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Research Article Open access CC BY 4.0

Adapting “MOVE” to Accelerate VMMC Coverage for HIV Prevention in Priority Populations: Implementation Experiences from Uganda’s Military Settings

A. Nyanzi, E. Lugada, D. Bwayo, V. Kasujja, C. Wamundu, N. Kak, H. Almossawi, J. Akao, L. Obangaber, T. Rwegyema, H. Mwenyango, F. K. Kinuthia, S. Lawoko, B. Kikaire, G. Seruwagi

International STD Research & Reviews · pp. 39–52 · Published 5 Feb 2021

10.9734/ISRR/2021/v10i130122

Abstract

This paper describes the WHO’s Model of Optimizing Volumes and Efficiencies (MOVE), adapted by the University Research Council (URC) - Department of Defense HIV/AIDS Prevention Program (DHAPP) to rapidly scale up Voluntary Medical Male Circumcision (VMMC) within Uganda’s military health facilities. First, we examine the MOVE model and then present the URC-DHAPP adapted intervention package comprising of: a) a Command-driven approach, b) Mobile theatres c) Quality assurance d) Data strengthening and reflection. To expand VMMC, URC-DHAPP worked with army commanders to create awareness, mobilize their troops and surgeons were assigned daily targets. The mobile theatre involved regular visits to hard-to-reach outposts and placing several mobile camps at health facilities close to deployment sites. All stakeholders were briefed on performance trends of previous medical camps and the program was monitored through VMMC camp reports. URC-DHAPP registered an exponential increase in VMMC coverage from 13% performance at Q2 to over 140% in Q4. The integrated approach led to circumcision of over 22,000 men (15-49 years) in a record four months. Our approach also contributed to health system strengthening and national HIV preventiontargets. We conclude that the MOVE is cost-effective and can be successfully scaled up in resource-limited settings with a high HIV burden when implemented with cognizance of contextual specificities.

MOVE VMMC MMC SMC military HIV prevention priority populations.

References (15)

  1. 1 Randomized, Controlled Intervention Trial of Male Circumcision for Reduction of HIV Infection Risk: The ANRS 1265 Trial [DOI]
  2. 2 Male circumcision for HIV prevention in young men in Kisumu, Kenya: a randomised controlled trial [DOI]
  3. 3 Voluntary HIV counselling and testing among men in rural western Uganda: Implications for HIV prevention [DOI]
  4. 4 HIV Prevention Efforts and Incidence of HIV in Uganda [DOI]
  5. 5 Impact of combination HIV interventions on HIV incidence in hyperendemic fishing communities in Uganda: a prospective cohort study [DOI]
  6. 6 Migration, hotspots, and dispersal of HIV infection in Rakai, Uganda [DOI]
  7. 7 The Spear and Shield intervention to increase the availability and acceptability of voluntary medical male circumcision in Zambia: a cluster randomised controlled trial [DOI]
  8. 8 Service delivery interventions to increase uptake of voluntary medical male circumcision for HIV prevention: A systematic review [DOI]
  9. 9 Increasing voluntary medical male circumcision uptake among adult men in Tanzania [DOI]
  10. 10 Complications of high volume circumcision: glans amputation in adolescents; a case report [DOI]
  11. 11 Effectiveness of an “Exclusive Intervention Strategy” to increase medical male circumcision uptake among men aged 25–49 years in South Africa [DOI]
  12. 12 Reducing provider workload while preserving patient safety via a two-way texting intervention in Zimbabwe’s voluntary medical male circumcision program: study protocol for an un-blinded, prospective, non-inferiority, randomized controlled trial [DOI]
  13. 13 Utilization of safe male circumcision among adult men in a fishing community in rural Uganda [DOI]
  14. 14 Effect of Providing Conditional Economic Compensation on Uptake of Voluntary Medical Male Circumcision in Kenya: A Randomized Clinical Trial [DOI]
  15. 15 Advertising for Demand Creation for Voluntary Medical Male Circumcision [DOI]

Cited by 3

Reported Effectiveness of a Text‐Based Post‐Operative Care Intervention After Voluntary Medical Male Circumcision (VMMC) to Improve Quality of Care and Adverse Events Identification in Sub‐Saharan Africa: A Scoping Review

Calsile Makhele, Evans Duah, Smangaliso Morerwa · Health Science Reports · 2026

Differences in Adverse Events Related to Voluntary Male Medical Circumcision Between Civilian and Military Health Facilities in Uganda

L. Obangaber, G. Seruwagi, M. Nabaggala · 2021

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