SA vastly expanded male medical circumcision services since 2010, and while surgical efficiency and record keeping improved, the quality of surgical care, such as tracking complications, declined. The [s]Mail & Guardian[/s] reports that this is according to a study, by the [b]Centre for HIV and Aids Prevention Studies[/b] (Chaps) and the [b]Johns Hopkins School of Public Health[/b], which assessed 40 government medical male circumcision sites in six SA provinces in 2012, following a first assessment in 2011. According to [b]World Health Organisation[/b] figures, SA has the fastest scale-up among African countries offering medical male circumcision services to prevent HIV. But the study found that the scale-up of medical male circumcision services had ‘diluted human resources’, as experienced staff was redeployed to train staff in new clinics. ‘Declines in quality far outnumbered improvements,’ study authors reported.
[link url=http://mg.co.za/article/2014-05-06-quick-expansion-of-medical-circumcision-brings-challenges-study]Full Mail & Guardian report[/link]
[link url=http://www.plosone.org/article/info%3Adoi%2F10.1371%2Fjournal.pone.0084271]PLOS Medicine abstract[/link]