Your health, our mission

MMC Training

Training and QA for HCPs

Why train in MMC

Medical Male Circumcision (MMC) is a scientifically proven and cost-effective biomedical HIV prevention method. Modelling suggests that for every 5 voluntary medical male circumcision procedures performed in South Africa, 1 new HIV infection is averted (Njeuhmeli et al, 2011). Medical male circumcision, in combination with other HIV prevention strategies, plays a vital role in the reduction of the number of new infections.

The science behind MMC

The inner foreskin is rich in Langerhans cells (HIV target cells). Shortly after sexual exposure to an HIV-positive partner, infected T-cells transfer HIV to Langerhans cells via dendrites that extend to just under the surface of the inner foreskin. The Langerhans cells with internalised HIV migrate and then pass HIV on to T-cells. Infection is exacerbated in inflammatory states associated with herpes simplex virus type 2 and other sexually transmitted infections (STIs). A high foreskin surface area and tearing of the foreskin or associated frenulum during sexual intercourse also facilitate HIV entry. Thus, by various means, the foreskin is the primary biological weak point that permits HIV infection during heterosexual intercourse (Morris, B. & Wamai, R.). ).

Source: Auvert, Bertran, Taljaard, Dirk, Lagarde, Emmanuel, Sobngwi-Tambekou, Joëlle, Sitta, Rémi, & Puren, Adrian. (n.d.). Randomized, Controlled Intervention Trial of Male Circumcision for Reduction of HIV Infection Risk: The ANRS 1265 Trial. Public Library of Science. Morris, B. J., & Wamai, R. G. (January 01, 2012). Biological basis for the protective effect conferred by male circumcision against HIV infection. International Journal of Std & Aids, 23, 3, 153-9.

Langerhans cell (click on the image to enlarge)

Why train with us

Since 2010, CHAPS has been an active member of the VMMC National Technical Working Group (TWG). CHAPS continues to fulfil the role of South Africa’s national lead technical support partner, which includes assisting and guiding the rollout of a national VMMC programme.

The CHAPS programme has trained over 7000 Health care professionals on how to offer safe MMC services in South Africa to date.

Our key courses are Continuous Professional Development (CPD) accredited.

CHAPS trainings cover all aspects pertinent to VMMC and offer both theoretical and practical components. The trainees acquire the necessary technical skills, and are eligible for ongoing support, guidance and mentoring to ensure competence.

Our training programmes

HIV Testing Services (HTS) training

Surgical voluntary medical male circumcision training

General practitioners training

Refresher training

Emergency, basic life support and emergency trolley training

Voluntary medical male circumcision counselling training

Senior trainers

  • Dr Josephine Otchere-Darko: Senior Trainer and Clinician
  • Lerato Molobetsi
  • Grace Nhalpo
  • Marcia Mogalo
  • Elizabeth Masinya
  • Sarah Jones
  • Elizabeth Nkomo

For more information on our training programmes, or for bookings for group or individual sessions please contact:

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Quality assurance

Do you need assistance with setting up and maintaining efficient quality assurance practices and protocols?

Quality assurance and continuous quality improvement (CQI) has become an increasingly  important requirement in existing and new government, NGO and private sector based VMMC clinics.

CHAPS has developed simplified user-friendly tools, based on the WHO’s external quality assessment tools, the PEPFAR self-assessment and URC’s baseline assessment tools, which enable our team to perform comprehensive assessments at the various sites (private, government and NGO).

With the support of two teams of 10 skilled clinicians within the consortium, CHAPS has successfully assessed and supported 140  VMMC sites (106 consortium sites, 27 DOH sites, 7 Swaziland sites) within the private, public and NGO sectors. CHAPS has performed over 342 site visits (303 consortium visits, 27 at the DOH, 12 in Swaziland) in the past year and they have facilitated the establishment of 17 onsite CQI teams. CHAPS’ QA scorecards average 94%, which is the best average in the South African VMMC programme.

For more information or to book our QA-related services, contact  Dr Josephine Otchere-Darko on 082 715 4335 or email josephine@chaps.org.za

CONTACT

Address: 25 ST John’s Road, Parktown, Houghton Estate, 2198
Tel: 011 484 8068
Cell: 073 665 5220 / 082 776 8959
Fax: +27 86 556 4331
Email: bongi@chaps.org.za

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