Swaziland has one of the most severe HIV epidemics in the world, with an estimated prevalence of 26% for adults aged 15-49. Male circumcision as HIV prevention was introduced to Swaziland in 2009, initially using an integrated approach to HIV prevention. In 2011, an intensive campaign, Soka Uncobe (circumcise and conquer), was launched, aiming to circumcise 80% of males within 1 year. The campaign had limited success, with less than 10% of males being circumcised during the year. Stand-alone campaign clinics are still operational, however, no services provide a fully integrated model of male circumcision for HIV prevention within Swaziland. This study aims to develop an integrated male circumcision service in Good Shepherd Hospital and for the Lubombo region of Swaziland. It will evaluate whether an integrated or stand-alone clinic model of male circumcision service is a more effective method for increasing overall numbers of male circumcisions for hospital services in Swaziland
COMDIS. Developing a new service delivery model for male circumcision services in Swaziland.