VMMC Technical Support Unit project funded by the Bill Melinda Gates Foundation through the University of Manitoba is embedded within National AIDS and STI Control Program (NASCOP). TSU provides technical and coordination support to the National Program Voluntary Medical Male Circumcision Program to sustain achievements made in the first phase of the program by improving governance, strengthening capacity building and program sustainability in the second phase within the 5 priority Counties of Kisumu, Siaya, Homabay, Migori and Nairobi. The project period is 2015 – 2018.
Kenya developed its second national VMMC strategic and operational plan for the period 2014/15 – 2018/19 based on the experience and success of Phase 1 of the VMMC programme in 2014. In this phase, Kenya has adopted a mixed strategy to sustain its achievements by focusing on both adult and adolescent circumcision. Therefore, in addition to catching up on the remaining adult male circumcisions for greater impact, Kenya plans to expand adolescent circumcisions by reducing the age of circumcision to 10 years rather than 14 years, introduce early infant male circumcision (EIMC) and increase the focus on programme safety.
The TSU project supports NASCOP in the following key areas;
- Develop a government led coordination mechanisms at national and county levels to support VMMC program integration and sustainability, and establish functional national and regional coordinating structure.
- Establish a system of quality data management in place including routine analysis and use of data for improving programme management.
- Integrate VMMC services into the routine MOH services by establishment of two Centres of Excellence (COEs) to build capacities of service providers and inclusion of VMMC training into pre-service training for nursing and clinical officer cadres.
- Mobilise resources for VMMC programming (including financing, HR, commodities) based on the KASF and MOH VMMC strategy for 2015-2019
- TSU Supports counties in conduct county stakeholder meetings.
The TSU has set the pace with respect to ensuring government led coordination mechanisms at all levels to support VMMC program integration and sustainability. It strives to ensure that a system of data and quality management is in place, and analysis is routinely conducted and used for improving programme management. It also strives to ensure Safe and integrated VMMC services are routinely provided through public health facilities and rsources are mobilised for VMMC. The efforts thus far by the TSU team have already resulted in much improved program outputs.