As part of the support and expertise CHAPS brings to the South African VMMC Programme, we engage in high impact training of healthcare providers in VMMC across the country. We focus on providing surgical training using the Dorsal Slit Method, as recommended by WHO, mandated by PEPFAR and adopted as the preferred method for SA by the NDoH. All trainees are required to complete, Online Training Hub (OTH). This platform is an online training course that comprises multiple modules relevant to VMMC implementation. It enables learning at the trainee’s pace and can be done on any device or computer. Trainees will need to complete this course and attend a 4-day training course. The time dedicated to practical training is determined by the provider’s level of competency.

Day 1-2:

The first 2 days of the course is dedicated to the theory and materials, including practicing on

anatomical penile models tailor-made to VMMC training.

The first 2 days component covers:

  • The basics of HIV
  • The biological imperatives of VMMC as a preventative method
  • HCT and VMMC Counselling
  • Anaesthesia and weight-based dosing
  • Commodities and requirements for safe circumcision practices
  • The Dorsal Slit method
  • AE management and reporting
  • Infection prevention and control
  • Biomedical and Infectious Waste management
  • Monitoring and Evaluation
  • Practice on anatomical models

Day 3 – 4 

The Practical component comprises performing the surgical procedure on patients, with supportive

supervision from the qualified Master Trainers. This component walks the trainee health care professional through all aspects of service provision including anaesthesia and AE management, towards the successful completion of a circumcision. 

Awarding of a Certificate

Certificates of Proficiency will be provided once all minimum criteria have been met, which includes a minimum of 10 successful MMCs completed. A Certificate of Proficiency with relevant CPD points will be provided to the trained medical doctors and Clinical Associates. 

CHAPS also provides a 3-day Refresher Training for health care professionals previously certified in VMMC practice. The refresher course covers any new developments in the field and policy updates from NDoH, WHO and/or PEPFAR, and dedicated practice on 5 clients.

The refresher training includes a briefing on Continuous Quality Assurance (CQI) and guidelines for the health care professionals on using CQI materials.