What is "MOVE":

MOVE is an innovative operations model coined by the CHAPS during the Orange Farm trials. MOVE stands for Models for Optimising Volume and Efficiency and consists of a set of models and options provided to MMC programmes which can be implemented to increase operational efficiencies and MMC programme outputs. MOVE combines human resource, supply chain, facility, technological, surgical and client flow innovations to ensure MMC operations bottlenecks are eliminated. Together, MOVE combines to transform surgical outputs from 8-10 surgeries per day per doctor to well over 50.

MOVE Innovation Key Components:

HR innovation: (Task Sharing/ Task Shifting)

The use of specialised and well trained staff to share tasks traditionally reserved for doctors. This includes client preparation, suturing and dressings. In some settings where regulations allow the task of performing the MMC is completed “Shifted” to another cadre who is trained in providing the MMC. These HR innovations allow specialised skills of the doctor to be efficiently utilised for only the most critical parts of the procedure. The same doctor can now service far more clients in a specified time period.

Facility innovation: surgery lay-out and client flow:

The entire MMC facility and specifically the surgical space is designed to facilitate quick and easy client flow in a unidirectional manner. The surgical space is divided into multiple bays. The doctor rotates through the bays and there is no time wasted waiting for clients to be prepared. Typically a doctor rotates between 3-4 surgical bays.

Technological Innovation:

MOVE advocates for the use of electro cautery during surgery. This small useful device is used to cauterise bleeding vessels. This is faster than suturing and thus saves time.

Supply Chain:

The development team for MOVE designed specialised disposable MMC kits. These one-use kits include all the instruments and consumables required to perform a MMC procedure. The kit is preassembled and designed in a way that makes it fast and convenient to use in any operating environment. The comprehensive nature of the contents ensures a smooth supply chain with programmes needing to order just one item (the kit) instead 20 odd (individual contents).

Surgical Innovation:

The use of the forceps guided method: this method is fast and easy to teach

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.


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CHAPS is one of the largest South African non-governmental organisations (NGO) focused on voluntary medical male circumcision.

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