Bulletin of the World Health Organization

Factors associated with the safety of voluntary medical male circumcision in Nyanza province, Kenya

Amy Herman-Roloff, Robert C Bailey & Kawango Agot

Volume 90, Number 10, October 2012, 773-781

Table 1. Characteristics of men circumcised and of procedures performed in the clinic surveillance system, Nyanza province, Kenya, 2008–2010

Characteristic Clinic systema (n = 3 705)
Age (years)
< 18 241 (6.5)
18–24 2551 (68.9)
25–34 684 (18.4)
≥ 35 229 (6.2)
HIV status
HIV-positiveb 119 (3.2)
HIV-negativec 1283 (34.6)
Unknownd 2303 (62.2)
STI at screening
Yes 33 (0.9)
No 3672 (99.1)
Comorbidity at screeninge
Yes 1018 (27.5)
No 2687 (72.5)
Duration of procedure (min)f
< 14 (25% IQR) 685 (18.5)
14–23 (IQR) 2138 (57.7)
> 23 (> 75% IQR) 882 (23.8)
MMC during high-volume month
Yes 2296 (62.0)
No 1409 (38.0)
MMC provider
Clinician (CO or MO) 2480 (66.9)
Nurse 1225 (33.1)
Employer of MMC provider
Government of Kenya 425 (11.5)
Nyanza Reproductive Health Society 3280 (88.5)
Dose of local anaesthesia
≤ 10 ml 1768 (47.7)
> 10 ml 1937 (52.3)
Returned for follow-up
Yes 1672 (45.1)
No 2033 (54.9)
Days to normal activities, mean (SD) 2.4 (± 2.0)
Adverse events
Intra-operative 3 (0.1)
Post-surgicalg 78 (2.1)

CO, clinical officer; HIV, human immunodeficiency virus; IQR, interquartile range; MMC, medical male circumcision; MO, medical officer; SD, standard deviation; STI, sexually-transmitted infection.

a Unless otherwise indicated, all values in this column are absolute numbers followed by percentages in parentheses.

b Completed on-site test or self-report.

c Completed on-site test.

d Declined on-site test or declined to have result recorded.

e Comorbidities included urethral discharge, genital ulcers, genital warts, general pallor, chronic wounds, and arterial hypertension.

f Mean duration: 17 minutes (IQR: 14–23).

g Outcome variable in logistic regression modelling.