Policy amp Programming Final Exam Congratulations you have nearly completed this course The final exam will test your understanding of the material presented If you do not score better than 85 on the final exam we invite you to return to the course for further study and then try the ID: 239088
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Male Circumcision: Policy & Programming
Final ExamSlide2
Congratulations - you have nearly completed this course!
The final exam will test your understanding of the material presented.
If you do not score better than 85% on the final exam, we invite you to return to the course for further study, and then try the exam again. There is no limit to the number of times you can take the exam.Slide3
Final Exam
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
?
Much lower HIV
prevalence
About the same HIV prevalenceHigher HIV prevalenceMale circumcision includes which of the following health benefits? Select ALL that apply.Less frequent human papillomavirus in circumcised menCervical cancer and bacterial vaginosis less prevalent in women whose partners are circumcisedDecreased risk of urinary tract infections in male infantsDecreased risk of syphilis, chancroid, and invasive penile cancer in circumcised men
Male circumcision's ability to reduce ___________ transmission of HIV has been proven beyond reasonable doubt.Male-to-femaleFemale-to-maleMale-to-maleAll of the abovea and b
Answer the following questions to see how much you know about this topic.Slide4
Final Exam (continued)
Experience from the male circumcision (MC) communication strategy in Nyanza, Kenya, demonstrates all of the following EXCEPT:
Initial communication efforts may need to be tailored and expanded over time.
Over time MC communication efforts can be phased out.
Besides men and women, specific audiences for MC communication messages include faith leaders, business leaders, and village elders.
Information dissemination, motivation to seek services, and appropriate policies and guidelines are key starting points.Factors that contributed to acceptability and client satisfaction in the Orange Farm male circumcision roll-out included all of the following EXCEPT:Free circumcision services for males 15 years and olderMale circumcision performed by trained medical circumcisersWait lists for servicesSaturday appointments
Flexible operating hoursThe biggest barriers to male circumcision among potential clients include all of the following concerns EXCEPT:CostSafetyEffectivenessPain
Answer the following questions to see how much you know about this
topic.Slide5
Final Exam (continued)
Which of the following are challenges to rapid scale-up to achieve comprehensive male circumcision coverage in developing countries? Select ALL that apply.
Weak health systems
Skilled health professionals in short supply
No precedent of non-physicians performing surgical procedures
Conventional service models (one surgeon, working with one assistant) allow an average of only eight to ten male circumcisions per day.Which of the following is the fastest surgical method for male circumcision?Sleeve resectionForceps-guidedDorsal slitMatch the adult/adolescent male circumcision technique with a characteristic associated with that techniqueForceps-guided
Dorsal SlitSleeve ResectionRequires high level of surgical skillPreferred for men with phimosisSimplest of the three techniques
Answer the following questions to see how much you know about this topic.Slide6
Final Exam (continued)
Accurate information about male circumcision (MC) includes all of the following messages EXCEPT
:
Circumcised men should abstain from sexual intercourse until wound healing is complete.
Female
genital cutting (FGC) is very different from MC, has serious adverse effects on the health of women, and unlike MC, has no demonstrated medical benefits.MC offers only partial protection from HIV infection.Circumcised men can stop using condoms after healing is complete.MC is voluntary.Governments and programs that introduce or expand male circumcision services have a responsibility to launch public health campaigns – including community dialogs.TrueFalseThe Decision Makers' Program Planning Tool (DMPPT) can be used to calculate the cost and impact of male circumcision for HIV prevention.
TrueFalseScaling up male circumcision to reach 80% coverage within five years can potentially avert more than __________ new HIV infections in eastern and southern Africa. One millionTwo million
Three million
Four
million
Women have a key role to play in male circumcision as:
Partners
Parents
Service
providers
All
of the above
a
and be only
Answer the following questions to see how much you know about this topic.Slide7
Final Exam (continued)
So far there is no evidence that circumcised men are abandoning condoms
.
True
False
Government and program requirements for making male circumcision safe include all of the following EXCEPT:Use of appropriate and sterile surgical equipmentTrained providersDemonstrated provider competency in all three WHO-described male circumcision techniquesAdequate postoperative careA referral system in place for serious complicationsModeling 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.
TrueFalsePEPFAR-funded programs will need to report all of the following male circumcision indicators EXCEPT:Number of males circumcisedNumber of circumcised clients experiencing at least one moderate or severe adverse event
Number
of HIV-positive men who request circumcision
Number of health care workers who successfully complete an in-service training
program
Percentage
of males in the population
circumcised
Answer the following questions to see how much you know about this topic.Slide8
Final Exam (continued)
How much do you know about male circumcision (MC) efficiency techniques? Make the best match.
Assigns less complex steps to lower credentialed, but highly trained health care cadres
Uses highly trained non-physician providers to complete all steps of MC surgery
Can help distribute the work load throughout the day
Multiple clients receive MC at the same time, performed by a team of providersEfficiency model for MC surgeryTask shiftingTask sharingSector BookingOptimal client flow should do all of the following EXCEPT:Minimize client contact with hazardous surgical waste
Provide a single entry/exit point in the clinicProvide a recovery area where clients can rest and be monitored, as neededProvide an area where the client can be given postoperative counseling, in privateEach male circumcision (MC) surgery will require an MC kit. Each MC kit will contain:
A consumables pack
An
instrument set
a
and b
Answer the following questions to see how much you know about this topic.Slide9
Final Exam (continued)
Each male circumcision (MC) site will need all of the following EXCEPT:
An MC kit for each MC surgery
Infection prevention and waste disposal supplies
MC equipment
Equipment and supplies for general anesthesiaAn MC emergency medical toolkitThe 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.TrueFalseThe foreskin contains cells that are targets for HIV infection.TrueFalse
The Clearinghouse on Male Circumcision for HIV Prevention has a searchable resources database.TrueFalseAnswer the following questions to see how much you know about this topic.