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Male Circumcision

"Jeopardy! Game
Developed by
Emmanuel 'Dipo Otolorin
MC "Jeopardy!" Game
RuIes of the Game
Divide into two groups.
Each group should select a spokesperson.
Each group will take turns to select a question
from any of four different categories and at any
of four different levels of difficulty.
f the group answers a question correctly, the
group will earn the number of points attached to
the question. Generally, the higher the points,
the more difficult the question.
The group with the highest number of points
wins the game.
Good luck!
MC "Jeopardy!" Game
aIe Circumcision "Jeopardy!"
MC "Jeopardy!" Game
C AND HIV
EDUCATION AND
COUNSELLING
CLIENT
SCREENING
ALE
CIRCUCISION
PROCEDURE
10 10 10 10
20 20 20 20
30 30 30 30
40 40 40 40
True or FaIse?
The benefits of circumcision
include prevention of phimosis.
MC "Jeopardy!" Game
True or FaIse?
The benefits of circumcision
include prevention of phimosis.
Answer: TRUE
MC "Jeopardy!" Game
hat IeveI of protection does maIe
circumcision provide against HIV?
.
. 3
3. 6
. 9
MC "Jeopardy!" Game
hat IeveI of protection does maIe
circumcision provide against HIV?
.
. 3
3. 60%
. 9
MC "Jeopardy!" Game
Name the principaI investigators in the
three randomized controI triaIs (RCTs)
on HIV and maIe circumcision
MC "Jeopardy!" Game
Name the principaI investigators in the
three randomized controI triaIs (RCTs)
on HIV and maIe circumcision
. Dr. Bertran Auvert, Orange Farm, South Africa
. Dr. Robert Bailey, Kisumu Project, Kenya
3. Dr. Ron Gray, Rakai Project, Uganda
MC "Jeopardy!" Game
True or FaIse?
According to the three randomized controlled
trials, male circumcision protects women from
acquiring HV infection.
MC "Jeopardy!" Game
True or FaIse?
According to the three randomized controlled
trials, male circumcision protects women from
acquiring HV infection.
Answer: FALSE
However:
A study in Uganda has suggested lower rates of male-to-female HV
transmission if the man was circumcised.
n the long term, decreasing male prevalence of HV will also decrease
female prevalence.
MC "Jeopardy!" Game
True or FaIse?
Counselling is a process of taking responsibility
for clients' actions or decisions
MC "Jeopardy!" Game
True or FaIse?
Counselling is a process of taking responsibility
for clients' actions or decisions
Answer: FALSE
MC "Jeopardy!" Game
Give two exampIes
of an open question
MC "Jeopardy!" Game
Give two exampIes
of an open question
Examples:
wral W||| you le|| your co||eagues aooul lre ra|e c|rcurc|s|or
course you allerded?
loW do you lee| aooul lre serv|ces We prov|de |r lr|s lac|||ly?
loW |s lre slale ol your rea|lr?
MC "Jeopardy!" Game
hat counseIIing skiII is the service
provider using in this diaIogue?
CIient: My partner gave me gonorrhoea. am
afraid of getting HV; but am also afraid that if
ask him to use condoms, he'll leave me.
CounseIIor: Help me understand this. You are
afraid you might get HV from your partner, but are
also afraid he'll leave you if you ask him to use
condoms.
MC "Jeopardy!" Game
hat counseIIing skiII is the service
provider using in this diaIogue?
CIient: My partner gave me gonorrhoea. am
afraid of getting HV; but am also afraid that if
ask him to use condoms, he'll leave me.
CounseIIor: Help me understand this. You are
afraid you might get HV from your partner, but are
also afraid he'll leave you if you ask him to use
condoms.
Answer: CIarifying
MC "Jeopardy!" Game
List at Ieast five skiIIs required for
C and HIV counseIIing
MC "Jeopardy!" Game
List at Ieast five skiIIs required for
C and HIV counseIIing
. Empathizing
. Active listening
3. Open questioning
. Probing
5. Focusing
6. Affirming
7. Clarifying
8. Correcting false
information
9. Summarizing
MC "Jeopardy!" Game
True or FaIse?
HYPOSPADAS is an absolute contraindication to
male circumcision in a district health facility
MC "Jeopardy!" Game
True or FaIse?
HYPOSPADAS is an absolute contraindication to
male circumcision in a district health facility
Answer: TRUE
MC "Jeopardy!" Game
Answer Both Questions
. What is the diagnosis
in this picture?
. What method of
circumcision will you
recommend for this
patient?
MC "Jeopardy!" Game
Answer Both Questions
. What is the diagnosis
in this picture?
PARAPHIOSIS
. What method of
circumcision will you
recommend for this
patient?
SLEEVE RESECTION
ETHOD
MC "Jeopardy!" Game
List two important things to be done
before entering the operating area
MC "Jeopardy!" Game
List two important things to be done
before entering the operating area
Examples:
Remove all jewellery
Ensure nails are trimmed or filed
Do not use artificial nails or nail polish
Wash hands and arms up to the elbow with a
non-medicated soap
Make sure that hands and subungual
areas are not visibly soiled
MC "Jeopardy!" Game
Answer Both Questions
. What is this?
. s this an
ABSOLUTE
contraindication to
male circumcision?
MC "Jeopardy!" Game
Answer Both Questions
. What is this?
PeniIe viraI warts
(condyIoma
accumiIata)
. s this an
ABSOLUTE
contraindication to
male circumcision?
NO, it is a
RELATVE
contraindication
MC "Jeopardy!" Game
True or FaIse?
Povidone iodine MUST NOT be used
on the skin of the penis
MC "Jeopardy!" Game
True or FaIse?
Povidone iodine MUST NOT be used
on the skin of the penis
Answer: FALSE
MC "Jeopardy!" Game
The maximum voIume of 1% pIain
Iidocaine for a 60 kg young man is:
. mls
. mls
3. 8 mls
. mls
MC "Jeopardy!" Game
The maximum voIume of 1% pIain
Iidocaine for a 60 kg young man is:
. mls
. mls
3. 18 mIs
. mls
MC "Jeopardy!" Game
Name three types of suturing
techniques required in a maIe
circumcision procedure
MC "Jeopardy!" Game
Name three types of suturing
techniques required in a maIe
circumcision procedure
. Simple interrupted sutures
. Vertical mattress sutures
3. Horizontal mattress suture
MC "Jeopardy!" Game
List two compIications that may occur
during maIe circumcision and
describe how to prevent them
MC "Jeopardy!" Game
List two compIications that may occur
during maIe circumcision and
describe how to prevent them
Examples:
Excessive bleeding (Meticulous attention to
haemostasiscompression, suture ligation,
under-running of vessels)
Accidental injury due to:
cess|ve adres|ors (preoperal|ve assessrerl)
Poor surg|ca| lecrr|que
Anaphylactic reaction to local anaesthetic drug
MC "Jeopardy!" Game