GH15-1506, Botswana: Voluntary Medical Male Circumcision as part of the National Program and the Combination Prevention Project in Botswana under the President's Emergency Plan for AIDS Relief.

Jhpiego将支持美国疾病控制和预防中心以及美国政府。 博茨瓦纳将扩大自愿医疗男性包皮环切术的规模-以线为重点 关于博茨瓦纳政府与联合国 美国政府，以及总统的艾滋病紧急救援计划的艾滋病蓝图 自由的一代-最终目标是建立技术和管理能力的 政府将在项目结束后继续这项工作。这个为期五年的项目旨在 扩大VMMC的一揽子服务，为符合条件的男性提供60，000多个VMMC，以支持 博茨瓦纳政府的目标是80%的覆盖率，以避免估计33，000名新的成人感染 到2025年，净节省护理和治疗费用2.48亿美元。该项目将解决 在创造需求的同时提供优质、全面的VMMC服务的双重挑战。的 项目小组将确保Kweneng East、Kweneng West、Kgalagadi South、 Kgalagadi North、Ghanzi、马哈拉佩和哈博罗内可获得优质的VMMC服务。 Jhpiego将继续在国家和地区层面与卫生部合作， 确保始终如一地提供高质量的VMMC服务。该项目将采取干预措施， 重点是创造对VMMC服务的需求和提供服务，包括：1）倡导可见的 政治承诺，包括在公共媒体上认可VMMC; 2）动员和参与 3）在社区提供最低限度的一揽子服务， VMMC站点，包括将新诊断的艾滋病毒阳性客户与艾滋病毒护理联系起来， 治疗; 4）在全国范围内引入PrePex TM设备 推广; 5）加强转诊 从自愿咨询和检测中心进入VMMC。 Jhpiego将通过提供以下服务继续支持博茨瓦纳综合预防项目： 根据研究方案，在选定的15个干预社区提供优质VMMC服务， 将继续严格跟踪关键的VMMC和艾滋病毒产出和成果指标， 项目结果，并促进实时决策。确保CDC的可持续性 努力，Jhpiego将努力加强卫生部的管理和业务能力，继续 项目结束后的VMMC服务。 Jhpiego将为该项目带来我们在需求生成、服务 提供服务、提高质量、培训和指导，以扩大安全的男性包皮环切术服务 在博茨瓦纳。Jhpiego将动员其训练有素的供应商网络支持VMMC 提高认识、参与性规划和提供服务。此外，该项目将 通过在技术上准确、文化上准确的方法， 适当的信息和沟通战略，促进健康行为，两性平等 改善沟通。

Jhpiego will support the U.S. Centers for Disease Control and Prevention and the Government of Botswana to operationalize scale-up of voluntary medical male circumcision (VMMC)—in line focusing on the 2010 Partnership Framework between the Government of Botswana and the U.S. Government, as well as the President's Emergency Plan For AIDS Relief’s Blueprint for an AIDS Free Generation—with the ultimate goal of building the technical and management capacity of the government to continue this work after the Project ends. This five-year project is designed to scale up the VMMC package of services and provide over 60,000 VMMCs to eligible men, to support the Government of Botswana’s goal for 80% coverage to avert an estimated 33,000 new adult infections with net savings of $248 million in care and treatment costs by 2025. The Project will address the dual challenge of creating demand while delivering quality, comprehensive VMMC services. The Project’s team will ensure that the male population in Kweneng East, Kweneng West, Kgalagadi South, Kgalagadi North, Ghanzi, Mahalapye, and Gaborone has access to quality VMMC services. Jhpiego will continue to collaborate with the Ministry of Health at national and district levels to ensure consistent delivery of high-quality VMMC services. The Project will implement interventions focused on creating demand for and provision of VMMC services, including: 1) advocacy for visible political commitment including endorsement of VMMC on public media; 2) mobilization and engagement of communities in outreach activities and campaigns; 3) provision of minimum package of services at the VMMC sites, including linkage of newly diagnosed HIV- positive clients to HIV care and treatment; 4) introduction of PrePexTM device in the national roll out; 5) strengthening referral into VMMC from voluntary counseling and testing centers. Jhpiego will continue supporting the Botswana Combination Prevention Project through provision of quality VMMC services in selected 15 intervention communities according to the study protocol, and will continue rigorously track key VMMC and HIV output and outcome indicators to demonstrate project results and facilitate real-time decision-making. To ensure sustainability of the CDC efforts, Jhpiego will work to strengthen the MOH’s management and operational capacity to continue VMMC services after the project ends. Jhpiego will bring to the Project our extensive work experience in demand generation, service delivery, quality improvement, training and mentoring to scale-up safe male circumcision services in Botswana. Jhpiego will mobilize its network of trained providers in support of VMMC awareness-building, participatory planning, and service provision. In addition, the Project will work to create a cultural norm of VMMC among Batswana men through technically accurate, culturally appropriate messages and communication strategies, promoting healthy behaviours, gender equality and improved communication.