VMMC Program

  • Goal

    Program Goal (VMMC)

    The government of Botswana adopted the Voluntary Medical Male Circumcision (VMMC) program in 2009 as an add on prevention strategy for the national HIV/AIDS response. The national goal was to circumcise 80% (385 000) of HIV negative males aged 0-49 by 2016 (National Safe Male Circumcision Strategy 2017-2022).

  • Objectives

    Program Objectives

    1. Create demand and mobilize communities for VMMC services in targeted districts (North East, Greater Francistown and Tutume).
    2. Involve women in VMMC demand generation.
    3. Provide HCT services to 95% of males seeking VMMC services in targeted areas (Tutume, North East & Greater Francistown).
    4. Conduct 12 039 VMMC procedures amongst males of ages 15-29 by 2021 (over 3 years-2019-2021).

  • Framework Guidelines

    Program Governance

    . Focus is on ages 15-29
    . First step-VMMC education and HIV testing
    . If HIV positive refer to IDCC for ART initiation
    . If negative proceed to theatre
    . Return to clinic or followed on third day for dressing removal
    . Return or followed on 7th day for further review
    . Return or followed on 42nd day for further review and discharging
    . Moderate to severe adverse events reported to MOH within 24 hours

  • Activities

    Foundamental Activities

    . Outreaches (camping to take services to the people)
    . School campaigns (during school breaks)
    . House to House (one on one with men)
    . Braai sessions (circumcised men encouraged to bring uncircumcised friends)
    . Engagement of football teams (to refer players and supporters)
    . Mobilization (VMMC education) at work places
    . Women and Men Pitsos (engaging them separately and educating them on VMMC)

  • Output

    Program Output

    . Men accessing VMMC services
    . Women referring their partners, friends and men in general for VMMC
    . Men using condoms consistently
    . At least 95% of men receiving HTS services before undergoing VMMC procedures

  • Outcome

    Outcome

    Attainment of national HIV/AIDS Epidemic control.