T ABLE OF C ONTENTS Table of Contents .........................................................................................................................................................................................i List of Tables ............................................................................................................................................................................................. iii List of Figures ............................................................................................................................................................................................ iii List of Boxes .............................................................................................................................................................................................. iii List of Acronyms ......................................................................................................................................................................................... iv Foreword ..................................................................................................................................................................................................... vi Acknowledgements.................................................................................................................................................................................... vii EXECUTIVE SUMMARY ....................................................................................................................................................................... viii 1 CHAPTER I: BACKGROUND AND INTRODUCTION ......................................................................................................... 1 1.1 MALE CIRCUMCISION TERMINOLOGY ............................................................................................................................... 1 1.2 HIV AND AIDS IN SWAZILAND ............................................................................................................................................... 1 1.3 THE RATIONALE FOR MALE CIRCUMCISION .................................................................................................................. 2 1.4 BACKGROUND AND OVERVIEW OF THE MALE CIRCUMCISION PROGRAM IN SWAZILAND ................. 5 1.5 STRATEGIC AND OPERATIONAL PLAN DEVELOPMENT PROCESS ...................................................................... 6 2 CHAPTER II: OVERVIEW OF STRATEGIC DIRECTION .................................................................................................... 8 2.1 INTRODUCTION ............................................................................................................................................................................. 8 2.2 ALIGNMENT WITH THE EXTENDED NATIONAL MULTISECTORAL HIV AND AIDS FRAMEWORK (eNSF) 2014 - 2018 .............................................................................................................................................................................. 8 2.3 ALIGNMENT WITH OTHER NATIONAL HEALTH AND HIV/AIDS STRATGIES AND OPERATIONAL GUIDELINES ................................................................................................................................................................................... 10 2.4 ALIGNMENT WITH INTERNATIONAL MALE CIRCUMCISION STRATEGIES AND GUIDELINES ............ 11 3 CHAPTER III: OVERVIEW OF STRATEGIC APPROACH .................................................................................................. 12 3.1 INTRODUCTION ........................................................................................................................................................................... 12 3.2 A TEN-YEAR PHASED APPROACH ....................................................................................................................................... 12 3.3 AGE DISAGGREGATED TARGETING ................................................................................................................................. 14 3.4 GEOGRAPHIC TARGETING..................................................................................................................................................... 15 3.5 SCALE UP PLAN FOR EIMC ...................................................................................................................................................... 15 3.6 MALE CIRCUMCISION STRATEGIES .................................................................................................................................... 16 4 CHAPTER IV: SERVICE DELIVERY ..................................................................................................................................... 18 4.1 SERVICE DELIVERY OVERVIEW ........................................................................................................................................... 18 4.2 MC SERVICE DELIVERY STRATEGIES ................................................................................................................................ 21 4.3 VMMC SERVICE DELIVERY STRATEGIES ......................................................................................................................... 22 4.4 EIMC SERVICE DELIVERY STRATEGIES ........................................................................................................................... 23 5 CHAPTER V: HUMAN RESOURCES FOR SERVICE DELIVERY ..................................................................................... 24 5.1 OVERVIEW OF HUMAN RESOURCES .................................................................................................................................. 24 5.2 MC HUMAN RESOURCES STRATEGIES .............................................................................................................................. 26 5.3 VMMC HUMAN RESOURCES STRATEGIES ........................................................................................................................ 26 5.4 EIMC HUMAN RESOURCES STRATEGIES .......................................................................................................................... 27 6 CHAPTER VI: DEMAND CREATION ................................................................................................................................... 29 6.1 OVERVIEW OF DEMAND CREATION ................................................................................................................................. 29 6.2 MC DEMAND CREATION STRATEGIES .............................................................................................................................. 31 6.3 VMMC DEMAND CREATION STRATEGIES ....................................................................................................................... 32 6.4 EIMC DEMAND CREATION STRATEGIES ......................................................................................................................... 33 7 CHAPTER VI: SUPPLY CHAIN MANAGEMENT ................................................................................................................ 34 7.1 OVERVIEW OF SUPPLY CHAIN MANAGEMENT ............................................................................................................ 34 7.2 MC SUPPLY CHAIN MANAGEMENT STRATEGY ............................................................................................................ 34 8 CHAPTER VIII: WASTE MANAGEMENT ............................................................................................................................ 36 8.1 OVERVIEW OF WASTE MANAGEMENT............................................................................................................................. 36 8.2 MC WASTE MANAGEMENT STRATEGY ............................................................................................................................. 36 9 CHAPTER IX: QUALITY ASSURANCE ................................................................................................................................. 37 9.1 OVERVIEW OF QUALITY ASSURANCE ............................................................................................................................... 37 i 9.2 MC QUALITY ASSURANCE STRATEGY ............................................................................................................................... 38 10 CHAPTER X: NEW TECHNOLOGIES AND DEVICES ...................................................................................................... 39 10.1 OVERVIEW OF NEW TECHNOLOGIES AND DEVICES ............................................................................................... 39 10.2 MC STRATEGY FOR NEW TECHNOLOGIES AND DEVICES ..................................................................................... 40 11 CHAPTER X1: STRATEGIC INFORMATION ....................................................................................................................... 41 11.1 STRATEGIC INFORMATION OVERVIEW ........................................................................................................................... 41 11.2 MC STRATEGIC INFORMATION STRATEGY .................................................................................................................... 42 12 CHAPTER X11: PROGRAM COORDINATION AND MANAGEMENT ............................................................................