INTERNATONAL AIDS CONFERENCE 2012

MALE CIRCUMCISION: Are We Making the Cut?MOPDE0106

A comparative analysis of two high-volume male medical circumcision (MMC) operational models with similar service delivery outcomes in different settings within Gauteng and KwaZulu-Natal provinces in South Africa: urban Centre for HIV/AIDS Prevention Studies

(CHAPS) versus rural-SACTWU Worker Health Program (SWHP)

Authors: Nikki Soboil; Jonathan Cockburn - SWHPDino Rech; Dirk Taljaard - CHAPS

Description CHAPS SWHP

Capital Expenditure 550 000 153 000

Salaries & Wages 5 135 222 3 256 688

Awareness Campaigns 163 680 26 400

Surgical Kits & Supplies 2 774 000 1 778 000

Training 6 000 93 300

Transport & Travel 37 084 123 646

Operating overheads 1 254 416 544 631

Cost per 12 000 MMC per annum 9 920 402 5 975 665

Cost per MMC (South African Rand) R 827 R 498

EXPENDITURE VARIANCES

GOING FORWARD

SWHP • Follow-up assessments are low and clients generally only followed up if they live

close to clinic or if adverse events occur, further resources required to address this gap and improve follow-up rates

CHAPS• Saturation of catchment population and expenditure required to reallocate site

GENERAL• Customise model according to target population needs• A combination of the two models currently being used