African Press International (API)

"Daily Online News Channel".


  • African Press International Daily Online News Channel

  • * * API on Facebook

  • Total Visitors

    • 5,359,124 HITS
  • Flag tracker

    web counter
  • RSS BBC News – Africa

    • Nigeria schoolgirls 'still missing' April 18, 2014
      Nigeria's military rows back on an earlier statement that most of the teenage girls abducted by suspected Islamist militants had been freed.
    • UN outrage at South Sudan attack April 19, 2014
      The UN expresses outrage at a deadly attack on one of its bases in South Sudan, saying it could "constitute a war crime".
    • Algeria's president gets fourth term April 18, 2014
      Algeria's President Abdelaziz Bouteflika, who suffered a stroke last year, wins a fourth term in office taking more than 81% of the vote.
    • ICC calls Kenya Ruto trial witnesses April 18, 2014
      The International Criminal Court (ICC) in The Hague summons reluctant witnesses to testify at the trial of Kenya's Vice-President William Ruto.
    • I deserve more recognition - Toure April 18, 2014
      Manchester City's Yaya Toure thinks he is not regarded as one of the best players on the planet because he is from Africa.
    • French troops free Mali aid workers April 17, 2014
      French troops in Mali free five aid workers who were kidnapped in the north of the country by suspected Islamist militants in February.
    • Pistorius forensic tests challenged April 17, 2014
      The tests carried out by a forensic expert for Oscar Pistorius' murder trial are rigorously challenged by the state prosecutor in South Africa.
    • Senegal's Karim Wade 'to face trial' April 17, 2014
      A Senegalese court rules that Karim Wade, the ex-president's son, should stand trial on corruption charges over his wealth, an official says.
    • Guinea-Bissau run-off to pick leader April 17, 2014
      Officials in Guinea-Bissau say a run-off vote will be held next month after no candidate won an outright victory in Sunday's presidential election.
    • Remittance fees 'hurt Africans' April 16, 2014
      Communities in sub-Saharan Africa are being "hurt" by high fees charged by money transfer operators, charity Comic Relief says.
    • UN mulls medal for peacekeepers April 16, 2014
      The UN Security Council hears a proposal to create a medal for bravery in UN peacekeeping, to be named after a Senegalese soldier who saved lives during the Rwandan genocide.
    • Head of oldest African park shot April 16, 2014
      The Belgian director of Africa's oldest national park - Virunga in the Democratic Republic of Congo - is shot and wounded in an ambush.
    • VIDEO: Abducted schoolgirls 'still missing' April 18, 2014
      The Nigerian military has admitted that most of the 129 girls abducted by Boko Haram Islamists from their school in the north-eastern state of Borno are still missing.
    • VIDEO: Pistorius trial day 24 - in 60 secs April 17, 2014
      Forensic tests carried out by an expert for Oscar Pistorius' murder trial have been rigorously challenged by the state prosecutor in South Africa.
    • AUDIO: 'Killing books' in Libya April 15, 2014
      Libyan author Mansour Bushnaf says Libya does not have much of reading culture because under Col Muammar Gaddafi, people were afraid of books.
    • VIDEO: At site of Nigeria bus station blast April 14, 2014
      A powerful bomb blast has ripped through a crowded bus station on the outskirts of Nigeria's capital, Abuja, killing at least 71 people.
    • VIDEO: Cleaning up Cairo's waste system April 14, 2014
      The Egyptian government is turning to its traditional rubbish collectors - the Zabaleen - to revolutionise Cario's waste disposal industry.
    • VIDEO: Pistorius trial shown prosthetic leg April 17, 2014
      The prosthetic leg belonging to Oscar Pistorius has been shown to the court during his murder trial. He denies murder, claiming he mistook Reeva Steenkamp for a burglar.
    • VIDEO: Pistorius trial day 23 - in 60 secs April 16, 2014
      The girlfriend of Oscar Pistorius was shot in quick succession as she fell down, a forensics expert has told the South African athlete's murder trial.
    • VIDEO: Pistorius trial day 22 - in 60 secs April 15, 2014
      The Oscar Pistorius murder trial has seen a Valentine's card which his girlfriend Reeva Steenkamp had intended to give him before he shot her dead.
  • RSS BBC News – Home

    • Ferry disaster captain arrested April 19, 2014
      The captain of a South Korean ferry that sank this week leaving hundreds of people missing is arrested, along with two crew members.
    • US raises Ukraine pressure on Russia April 19, 2014
      The US threatens tougher economic sanctions if Russia fails to abide by a new international deal to help de-escalate the crisis in Ukraine.
    • Pope leads Good Friday services April 18, 2014
      Pope Francis highlights the plight of the poor, elderly and abandoned during the Way of the Cross procession in Rome to mark Good Friday.
    • Republican shot dead in west Belfast April 18, 2014
      A prominent dissident republican, Tommy Crossan, has been shot dead in west Belfast.
    • Boy in hospital with severe burns April 18, 2014
      A seven-year-old boy is taken to Aberdeen Royal Infirmary after an incident involving petrol left him with severe burns.
    • Obama signs UN envoy visa ban law April 18, 2014
      President Barack Obama signs into law a measure that would bar entry to any UN ambassador whom the US says has engaged in "terrorist activity".
    • 'Rogue directors' crackdown planned April 18, 2014
      People convicted of commercial crimes overseas could be banned from running UK firms in an attempt to tackle "rogue directors", Business Secretary Vince Cable says.
    • Hunt to warn of schools extremism April 18, 2014
      Labour's Tristram Hunt is to issue a tough warning against religious extremism in schools.
    • Welby talks of gay marriage struggle April 19, 2014
      The Archbishop of Canterbury speaks of the Church of England's struggle to do "what is right" over the divisive issue of same-sex marriage.
    • British teenager killed in Syria April 18, 2014
      A British teenager said to have "died in battle" fighting with anti-government forces in Syria, is described as a "martyr" by his father.
    • Mexico shaken by powerful earthquake April 18, 2014
      A 7.2-magnitude earthquake hits states in south and west Mexico, shaking buildings in the capital, but there are no reports of casualties or damage.
    • Teachers demand qualified status April 19, 2014
      Teachers' union conferences are demanding that schools in England should only employ qualified teachers.
    • Pensions and privacy - front pages April 19, 2014
      The Daily Express says people are releasing equity from homes to "top up" their pensions, while other papers are concerned about state intrusion into privacy.
    • VIDEO: World's prettiest Easter eggs? April 18, 2014
      A Slavic community museum in Germany is keeping alive the traditional craft of Easter egg painting.
    • Prince re-signs with 'slave' label April 18, 2014
      Pop star Prince signs a major deal with Warner Bros Records, the label he famously fell out with nearly 20 years ago.
    • Moores to be new England coach April 18, 2014
      Peter Moores is to be named England coach for a second time, BBC Sport understands.
    • O'Sullivan 'not in Hendry's league yet' April 18, 2014
      Ronnie O'Sullivan believes he would need to win two more world titles to be considered snooker's greatest player.
    • Harlequins 24-20 Leicester April 18, 2014
      Harlequins keep their play-off hopes alive as Mike Brown's late try secures a narrow victory over Leicester Tigers.
    • I deserve more recognition - Toure April 18, 2014
      Manchester City's Yaya Toure thinks he is not regarded as one of the best players on the planet because he is from Africa.
    • Moyes who? Martinez magic has charmed Everton April 18, 2014
      Man Utd boss David Moyes will not get a warm welcome back at Everton, whose fans have fallen under Roberto Martinez's spell, writes Phil McNulty
  • RSS Reuters: Politics

  • RSS CNN.com – Africa

    • Luxury shoes made in Ghana April 15, 2014
      Fred Deegbe was standing outside a shop window five years ago, marveling at the shiny pair of wing-tip Oxfords he'd just bought, when he started wondering whether such beautiful designer shoes could ever be produced in his country, Ghana.
    • Meet Nigeria's 'Mark Zuckerberg' April 3, 2014
      At 23, many people around the world are still at university -- at that age, Gossy Ukanwoke had already started one.
    • Why we need more geek girls April 3, 2014
      "It was like taking a big leap of faith."
    • 'Uncle Ebo' revives Ghanaian theater April 15, 2014
      African Voices meets James Ebo Whyte a passionate storyteller with a series of successful plays to his credit.
    • How medics saved lives at Westgate April 9, 2014
      When gunmen stormed into Nairobi's Westgate shopping mall, Abbas Gullet was one of the first emergency responders on the scene. As head of Kenya's Red Cross, he was in charge of coordinating services for people in need.
    • Embracing Ghana's natural beauty April 1, 2014
      She started her business with just £100, lugging her beauty bag from door to door, but some 25 years later Grace Amey-Obeng has built a multi-million dollar cosmetics empire that's helping change the perception of beauty for many.
    • Africa's most endangered April 16, 2014
      Africa is home to much unique wildlife, but many of its iconic species are threatened. Find out more about its most endangered animals.
    • Secrets of 'gorilla whisperer' March 25, 2014
      Zain Verjee visits Uganda's Bwindi Impenetrable National Park -- the home of half of the world's endangered mountain gorilla population.
    • Savannah from the sky March 13, 2014
      It's almost impossible for a photographer to find fresh visual perspectives these days. Brooklyn-based Zack Seckler had to travel to a different continent and strap into an ultra-light aircraft to find one. His Botswana series presents the country from between 50 and 500 feet, providing a unique and captivating view of the savannah.
    • Why you should fear Boko Haram April 17, 2014
      Boko Haram's lethality is indisputable.
    • You gotta try South African BBQ April 17, 2014
      Grilled zebra anyone? Peri-peri warthog? This is how to barbecue, South Africa style.
    • Inside an Ebola isolation ward April 16, 2014
      Dr. Sanjay Gupta goes into an ebola clinic to find out what life is like for the patients inside.
    • Rating Pistorius's defense April 16, 2014
      After five days of intense cross-examination, has Olympian Oscar Pistorius helped or harmed his defense that he did not intentionally kill his girlfriend, model Reeva Steenkam?
    • Pop art condoms saving lives April 15, 2014
      The Center for African Family Studies in Nairobi has teamed up with Kenyan artist Michael Soi to create eye-catching condom wrappers to promote safe sex and raise awareness about HIV/AIDS among young people.
    • Ebola: A swift and bloody killer April 16, 2014
      It took only moments to feel the impact of what was happening here.
    • 'I lost my fingers, made new ones' April 14, 2014
      A South African carpenter lost his fingers in an accident -- now he's making mechanical fingers and hands for others.
    • Kenya double in London Marathon April 13, 2014
      World record-holder Wilson Kipsang completed a Kenyan double at the London Marathon Sunday as home hope Mo Farah disappointed on his debut over the 42km distance.
    • Pistorius at mercy of 'bull dog?' April 11, 2014
      He's known as the "bull dog" in South Africa's legal circles, and just two days in to Gerrie Nel's merciless cross-examination of Oscar Pistorius, it's easy to see why.
    • 'Now is the time for Afro-realism' April 11, 2014
      Over the last 20 years, the narrative on the African continent has shifted from Afro-pessimism to Afro-optimism. The truth lies somewhere in between. Now is the time for Afro-realism: for sound policies based on honest data, aimed at delivering results.
    • Africa's tastiest street food April 11, 2014
      Here are your photos of the tastiest -- and most unusual -- African street food.
  • Country Stats

    free counters

Surgical circumcision is more complex than PrePex

Posted by African Press International on July 6, 2013

Surgical circumcision is more complex than PrePex

KAMPALA,  - In May, the UN World Health Organization (WHO) announced the prequalification of PrePex, the first non-surgical device for adult male circumcision. Compared to surgical circumcision, the device has fewer complications and is easier and quicker to use, allowing lower-cadre medical workers to be trained to perform the procedure.

Randomized, controlled trials in 2006 found that male circumcision reduced a man’s risk of contracting HIV through vaginal intercourse by as much as 60 percent.

Fourteen African countries in eastern and southern Africa plan on circumcising a total of 20 million men by 2016 in an effort to curb the transmission of HIV. A number of these countries are lagging behind on their targets, and feel the PrePex device will give their programmes a much-needed boost, while others are more cautious.

Studies continue

Malawi’s Ministry of Health plans to adopt and roll out the PrePex device once it has completed safety and acceptability studies targeting 2,000 clients in the districts of Nsanje, Lilongwe and Mulanje. The studies are due for completion in August.

“We hope that the results will assist us to scale-up the services, because already more males have been asking for this device,” said Henry Chimbali, health promotion and communications officer for HIV prevention and behaviour change at the Ministry of Health. “It is also most likely going to reduce costs of providing VMMC [voluntary medical male circumcision], because currently we use VMMC disposable kits, as well as costs of human resource and also perhaps adverse events.”

As of March 2013, a total of 42,700 Malawian men had been circumcised since the October 2011 start of the programme – an estimated 350,000 adult males were circumcised prior to the programme. The ministry aims to reach some 1.8 million adult males by 2015.

In Kenya, the Male Circumcision Consortium (MCC), in collaboration with the National AIDS and STIs (sexually transmitted infections) Control Programme (NASCOP) and the Nyanza Reproductive Health Society (NRHS), welcomed the approval of PrePex, but called for more studies to assess its acceptability and safety in local healthcare settings. The organizations are currently conducting the second phase of study to assess the efficacy of PrePex-assisted male circumcision among 425 men in routine health-care settings in western Kenya’s districts of Kisumu and Rachuonyo; results are expected by September.

“The outcome will provide the government with information and recommendations on the adoption of this device,” MCC project manager Mathews Onyango told IRIN. “There are some issues that have not been addressed by the WHO prequalification, such as cost, acceptability… These might vary from country to country and, thus, like in Kenya, our study will address its safety and acceptability, especially within a larger population.”

“Different countries have varying needs and they would need to ensure that they introduce the non-surgical devices to fit within their context,” he added.

The first phase of the Kenyan study assessed 50 men to ascertain the safety of the device in Kisumu. The committee of independent experts reviewed the results, found no safety concerns, and recommended that the study proceed to the second phase.

Kenya’s programme aims to reach 80 percent of men between 15 and 49 years old – some 860,000 men. Since the programme was launched in 2008, it has reached more than 420,000 men.

In Rwanda, the government plans to roll out the device and scale it up to health facilities, following its successful trials at Nyamata and Kanombe military hospitals. Officials say it saves both time and money. Following the research, Rwanda announced in 2011 that it would be rolling out its VMMC programme using PrePex.

Photo: PREPEX
PrePex promises less pain and less time

“We believe that the PrePex is the only circumcision method that will allow us to meet the goal of [circumcising] over 1.5 million men in two years,” Vincent Mutabazi, lead investigator in the Rwandan PrePex studies. “Several campaigns and numerous training[s] of new PrePex healthcare providers have taken place. Some 5,000 men were circumcised outside of [the] clinical environment in Rwanda since [February 2012]… In the upcoming months, more than 200,0000 procedures are expected.”

“Safer, faster and reduces discomfort”

In Botswana, the health ministry, in collaboration with the US Embassy, the African Comprehensive HIV/AIDS Partnership (ACHAP) and Jhpiego, an affiliate of the US’s Johns Hopkins University, are carrying out pilot research at Nkoyaphiri Clinic, Mogoditshane and Block 8 Clinic in the capital, Gaborone. The study targets 1,000 HIV-negative men aged 18 to 49 to evaluate the effectiveness and safety of PrePex; so far 330 adults have been circumcised in the study, which ends in September.

“The results of this study will determine its roll out in the country. There is no doubt that the PrePex and any other acceptable and safe circumcision device will boost circumcision not only in Botswana but in all countries involved in the programme,” said Benjamin Binagwa, VMMC programme manager at ACHAP. “The advantage of having these devices is that they can be used by other health staff other than doctors.”

He continued: “Any device that makes a surgical procedure safer, faster and reduces discomfort or pain is always a welcome component of the health service. From current experiences with the PrePex, the device provides the aforementioned to a great extent. Therefore its incorporation in the Safe Male Circumcision programme… is a welcome development.”

“Training of both nurses and doctors on use of the PrePex device is less technically demanding since it does not involve use of injections to prevent pain, there is no cutting of live tissues and thus no need to control bleeding, and no need for stitches,” Adrian M Musiige, safe male circumcision programme manager for Jhpiego, told IRIN. “The same technical properties of the device also address some important barriers to male circumcision for some men who still associate conventional male circumcision surgery [with] pain because of the involvement of injections, surgical blades, some bleeding and stitches.”

A total of 75,604 men aged 13 to 49 years have been circumcised in Botswana since the campaign was launched in 2009; the national target is 385,000 men by 2016.

Operational challenges

In Tanzania, where some 415,000 people out of the targeted 2.8 million had been circumcised as of March 2013, participants in one ongoing study in the country’s central-western region of Tabora are already showing high levels of acceptability. But rolling out the procedure using PrePex may face operational challenges.

“I am definitely sure that the use of device in Tanzania will be approved,” said Jackson Lija, head of biomedical prevention in Tanzania’s Clinical STI, HIV and Circumcision Services. “Our main problem to scale it up will be funding. We are struggling. Currently, we have a funding problem that is affecting the conventional male circumcision. PrePex is likely also to be affected with the same.”

In South Africa, the health department plans to have “formal talks” with traditional leaders about the possibility of introducing a Prepex device to circumcision ceremonies, Thobile Mbengashe, national HIV director, told the Mail & Guardian.

He said the country was behind on its male circumcision targets – 4.3 million men by 2016 – and was “unlikely to achieve its goals if additional modalities that can help to scale up the medical circumcision process are not introduced”.

Ugandan officials say WHO prequalification of PrePex was anxiously awaited and will boost the country’s programme, which has, since 2010, reached 380,000 men – a fraction of the 4.2 million men it aims to have circumcised by 2015.

“The National Task Force [on safe male circumcision] and the ACP [AIDS Control Programme] welcomes the approval and will go through the process of including its use in the guidelines,” said Alex Ario, programme manager for the ACP. “The device will definitely lead to increased access and acceptability of safe male circumcision among young males.”

so/kr/rz source http://www.irinnews.org

 

About these ads

Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out / Change )

Twitter picture

You are commenting using your Twitter account. Log Out / Change )

Facebook photo

You are commenting using your Facebook account. Log Out / Change )

Google+ photo

You are commenting using your Google+ account. Log Out / Change )

Connecting to %s

 
Follow

Get every new post delivered to your Inbox.

Join 1,227 other followers

%d bloggers like this: