Exciting progress in the scale-up of PrePex programs has been taking place in the 16 priority countries in Sub-Saharan Africa.
Following the festive launch of PrePex in November of 2013, The Rwanda Ministry of Health has started scale-up of VMMC using the PrePex device at 16 sites, including 9 District Hospitals and VMMC Centers operated by Jhpiego — an affiliate to the Johns Hopkins University and Drew Cares International (DCI) — in cooperation with DoD/RDF. Procedures are performed routinely and by way of organized campaigns alongside the surgical male circumcision procedure. Additional PrePex service centers are expected to be opened in the near future.
PrePex is being offered for Rwandan adult men (18+) in the following locations: Byumba Hospital; Rwamgana DH; Ruhango DH; Nyagatare DH; Kabutare DH; Masaka Hospital; Gisenyi Hospital; Ruhengeri Hospital; Mukono Health Center. for more information on PrePex sites and campaigns in Rwanda, please see the links below:
Rwanda Military Hospital (PrePex Center of Excellence)
The Zimbabwe Ministry of Health and Child Welfare, together with its partners, have started a national VMMC scale-up campaign and have begun offering PrePex as an option (alongside the surgical male circumcision procedure) at 9 VMMC sites.
So far, they have completed over 1,500 PrePex procedures as part of their active surveillance phase and will begin a further 9,000 procedures as part of a passive surveillance phase.
The Uganda Ministry of Health is ready to initiate the implementation of PrePex programs.
The Ministry has established two PrePex National Training Centers and is approaching completion of 1,000 PrePex procedures as part of their active surveillance phase.
The following bodies are participating in this implementation: Rakai Health Science Program, Makerere University Walter Reed Project, Infectious Diseases Institute and Kampala International Hospital.
Additionally, the Uganda AIDS Healthcare Foundation recently initiated a 2,000 Procedure PrePex pilot project in the Masaka region.
Three South African organizations are now piloting PrePex programs.
The Center for HIV and AIDS Prevention Center (CHAPS) has initiated a national PrePex Training Center and commenced a PrePex 800 man pilot project. The Society for Family Health (SFH) South Africa, together with Population Services International (PSI), has completed a PrePex pilot project that included 318 adults and 100 adolescents. As a result, they are now moving to the 1,000- procedure active surveillance phase. In addition, The Aurum Institute is conducting a PrePex safety study on 560 men.
The Aurum Institute – along with SFH/PSI and CHAPS – will be adding to the body of evidence to guide policy on the integration of PrePex into the South African VMMC program.
The Society for Family Health (SFH) Zambia and Population Services International (PSI), with its partner FHI360, has completed enrollment for the PrePex 500-men pilot project. A full report will be submitted to the Zambia Ministry of Health for review.
Botswana and Kenya have concluded their PrePexsafety and acceptability studies and are currently preparing and initiating the preliminary scale-up of a 1,000- procedure active surveillance phase.
Malawi, Swaziland, Tanzania and Lesotho are in the initial stages of PrePex safety and acceptability pilot studies.