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

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

Authors

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



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.

Journal Article Type Article
Acceptance Date Jan 16, 2021
Online Publication Date Feb 5, 2021
Publication Date Feb 5, 2021
Deposit Date Jul 15, 2022
Publicly Available Date Jul 15, 2022
Journal International STD Research & Reviews
Print ISSN 2347-5196
Publisher SCIENCEDOMAIN International
Peer Reviewed Peer Reviewed
Volume 10
Issue 1
Pages 39-52
DOI https://doi.org/10.9734/isrr/2021/v10i130122
Keywords MOVE, VMMC, MMC, SMC, military, HIV prevention, priority populations
Public URL http://researchrepository.napier.ac.uk/Output/2889153
Publisher URL https://journali-srr.com/index.php/I-SRR/article/view/30122

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