The Mobile Medical Male Circumcision clinic is being implemented by Makerere University Walter Reed Project (MUWRP) in partnership with the Kayunga and Mukono districts. The mobile clinic was customized in South Africa and is designed to offer MMC services to underserved communities, such as fishing villages, with a full-time staff 5 days a week.
The mobile MMC clinic comprises a self-contained surgical unit and two surgical beds. To supplement the medical procedure, the program also emphasized preventive measures such as abstinence, being faithful, and using proper contraception. HIV testing and counseling is provided to every patient, as well as pre and post-operative sexual risk reduction counseling, assessment and/or treatment of STIs, strong promotion of consistent use of condoms, counseling on the need for abstinence from sexual activity during wound healing, wound care instructions, and post-operative clinical assessments and care. The program's additional activities include training local health care workers, renovating clinics, and educating the community about the medical benefits of safe MMC.
Based on data from the basic program evaluation, MUWRP developed a clinical ledger tool to improve operational efficiency. The aim of this tool is to greatly reduce paperwork for clinicians by allowing them to record all (WHO recommended) surgical, pre- and post-clinical information in one book.
This program is the first of its kind to bring safe MMC services to remote areas. It is also the only mobile clinic in East Africa for MMC aimed at preventing HIV infection.