Early Infant Male Circumcision under Local Anaesthesia: Learners Workbook

The program is a combination of independent and group activities, including manual study, workbook exercises, and clinical practice. The course learning objectives are to describe EIMC and its benefits and risks, educate and counsel parents and guardians about EIMC, screen male infants for circumcision, demonstrate competency in one of three male infant circumcision devices, provide postoperative care follow-up, identify and manage adverse events resulting from circumcision, prevent infection in the healthcare setting, and monitor and evaluate an EIMC service. The course design includes independent study using a manual for EIMC and a workbook for EIMC, as well as a training course that includes a general review of independent study, midcourse assessment, workbook review, skill stations, clinical practice demonstration, and coaching. Knowledge will be assessed using competency-based knowledge exams, and learners are expected to answer 80% of the questions correctly. Skill will be measured using competency-based skill assessment checklists, and learners are expected to perform all the skills involved in EIMC correctly and in the proper sequence. The program is designed to be flexible and accommodate different situations found in programs scaling up EIMC services. The course is intended to prepare learners with the necessary knowledge, skills, and attitudes to provide high-quality EIMC services. The workbook includes 13 chapters, covering topics such as introduction, supplies and resources, education and counseling, screening infants for circumcision, anesthesia, procedure preparation, surgical devices, surgical procedures, postoperative care, adverse events, infection prevention, monitoring and evaluation, and service delivery model. The workbook also includes annexes that provide additional information on skill stations, including counseling and consenting, screening exam, making the pen mark, and administering a dorsal penile nerve block (DPNB), wound dressing and post-circumcision bleeding, managing complications, postoperative care and complications, suturing, and surgical procedures for EIMC. The course evaluation will assess learners' knowledge and skills in providing EIMC services, and will provide feedback on their performance. The evaluation will help to ensure that learners have acquired the necessary knowledge, skills, and attitudes to provide high-quality EIMC services.