PMID- 34447425
OWN - NLM
STAT- MEDLINE
DCOM- 20210915
LR  - 20220426
IS  - 1729-0503 (Electronic)
IS  - 1680-6905 (Print)
IS  - 1680-6905 (Linking)
VI  - 21
IP  - Suppl
DP  - 2021 May
TI  - Uptake and outcomes of early infant male circumcision services in four counties 
      in Western Kenya.
PG  - 59-63
LID - 10.4314/ahs.v21i1.10S [doi]
AB  - BACKGROUND: Early Infant Male Circumcision (EIMC) is part of sustainable HIV 
      prevention strategies in Kenya. The goals of the national EIMC program are to 
      circumcise at least 40% of all newborn male infants delivered at hospitals 
      offering the service and keep the rate of moderate and adverse events below 2%. 
      OBJECTIVES: To determine the proportion of early male infants (age less than 60 
      days) born at hospitals in four counties of western Kenya who got circumcised and 
      document the prevalence of adverse events (AEs) among those circumcised. METHODS: 
      A retrospective descriptive study involving all records for EIMC from 1st March 
      2014 through 31st March 2018 in four counties of western Kenya. Data analysis was 
      done using EXEL to document proportion of facilities offering EIMC and compare 
      EIMC uptake and outcomes in the four counties against the national goals for the 
      program. RESULTS: A mean of 4.3% of total health facilities offer EIMC in the 
      region. Siaya had the highest proportion of facilities offering EIMC while Migori 
      had the lowest proportion. Uptake of EIMC was low at 17.4% for all male infants 
      born, far less than the anticipated target of 40%. Average adverse event rates 
      were 0.3%. CONCLUSION: EIMC uptake remains low in this region of Kenya due to 
      small number of health facilities offering the service. The proportion of 
      circumcised early male infants born at the target health facilities is below the 
      national target of 40% even though the rate of adverse events among those 
      circumcised is acceptable.
CI  - (c) 2021 Andale TO et al.
FAU - Andale, Thomas Okwaro
AU  - Andale TO
AD  - School of Medicine, Moi University, and Centre for Disease Control and 
      Prevention, Global Division for HIV and Tuberculosis (CDC/DGHT) Program Western 
      Kenya.
FAU - Gachuno, Onesmus
AU  - Gachuno O
AD  - School of Medicine, University of Nairobi.
FAU - Awuor, Theresa Odero Mary
AU  - Awuor TOM
AD  - School of Medicine, University of Nairobi.
LA  - eng
PT  - Journal Article
PL  - Uganda
TA  - Afr Health Sci
JT  - African health sciences
JID - 101149451
SB  - IM
MH  - Circumcision, Male/*adverse effects/statistics & numerical data
MH  - Humans
MH  - Infant
MH  - Infant, Newborn
MH  - Kenya
MH  - Male
MH  - Program Evaluation/methods
MH  - Retrospective Studies
PMC - PMC8367310
OTO - NOTNLM
OT  - Adverse event
OT  - circumcision
OT  - early male infant
OT  - uptake
OT  - western Kenya
EDAT- 2021/08/28 06:00
MHDA- 2021/09/16 06:00
PMCR- 2021/05/01
CRDT- 2021/08/27 06:54
PHST- 2021/08/27 06:54 [entrez]
PHST- 2021/08/28 06:00 [pubmed]
PHST- 2021/09/16 06:00 [medline]
PHST- 2021/05/01 00:00 [pmc-release]
AID - jAFHS.v21.iSupplement.pg59 [pii]
AID - 10.4314/ahs.v21i1.10S [doi]
PST - ppublish
SO  - Afr Health Sci. 2021 May;21(Suppl):59-63. doi: 10.4314/ahs.v21i1.10S.