, {"first_name"=>"Kelly", "last_name"=>"Curran", "scopus_author_id"=>"54412158200"}, {"first_name"=>"Marya", "last_name"=>"Plotkin", "scopus_author_id"=>"54794466600"}, {"first_name"=>"Tigistu", "last_name"=>"Adamu", "scopus_author_id"=>"57190022838"}, {"first_name"=>"Augustino", "last_name"=>"Hellar", "scopus_author_id"=>"27067694400"}, {"first_name"=>"Sifuni", "last_name"=>"Koshuma", "scopus_author_id"=>"54412262400"}, {"first_name"=>"Simeon", "last_name"=>"Nyabenda", "scopus_author_id"=>"54412918500"}, {"first_name"=>"Michael", "last_name"=>"Machaku", "scopus_author_id"=>"54412728200"}, {"first_name"=>"Mainza", "last_name"=>"Lukobo-Durrell", "scopus_author_id"=>"34067752900"}, {"first_name"=>"Delivette", "last_name"=>"Castor", "scopus_author_id"=>"14055544500"}, {"first_name"=>"Emmanuel", "last_name"=>"Njeuhmeli", "scopus_author_id"=>"54409139600"}, {"first_name"=>"Bennett", "last_name"=>"Fimbo", "scopus_author_id"=>"54794072100"}], "year"=>2011, "source"=>"PLoS Medicine", "identifiers"=>{"isbn"=>"1549-1676 (Electronic)\\n1549-1277 (Linking)", "scopus"=>"2-s2.0-82455219421", "pmid"=>"22140366", "issn"=>"15491277", "pui"=>"363017215", "doi"=>"10.1371/journal.pmed.1001131", "sgr"=>"82455219421"}, "id"=>"5104acad-59c6-3ed8-9f07-f1182e4621c3", "abstract"=>"The government of Tanzania has adopted voluntary medical male circumcision (VMMC) as an important component of its national HIV prevention strategy and is scaling up VMMC in eight regions nationwide, with the goal of reaching 2.8 million uncircumcised men by 2015. In a 2010 campaign lasting six weeks, five health facilities in Tanzania's Iringa Region performed 10,352 VMMCs, which exceeded the campaign's target by 72%, with an adverse event (AE) rate of 1%. HIV testing was almost universal during the campaign. Through the adoption of approaches designed to improve clinical efficiency-including the use of the forceps-guided surgical method, the use of multiple beds in an assembly line by surgical teams, and task shifting and task sharing-the campaign matched the supply of VMMC services with demand. Community mobilization and bringing client preparation tasks (such as counseling, testing, and client scheduling) out of the facility and into the community helped to generate demand. This case study suggests that a campaign approach can be used to provide high-volume quality VMMC services without compromising client safety, and provides a model for matching supply and demand for VMMC services in other settings.", "link"=>"http://www.mendeley.com/research/voluntary-medical-male-circumcision-matching-demand-supply-quality-efficiency-highvolume-campaign-ir", "reader_count"=>60, "reader_count_by_academic_status"=>{"Professor > Associate Professor"=>1, "Researcher"=>21, "Student > Doctoral Student"=>2, "Student > Ph. D. Student"=>11, "Student > Postgraduate"=>4, "Student > Master"=>14, "Other"=>1, "Student > Bachelor"=>3, "Lecturer > Senior Lecturer"=>3}, "reader_count_by_user_role"=>{"Professor > Associate Professor"=>1, "Researcher"=>21, "Student > Doctoral Student"=>2, "Student > Ph. D. Student"=>11, "Student > Postgraduate"=>4, "Student > Master"=>14, "Other"=>1, "Student > Bachelor"=>3, "Lecturer > Senior Lecturer"=>3}, "reader_count_by_subject_area"=>{"Nursing and Health Professions"=>5, "Medicine and Dentistry"=>28, "Agricultural and Biological Sciences"=>1, "Business, Management and Accounting"=>2, "Pharmacology, Toxicology and Pharmaceutical Science"=>1, "Psychology"=>6, "Social Sciences"=>11, "Computer Science"=>1, "Economics, Econometrics and Finance"=>5}, "reader_count_by_subdiscipline"=>{"Medicine and Dentistry"=>{"Medicine and Dentistry"=>28}, "Social Sciences"=>{"Social Sciences"=>11}, "Psychology"=>{"Psychology"=>6}, "Economics, Econometrics and Finance"=>{"Economics, Econometrics and Finance"=>5}, "Agricultural and Biological Sciences"=>{"Agricultural and Biological Sciences"=>1}, "Computer Science"=>{"Computer Science"=>1}, "Nursing and Health Professions"=>{"Nursing and Health Professions"=>5}, "Business, Management and Accounting"=>{"Business, Management and Accounting"=>2}, "Pharmacology, Toxicology and Pharmaceutical Science"=>{"Pharmacology, Toxicology and Pharmaceutical Science"=>1}}, "reader_count_by_country"=>{"United States"=>1, "Tanzania"=>1, "Uganda"=>1, "United Kingdom"=>1}, "group_count"=>7}

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• http://doi.org/10.4102/phcfm.v12i1.2253
• http://doi.org/10.1371/journal.pone.0158675
• http://doi.org/10.1371/journal.pone.0079524
• http://doi.org/10.1007/s10461-016-1633-1
• http://doi.org/10.1097/QAI.0b013e31829875cc
• http://doi.org/10.1097/QAI.0b013e31828e9526
• http://doi.org/10.1186/s12913-019-4604-1
• http://doi.org/10.1371/journal.pmed.1001132
• http://doi.org/10.1097/QAD.0000000000000046
• http://doi.org/10.4236/wja.2017.71005
• http://doi.org/10.1007/s10461-014-0740-0
• http://doi.org/10.1097/QAD.0000000000000395
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• http://doi.org/10.1016/S1473-3099(12)70273-6
• http://doi.org/10.1097/QAI.0000000000000179
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• http://doi.org/10.1155/2013/387508
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• http://doi.org/10.1007/s10461-014-0729-8
• http://doi.org/10.4102/safp.v62i1.5083
• http://doi.org/10.1002/14651858.CD011186.pub2
• http://doi.org/10.1371/journal.pone.0100775
• http://doi.org/10.1186/1471-2458-12-529
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• http://doi.org/10.1371/journal.pone.0222180
• http://doi.org/10.1371/journal.pone.0053380
• http://doi.org/10.1371/journal.pone.0111602
• http://doi.org/10.1080/16549716.2017.1414997
• http://doi.org/10.1080/09540121.2020.1728215

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• {"month"=>"12", "year"=>"2019", "pdf_views"=>"6", "xml_views"=>"0", "html_views"=>"11"}
• {"month"=>"1", "year"=>"2020", "pdf_views"=>"10", "xml_views"=>"0", "html_views"=>"12"}
• {"month"=>"2", "year"=>"2020", "pdf_views"=>"4", "xml_views"=>"1", "html_views"=>"8"}
• {"month"=>"3", "year"=>"2020", "pdf_views"=>"6", "xml_views"=>"0", "html_views"=>"7"}
• {"month"=>"4", "year"=>"2020", "pdf_views"=>"5", "xml_views"=>"0", "html_views"=>"4"}
• {"month"=>"5", "year"=>"2020", "pdf_views"=>"4", "xml_views"=>"0", "html_views"=>"7"}
• {"month"=>"6", "year"=>"2020", "pdf_views"=>"8", "xml_views"=>"1", "html_views"=>"8"}
• {"month"=>"7", "year"=>"2020", "pdf_views"=>"6", "xml_views"=>"3", "html_views"=>"12"}
• {"month"=>"8", "year"=>"2020", "pdf_views"=>"3", "xml_views"=>"0", "html_views"=>"8"}
• {"month"=>"9", "year"=>"2020", "pdf_views"=>"5", "xml_views"=>"0", "html_views"=>"2"}
• {"month"=>"10", "year"=>"2020", "pdf_views"=>"2", "xml_views"=>"1", "html_views"=>"9"}
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Figshare

• {"files"=>["https://ndownloader.figshare.com/files/708929"], "description"=>"a<p>Catchment area defined as within 15 km of the facility.</p>b<p>With extra nurse.</p>", "links"=>[], "tags"=>["performed"], "article_id"=>379283, "categories"=>["Medicine"], "users"=>["Hally R. Mahler", "Baldwin Kileo", "Kelly Curran", "Marya Plotkin", "Tigistu Adamu", "Augustino Hellar", "Sifuni Koshuma", "Simeon Nyabenda", "Michael Machaku", "Mainza Lukobo-Durrell", "Delivette Castor", "Emmanuel Njeuhmeli", "Bennett Fimbo"], "doi"=>"https://dx.doi.org/10.1371/journal.pmed.1001131.t001", "stats"=>{"downloads"=>10, "page_views"=>16, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_VMMCs_performed_during_the_campaign_by_site_/379283", "title"=>"VMMCs performed during the campaign, by site.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2013-02-20 11:20:45"}
• {"files"=>["https://ndownloader.figshare.com/files/708507"], "description"=>"<p>Before the campaign, this space was empty, having been built but not yet configured to function as a reproductive health facility. The Iringa Region team adapted the space for efficient VMMC service delivery by expanding the number of surgical bays (eight beds to accommodate two surgical teams), providing a large space for decontamination, increasing the number of individual counseling areas (including a tent to accommodate additional counselors), and including a separate postoperative area.</p>", "links"=>[], "tags"=>["layout", "ngome"], "article_id"=>378847, "categories"=>["Medicine"], "users"=>["Hally R. Mahler", "Baldwin Kileo", "Kelly Curran", "Marya Plotkin", "Tigistu Adamu", "Augustino Hellar", "Sifuni Koshuma", "Simeon Nyabenda", "Michael Machaku", "Mainza Lukobo-Durrell", "Delivette Castor", "Emmanuel Njeuhmeli", "Bennett Fimbo"], "doi"=>"https://dx.doi.org/10.1371/journal.pmed.1001131.g001", "stats"=>{"downloads"=>3, "page_views"=>35, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_The_layout_of_Ngome_Health_Centre_/378847", "title"=>"The layout of Ngome Health Centre.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2013-02-20 11:18:25"}
• {"files"=>["https://ndownloader.figshare.com/files/708682"], "description"=>"<p>Postoperative return rates two and seven days after surgery.</p>", "links"=>[], "tags"=>["rates", "days"], "article_id"=>379031, "categories"=>["Medicine"], "users"=>["Hally R. Mahler", "Baldwin Kileo", "Kelly Curran", "Marya Plotkin", "Tigistu Adamu", "Augustino Hellar", "Sifuni Koshuma", "Simeon Nyabenda", "Michael Machaku", "Mainza Lukobo-Durrell", "Delivette Castor", "Emmanuel Njeuhmeli", "Bennett Fimbo"], "doi"=>"https://dx.doi.org/10.1371/journal.pmed.1001131.g003", "stats"=>{"downloads"=>2, "page_views"=>20, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Postoperative_return_rates_two_and_seven_days_after_surgery_/379031", "title"=>"Postoperative return rates two and seven days after surgery.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2013-02-20 11:19:26"}
• {"files"=>["https://ndownloader.figshare.com/files/708843"], "description"=>"<p>HIV testing, by age group.</p>", "links"=>[], "tags"=>[], "article_id"=>379195, "categories"=>["Medicine"], "users"=>["Hally R. Mahler", "Baldwin Kileo", "Kelly Curran", "Marya Plotkin", "Tigistu Adamu", "Augustino Hellar", "Sifuni Koshuma", "Simeon Nyabenda", "Michael Machaku", "Mainza Lukobo-Durrell", "Delivette Castor", "Emmanuel Njeuhmeli", "Bennett Fimbo"], "doi"=>"https://dx.doi.org/10.1371/journal.pmed.1001131.t003", "stats"=>{"downloads"=>1, "page_views"=>9, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_HIV_testing_by_age_group_/379195", "title"=>"HIV testing, by age group.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2013-02-20 11:20:18"}
• {"files"=>["https://ndownloader.figshare.com/files/708605"], "description"=>"<p>The substantial increase in VMMC delivery at Ngome Health Centre (uppermost line) was due to the addition of more surgical bays mid-campaign. IRH, Iringa Regional Hospital.</p>", "links"=>[], "tags"=>["upward", "trends", "vmmc"], "article_id"=>378956, "categories"=>["Medicine"], "users"=>["Hally R. Mahler", "Baldwin Kileo", "Kelly Curran", "Marya Plotkin", "Tigistu Adamu", "Augustino Hellar", "Sifuni Koshuma", "Simeon Nyabenda", "Michael Machaku", "Mainza Lukobo-Durrell", "Delivette Castor", "Emmanuel Njeuhmeli", "Bennett Fimbo"], "doi"=>"https://dx.doi.org/10.1371/journal.pmed.1001131.g002", "stats"=>{"downloads"=>1, "page_views"=>13, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Site_specific_upward_trends_in_VMMC_service_delivery_during_the_campaign_/378956", "title"=>"Site-specific upward trends in VMMC service delivery during the campaign.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2013-02-20 11:19:01"}
• {"files"=>["https://ndownloader.figshare.com/files/708768"], "description"=>"<p>Age distribution of VMMC clients.</p>", "links"=>[], "tags"=>["vmmc"], "article_id"=>379117, "categories"=>["Medicine"], "users"=>["Hally R. Mahler", "Baldwin Kileo", "Kelly Curran", "Marya Plotkin", "Tigistu Adamu", "Augustino Hellar", "Sifuni Koshuma", "Simeon Nyabenda", "Michael Machaku", "Mainza Lukobo-Durrell", "Delivette Castor", "Emmanuel Njeuhmeli", "Bennett Fimbo"], "doi"=>"https://dx.doi.org/10.1371/journal.pmed.1001131.g004", "stats"=>{"downloads"=>1, "page_views"=>9, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Age_distribution_of_VMMC_clients_/379117", "title"=>"Age distribution of VMMC clients.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2013-02-20 11:19:55"}
• {"files"=>["https://ndownloader.figshare.com/files/708896"], "description"=>"<p>Adverse events during the campaign.</p>", "links"=>[], "tags"=>["events"], "article_id"=>379245, "categories"=>["Medicine"], "users"=>["Hally R. Mahler", "Baldwin Kileo", "Kelly Curran", "Marya Plotkin", "Tigistu Adamu", "Augustino Hellar", "Sifuni Koshuma", "Simeon Nyabenda", "Michael Machaku", "Mainza Lukobo-Durrell", "Delivette Castor", "Emmanuel Njeuhmeli", "Bennett Fimbo"], "doi"=>"https://dx.doi.org/10.1371/journal.pmed.1001131.t002", "stats"=>{"downloads"=>1, "page_views"=>6, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Adverse_events_during_the_campaign_/379245", "title"=>"Adverse events during the campaign.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2013-02-20 11:20:31"}

PMC Usage Stats | Further Information

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Relative Metric

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F1000Prime