Skip to main content

Table 2 Circumstances surrounding glans injuries occurring within PEPFAR-supported VMMC programs, 2015–2018

From: Case series of glans injuries during voluntary medical male circumcision for HIV prevention — eastern and southern Africa, 2015–2018

 Number (%), N = 36
Patient age in years
 Median (25, 75%)10 (10, 11)
 Mean (range)10 (< 1–14)
 Mode (n = 19)10
Time of day glans injury occurred
 8 am – Noon7 (19)
 Noon – 4 pm13 (36)
 After 4 pm8 (22)
 Unknown8 (12)
Cadre type of VMMC provider
 Physician8 (22)
 Clinical Officer/ Clinical Associate8 (22)
 Nurse4 (11)
 Other1 (3)
 Unknown15 (42)
Training of VMMC provider in DS method1
 Adequate2 (6)
 Inadequate5 (14)
 Unknown29 (81)
Reported over-worked environment during glans injury2
 Yes9 (25)
 No mention21 (58)
 Record unavailable6 (17)
Possible attempt to conceal information3
 Yes, inaccurate documentation11 (31)
 Yes, failure to report as required3 (8)
 No16 (44)
 Unknown6 (17)
Specialty of referral provider
 Urologist17 (47)
 Pediatric Surgeon8 (22)
 Other Surgeon2 (6)
 Unknown3 (8)
 Not or unknown if referred6 (17)
  1. 1Adequate = AE report indicates adequate training for dorsal slit method, inadequate = report indicates that there was a lack of adequate training, unknown = no mention of training in the report
  2. 2Documentation of a concern that a heavy workload may have been a contributing factor to the glans injury
  3. 3Documentation of a concern that VMMC provider or clinic attempted to hide or alter evidence concerning the glans injury (for example, documenting DS method when FG method was actually performed)