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
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