African Press International (API)

"Daily Online News Channel".


  • African Press International Daily Online News Channel

  • * * API on Facebook

  • Total Visitors

    • 5,361,686 HITS
  • Flag tracker

    web counter
  • RSS BBC News – Africa

  • RSS BBC News – Home

    • Russia in new Ukraine attack threat April 23, 2014
      Russia will respond to any attack on its interests in Ukraine, Foreign Minister Sergei Lavrov says, drawing a parallel with the 2008 Georgia war.
    • Three children found dead in London April 23, 2014
      A woman is arrested after three children are found dead at a house in south London.
    • Man Utd criticised for Moyes sacking April 23, 2014
      Manchester United are accused of unprofessionalism following the sacking of manager David Moyes.
    • Hamas-Fatah announce reconciliation April 23, 2014
      Rival Palestinian factions Fatah and Hamas announce a reconciliation deal, saying they will seek to form a unity government in the coming weeks.
    • Cancer teen hits £1m charity target April 23, 2014
      A teenage blogger with terminal cancer raises more than £1m for charity after posting his final message to followers.
    • Clifford jury gets majority direction April 23, 2014
      Jurors in the indecent assault trial of publicist Max Clifford are told they can return a majority verdict of nine to one.
    • Violent crime 'continues to fall' April 23, 2014
      Violent crime is continuing a long-term fall in England and Wales, according to annual figures from NHS hospitals.
    • Madeleine police probe 18 break-ins April 23, 2014
      UK police investigating Madeleine McCann's disappearance are looking at 18 potentially linked cases involving a lone intruder breaking into holiday villas in the Algarve, Portugal.
    • Coulson 'did not cover anything up' April 23, 2014
      Former News of the World editor Andy Coulson tells the phone-hacking trial he did not "cover anything up" following the arrest of the paper's royal editor Clive Goodman in 2006.
    • Plane search examines coastal debris April 23, 2014
      Authorities in Australia are looking at material washed ashore to find out if it is related to the missing Malaysia Airlines plane.
    • More held in S Korea ferry disaster April 23, 2014
      Authorities in South Korea arrest four more crew members from the ferry that sank last week and raid the offices of companies linked to its owners.
    • Top Gear 'regrets' Burma remark April 23, 2014
      The executive producer of Top Gear expresses regret over a "light-hearted" remark on its Burma special that led to the BBC show being accused of racism.
    • Spotlight stays on Man Utd - papers April 23, 2014
      The focus is still on Manchester United after the sacking of David Moyes, while figures suggesting violent crime has fallen are picked up on by many of the papers.
    • Led Zeppelin unleash unheard work April 23, 2014
      Legendary rock group Led Zeppelin make public two previously unheard recordings.
    • Complaints mount over Jamaica Inn April 23, 2014
      The number of viewer complaints over the audibility of BBC One drama Jamaica Inn escalates, with the second episode seeing a decline in ratings following Monday's debut instalment.
    • Scholes returns to help coach Man Utd April 23, 2014
      Paul Scholes will assist former team-mate Ryan Giggs at Manchester United following the sacking of David Moyes.
    • Armitstead retains World Cup lead April 23, 2014
      Great Britain's Lizzie Armitstead is second for the third race in a row but remains in first place in the World Cup.
    • Wednesday's gossip column April 23, 2014
      Man Utd would be Van Gaal's "dream job", Moyes compensation no more than £5m, Krul considers Newcastle future, plus more.
    • Mourinho 'wants to rest players' April 22, 2014
      Chelsea manager Jose Mourinho says he wants to rest key players for Sunday's Premier League trip to leaders Liverpool.
    • Trump labours to first-round win April 23, 2014
      Seventh seed Judd Trump made heavy work of beating Tom Ford 10-8 in his first round World Championship match.
  • RSS Reuters: Politics

    • Obama seeks to ease Asian allies' doubts during visit to Japan April 23, 2014
      TOKYO (Reuters) - President Barack Obama will use a state visit to Japan on Thursday to try to reassure Tokyo and other Asian allies of his commitment to ramping up U.S. engagement in the region, despite Chinese complaints that Washington's real aim is to contain Beijing's rise.
    • 'Bridgegate' scandal threatens next World Trade Center tower April 23, 2014
      NEW YORK (Reuters) - The "Bridgegate" scandal that rocked New Jersey Governor Chris Christie's administration earlier this year is threatening a deal that would allow developer Larry Silverstein to finish building the next World Trade Center skyscraper.
    • U.S. steps up trade pressure on Japan ahead of Obama visit April 23, 2014
      TOKYO (Reuters) - The United States put last-minute pressure on Japan to compromise in tough trade talks on Wednesday, shortly before President Barack Obama was to arrive for a state visit.
    • California GOP hopeful wants free college for science, math students April 23, 2014
      BERKELEY, California (Reuters) - California Republican gubernatorial hopeful Neel Kashkari called for free college tuition for students pursuing math and science degrees, part of an education reform plan released Tuesday that would also model public schools after charter schools.
    • California congressman woos Sriracha pepper sauce factory after odor complaints heat up April 23, 2014
      LOS ANGELES (Reuters) - A U.S. congressman from a Los Angeles community is seeking to lure the factory that makes the bestselling Sriracha-brand hot pepper sauce to his district after residents in its current location complained about the smell.
    • New Jersey governor's press aide subpoenaed in 'Bridgegate' probe April 23, 2014
      (Reuters) - A New Jersey legislative panel investigating the "Bridgegate" traffic scandal subpoenaed the press spokesman to New Jersey Governor Chris Christie and three other officials on Tuesday.
    • Asia tensions simmer as Obama set to arrive in Tokyo April 22, 2014
      TOKYO (Reuters) - U.S. President Barack Obama arrives in a tense Asian region on Wednesday, faced with the delicate task of assuring Japan and other regional allies of America's commitment to their defense without hurting Washington's vital ties with a rising China.
    • U.S. top court upholds Michigan ban on college affirmative action April 22, 2014
      WASHINGTON (Reuters) - The U.S. Supreme Court on Tuesday further undermined the use of racial preferences in higher education by upholding a voter-approved Michigan law that banned the practice in decisions on which students to admit to state universities.
    • Colorado lawmakers move to tighten edible marijuana laws April 22, 2014
      DENVER (Reuters) - Colorado lawmakers are moving to tighten laws governing the sale of marijuana-infused edibles, an issue that has gained attention following two deaths possibly linked to the ingestion of cannabis products, the measures' main sponsor said on Tuesday.
    • Florida Senator holds Miami Beach hearing on rising sea level April 22, 2014
      MIAMI BEACH (Reuters) - Climate change is already impacting south Florida coastal communities, which could see a three-foot rise in sea level by the end of the century, a panel of officials and scientists testified at a Senate hearing on Miami Beach on Tuesday.
    • Georgia joins other U.S. states facing gay marriage lawsuits April 22, 2014
      ATLANTA (Reuters) - A federal lawsuit was filed in Atlanta on Tuesday, challenging the constitutionality of a Georgia law banning same sex marriage, the first such case in the southern U.S. state.
    • Missouri mayor quits after anti-Semitic remarks tied to Kansas killings April 22, 2014
      (Reuters) - The mayor of a southwestern Missouri town resigned on Tuesday in the wake of community anger over anti-Semitic comments he made in reference to recent killings at two Jewish community facilities in Kansas.
    • Senator Boozman undergoes heart surgery in Arkansas April 22, 2014
      (Reuters) - Senator John Boozman of Arkansas was recovering from heart surgery on Tuesday, his office said in a statement.
    • U.S. official responsible for reforming Medicare is leaving post April 22, 2014
      WASHINGTON (Reuters) - The Obama administration on Tuesday announced the departure of the top health official responsible for reforming Medicare under President Barack Obama's healthcare reform law.
    • Supreme Court hears challenge to ban on 'false' campaign speech April 22, 2014
      WASHINGTON (Reuters) - U.S. Supreme Court justices across the ideological spectrum voiced doubts on Tuesday about a state law that prohibits false statements during a political campaign.
    • IRS's summons power faces test in Supreme Court April 22, 2014
      WASHINGTON (Reuters) - The Internal Revenue Service will go before the U.S. Supreme Court on Wednesday to defend the way it enforces its power to issue legal summonses to obtain sensitive documents from taxpayers who refuse to cooperate with audits.
    • Detroit bankruptcy judge taps consultants for city's plan April 22, 2014
      (Reuters) - The federal judge overseeing Detroit's historic bankruptcy case tapped a top restructuring official at Phoenix Management Services on Tuesday to help the court determine if the city's plan to adjust its $18 billion of debt is feasible.
    • UAW suddenly retreats from fight at Tennessee VW plant April 21, 2014
      CHATTANOOGA, Tenn./DETROIT (Reuters) - The United Auto Workers, surprising even its supporters, on Monday abruptly withdrew its legal challenge to a union organizing vote that it lost at a Volkswagen AG plant in Chattanooga, Tennessee in February.
    • Court orders U.S. to release memo on drones, al-Awlaki killing April 21, 2014
      NEW YORK (Reuters) - A federal appeals court ordered the U.S. Department of Justice to turn over key portions of a memorandum justifying the government's targeted killing of people linked to terrorism, including Americans.
    • U.S. court signals narrow bondholders win in Argentina subpoena case April 21, 2014
      WASHINGTON (Reuters) - U.S. Supreme Court justices on Monday indicated that creditors should be able to seek limited information about Argentina's non-U.S. assets in a case about bank subpoenas in decade-long litigation over Argentina's obligations to bond investors.
  • 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.
    • Is this the new Oprah? April 18, 2014
      Meet Mo Abudu: 'Africa's Oprah Winfrey.' The glamorous 49-year-old is conquering the continent one media empire at a time.
    • How to live healthy with gorillas April 22, 2014
      Veterinarian Dr. Gladys Kalema-Zikusoka on creating an environment where gorillas and the people who live near them, can coexist safely.
    • Ancient tribe living in the past April 18, 2014
      The Hadza are one of the oldest people on earth. Today, they battle for land, and continued survival.
    • Web dismantles stereotypes April 21, 2014
      The new Web series "An African City" is fun, trendy and over the top.
    • 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.
  • 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 1,231 other followers

%d bloggers like this: