Male Circumcision Policy Programming Final Exam Answer Key

Male Circumcision: Policy & Programming Final Exam Answer Key

Final Exam Answer Key 1. In terms of HIV prevalence, how do West African countries – where male circumcision is common – compare with countries in eastern and southern Africa that have similar HIV risk factors? a. Much lower HIV prevalence 2. Male circumcision includes which of the following health benefits? Select ALL that apply. a. Less frequent human papillomavirus in circumcised men b. Cervical cancer and bacterial vaginosis less prevalent in women whose partners are circumcised c. Decreased risk of urinary tract infections in male infants d. Decreased risk of syphilis, chancroid, and invasive penile cancer in circumcised men a, b, c, and d all apply 3. Male circumcision's ability to reduce ______ transmission of HIV has been proven beyond reasonable doubt. b. Female-to-male

Final Exam Answer Key (continued) 4. Experience from the male circumcision (MC) communication strategy in Nyanza, Kenya, demonstrates all of the following EXCEPT: b. Over time MC communication efforts can be phased out. 5. Factors that contributed to acceptability and client satisfaction in the Orange Farm male circumcision roll-out included all of the following EXCEPT: c. Wait lists for services 6. The biggest barriers to male circumcision among potential clients include all of the following concerns EXCEPT: c. Effectiveness

Final Exam Answer Key (continued) 7. Which of the following are challenges to rapid scale-up to achieve comprehensive male circumcision coverage in developing countries? Select ALL that apply. a. Weak health systems b. Skilled health professionals in short supply d. Conventional service models (one surgeon, working with one assistant) allow an average of only eight to ten male circumcisions per day. a, b, and d apply 8. Which of the following is the fastest surgical method for male circumcision? b. Forceps-guided 9. Match the adult/adolescent male circumcision technique with a characteristic associated with that technique a. Forceps-guided – Simplest of the three techniques b. Dorsal Slit – Preferred for men with phimosis c. Sleeve Resection – Requires high level of surgical skill

Final Exam Answer Key (continued) 10. Accurate information about male circumcision (MC) includes all of the following messages EXCEPT: d. Circumcised men can stop using condoms after healing is complete. 11. Governments and programs that introduce or expand male circumcision services have a responsibility to launch public health campaigns – including community dialogs. a. True 12. The Decision Makers' Program Planning Tool (DMPPT) can be used to calculate the cost and impact of male circumcision for HIV prevention. a. True 13. Scaling up male circumcision to reach 80% coverage within five years can potentially avert more than _____ new HIV infections in eastern and southern Africa. d. Four million 14. Women have a key role to play in male circumcision as: d. All of the above

Final Exam Answer Key (continued) 15. So far there is no evidence that circumcised men are abandoning condoms. a. True 16. Government and program requirements for making male circumcision safe include all of the following EXCEPT: c. Demonstrated provider competency in all three WHO-described male circumcision techniques 17. Modeling shows that high levels of male circumcision (MC) coverage indirectly benefits women by producing a significant reduction of HIV incidence in women, which is consistent across 14 MC priority countries. a. True 18. PEPFAR-funded programs will need to report all of the following male circumcision indicators EXCEPT: c. Number of HIV-positive men who request circumcision

Final Exam Answer Key (continued) 19. How much do you know about male circumcision (MC) efficiency techniques? Make the best match. a. Assigns less complex steps to lower credentialed, but highly trained health care cadres – Task sharing b. Uses highly trained non-physician providers to complete all steps of MC surgery – Task shifting c. Can help distribute the work load throughout the day – Sector Booking d. Multiple clients receive MC at the same time, performed by a team of providers – Efficiency model for MC surgery 20. Optimal client flow should do all of the following EXCEPT: b. Provide a single entry/exit point in the clinic 21. Each male circumcision (MC) surgery will require an MC kit. Each MC kit will contain: c. a and b

Final Exam Answer Key (continued) 22. Each male circumcision (MC) site will need all of the following EXCEPT: d. Equipment and supplies for general anesthesia 23. The rapid scale-up of male circumcision achieved in Nyanza Province, Kenya, is a dramatic example of the LOW acceptability of male circumcision in the region. b. False 24. The foreskin contains cells that are targets for HIV infection. a. True 25. The Clearinghouse on Male Circumcision for HIV Prevention has a searchable resources database. a. True