Health service provider education and/or training in infant male circumcision to improve short- and long-term morbidity outcomes: protocol for systematic review.
Identifieur interne : 000893 ( PubMed/Corpus ); précédent : 000892; suivant : 000894Health service provider education and/or training in infant male circumcision to improve short- and long-term morbidity outcomes: protocol for systematic review.
Auteurs : Thomas Gyan ; Natalie Strobel ; Kimberley Mcauley ; Caitlin Shannon ; Sam Newton ; Charlotte Tawiah-Agyemang ; Seeba Amenga-Etego ; Seth Owusu-Agyei ; David Forbes ; Karen EdmondSource :
- Systematic reviews [ 2046-4053 ] ; 2016.
English descriptors
- KwdEn :
- MESH :
- education : Circumcision, Male, Health Personnel.
- epidemiology : Postoperative Complications.
- prevention & control : HIV Infections.
- Africa, Clinical Competence, Humans, Infant, Newborn, Male, Randomized Controlled Trials as Topic.
Abstract
There has been an expansion of circumcision services in Africa as part of a long-term HIV prevention strategy. However, the effect of infant male circumcision on morbidity and mortality still remains unclear. Acute morbidities associated with circumcision include pain, bleeding, swelling, infection, tetanus or inadequate skin removal. Scale-up of circumcision services could lead to a rise in these associated morbidities that could have significant impact on health service delivery and the safety of infants. Multidisciplinary training programmes have been developed to improve skills of health service providers, but very little is known about the effectiveness of health service provider education and/or training for infant male circumcision on short- and long-term morbidity outcomes. This review aims to evaluate the effectiveness of health service provider education and/or training for infant male circumcision on short- and long-term morbidity outcomes.
DOI: 10.1186/s13643-016-0216-6
PubMed: 26931106
Links to Exploration step
pubmed:26931106Le document en format XML
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CShannon@engenderhealth.org.</nlm:affiliation></affiliation></author><author><name sortKey="Newton, Sam" sort="Newton, Sam" uniqKey="Newton S" first="Sam" last="Newton">Sam Newton</name><affiliation><nlm:affiliation>School of Community Health, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana. samkofinewton@yahoo.com.</nlm:affiliation></affiliation></author><author><name sortKey="Tawiah Agyemang, Charlotte" sort="Tawiah Agyemang, Charlotte" uniqKey="Tawiah Agyemang C" first="Charlotte" last="Tawiah-Agyemang">Charlotte Tawiah-Agyemang</name><affiliation><nlm:affiliation>Kintampo Health Research Centre, Ghana Health Service, Kintampo, Ghana. charlotte.tawiah@kintampo-hrc.org.</nlm:affiliation></affiliation></author><author><name sortKey="Amenga Etego, Seeba" sort="Amenga Etego, Seeba" uniqKey="Amenga Etego S" first="Seeba" last="Amenga-Etego">Seeba Amenga-Etego</name><affiliation><nlm:affiliation>Kintampo Health Research Centre, Ghana Health Service, Kintampo, Ghana. seeba.ae@kintampo-hrc.org.</nlm:affiliation></affiliation></author><author><name sortKey="Owusu Agyei, Seth" sort="Owusu Agyei, Seth" uniqKey="Owusu Agyei S" first="Seth" last="Owusu-Agyei">Seth Owusu-Agyei</name><affiliation><nlm:affiliation>Kintampo Health Research Centre, Ghana Health Service, Kintampo, Ghana. seth.owusu-agyei@kintampo-hrc.org.</nlm:affiliation></affiliation></author><author><name sortKey="Forbes, David" sort="Forbes, David" uniqKey="Forbes D" first="David" last="Forbes">David Forbes</name><affiliation><nlm:affiliation>School of Paediatrics and Child Health, The University of Western Australia, Level 4, Administration Building Princess Margaret Hospital for Children, Roberts Road, Subiaco, 6008, Western Australia. david.forbes@uwa.edu.au.</nlm:affiliation></affiliation></author><author><name sortKey="Edmond, Karen" sort="Edmond, Karen" uniqKey="Edmond K" first="Karen" last="Edmond">Karen Edmond</name><affiliation><nlm:affiliation>School of Paediatrics and Child Health, The University of Western Australia, Level 4, Administration Building Princess Margaret Hospital for Children, Roberts Road, Subiaco, 6008, Western Australia. karen.edmond@uwa.edu.au.</nlm:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2016">2016</date><idno type="RBID">pubmed:26931106</idno><idno type="pmid">26931106</idno><idno type="doi">10.1186/s13643-016-0216-6</idno><idno type="wicri:Area/PubMed/Corpus">000893</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">000893</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Health service provider education and/or training in infant male circumcision to improve short- and long-term morbidity outcomes: protocol for systematic review.</title><author><name sortKey="Gyan, Thomas" sort="Gyan, Thomas" uniqKey="Gyan T" first="Thomas" last="Gyan">Thomas Gyan</name><affiliation><nlm:affiliation>School of Paediatrics and Child Health, The University of Western Australia, Level 4, Administration Building Princess Margaret Hospital for Children, Roberts Road, Subiaco, 6008, Western Australia. thomas.gyan@uwa.edu.au.</nlm:affiliation></affiliation></author><author><name sortKey="Strobel, Natalie" sort="Strobel, Natalie" uniqKey="Strobel N" first="Natalie" last="Strobel">Natalie Strobel</name><affiliation><nlm:affiliation>School of Paediatrics and Child Health, The University of Western Australia, Level 4, Administration Building Princess Margaret Hospital for Children, Roberts Road, Subiaco, 6008, Western Australia. natalie.strobel@uwa.edu.au.</nlm:affiliation></affiliation></author><author><name sortKey="Mcauley, Kimberley" sort="Mcauley, Kimberley" uniqKey="Mcauley K" first="Kimberley" last="Mcauley">Kimberley Mcauley</name><affiliation><nlm:affiliation>School of Paediatrics and Child Health, The University of Western Australia, Level 4, Administration Building Princess Margaret Hospital for Children, Roberts Road, Subiaco, 6008, Western Australia. kimberley.mcauley@uwa.edu.au.</nlm:affiliation></affiliation></author><author><name sortKey="Shannon, Caitlin" sort="Shannon, Caitlin" uniqKey="Shannon C" first="Caitlin" last="Shannon">Caitlin Shannon</name><affiliation><nlm:affiliation>EngenderHealth Inc., Greater New York Area, USA. CShannon@engenderhealth.org.</nlm:affiliation></affiliation></author><author><name sortKey="Newton, Sam" sort="Newton, Sam" uniqKey="Newton S" first="Sam" last="Newton">Sam Newton</name><affiliation><nlm:affiliation>School of Community Health, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana. samkofinewton@yahoo.com.</nlm:affiliation></affiliation></author><author><name sortKey="Tawiah Agyemang, Charlotte" sort="Tawiah Agyemang, Charlotte" uniqKey="Tawiah Agyemang C" first="Charlotte" last="Tawiah-Agyemang">Charlotte Tawiah-Agyemang</name><affiliation><nlm:affiliation>Kintampo Health Research Centre, Ghana Health Service, Kintampo, Ghana. charlotte.tawiah@kintampo-hrc.org.</nlm:affiliation></affiliation></author><author><name sortKey="Amenga Etego, Seeba" sort="Amenga Etego, Seeba" uniqKey="Amenga Etego S" first="Seeba" last="Amenga-Etego">Seeba Amenga-Etego</name><affiliation><nlm:affiliation>Kintampo Health Research Centre, Ghana Health Service, Kintampo, Ghana. seeba.ae@kintampo-hrc.org.</nlm:affiliation></affiliation></author><author><name sortKey="Owusu Agyei, Seth" sort="Owusu Agyei, Seth" uniqKey="Owusu Agyei S" first="Seth" last="Owusu-Agyei">Seth Owusu-Agyei</name><affiliation><nlm:affiliation>Kintampo Health Research Centre, Ghana Health Service, Kintampo, Ghana. seth.owusu-agyei@kintampo-hrc.org.</nlm:affiliation></affiliation></author><author><name sortKey="Forbes, David" sort="Forbes, David" uniqKey="Forbes D" first="David" last="Forbes">David Forbes</name><affiliation><nlm:affiliation>School of Paediatrics and Child Health, The University of Western Australia, Level 4, Administration Building Princess Margaret Hospital for Children, Roberts Road, Subiaco, 6008, Western Australia. david.forbes@uwa.edu.au.</nlm:affiliation></affiliation></author><author><name sortKey="Edmond, Karen" sort="Edmond, Karen" uniqKey="Edmond K" first="Karen" last="Edmond">Karen Edmond</name><affiliation><nlm:affiliation>School of Paediatrics and Child Health, The University of Western Australia, Level 4, Administration Building Princess Margaret Hospital for Children, Roberts Road, Subiaco, 6008, Western Australia. karen.edmond@uwa.edu.au.</nlm:affiliation></affiliation></author></analytic><series><title level="j">Systematic reviews</title><idno type="eISSN">2046-4053</idno><imprint><date when="2016" type="published">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Africa</term><term>Circumcision, Male (education)</term><term>Clinical Competence</term><term>HIV Infections (prevention & control)</term><term>Health Personnel (education)</term><term>Humans</term><term>Infant, Newborn</term><term>Male</term><term>Postoperative Complications (epidemiology)</term><term>Randomized Controlled Trials as Topic</term></keywords><keywords scheme="MESH" qualifier="education" xml:lang="en"><term>Circumcision, Male</term><term>Health Personnel</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Postoperative Complications</term></keywords><keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>HIV Infections</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Africa</term><term>Clinical Competence</term><term>Humans</term><term>Infant, Newborn</term><term>Male</term><term>Randomized Controlled Trials as Topic</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">There has been an expansion of circumcision services in Africa as part of a long-term HIV prevention strategy. However, the effect of infant male circumcision on morbidity and mortality still remains unclear. Acute morbidities associated with circumcision include pain, bleeding, swelling, infection, tetanus or inadequate skin removal. Scale-up of circumcision services could lead to a rise in these associated morbidities that could have significant impact on health service delivery and the safety of infants. Multidisciplinary training programmes have been developed to improve skills of health service providers, but very little is known about the effectiveness of health service provider education and/or training for infant male circumcision on short- and long-term morbidity outcomes. This review aims to evaluate the effectiveness of health service provider education and/or training for infant male circumcision on short- and long-term morbidity outcomes.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">26931106</PMID><DateCreated><Year>2016</Year><Month>03</Month><Day>02</Day></DateCreated><DateCompleted><Year>2016</Year><Month>10</Month><Day>12</Day></DateCompleted><DateRevised><Year>2017</Year><Month>02</Month><Day>20</Day></DateRevised><Article PubModel="Electronic"><Journal><ISSN IssnType="Electronic">2046-4053</ISSN><JournalIssue CitedMedium="Internet"><Volume>5</Volume><PubDate><Year>2016</Year><Month>Mar</Month><Day>01</Day></PubDate></JournalIssue><Title>Systematic reviews</Title><ISOAbbreviation>Syst Rev</ISOAbbreviation></Journal><ArticleTitle>Health service provider education and/or training in infant male circumcision to improve short- and long-term morbidity outcomes: protocol for systematic review.</ArticleTitle><Pagination><MedlinePgn>41</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1186/s13643-016-0216-6</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">There has been an expansion of circumcision services in Africa as part of a long-term HIV prevention strategy. However, the effect of infant male circumcision on morbidity and mortality still remains unclear. Acute morbidities associated with circumcision include pain, bleeding, swelling, infection, tetanus or inadequate skin removal. Scale-up of circumcision services could lead to a rise in these associated morbidities that could have significant impact on health service delivery and the safety of infants. Multidisciplinary training programmes have been developed to improve skills of health service providers, but very little is known about the effectiveness of health service provider education and/or training for infant male circumcision on short- and long-term morbidity outcomes. This review aims to evaluate the effectiveness of health service provider education and/or training for infant male circumcision on short- and long-term morbidity outcomes.</AbstractText><AbstractText Label="METHODS/DESIGN" NlmCategory="METHODS">The review will include studies comparing health service providers who have received education and/or training to improve their skills for infant male circumcision with those who have not received education and/or training. Randomised controlled trials (RCTs) and cluster RCTs will be included. The outcomes of interest are short-term morbidities of the male infant including pain, infection, tetanus, bleeding, excess skin removal, glans amputation and fistula. Long-term morbidities include urinary tract infection (UTI), HIV infection and abnormalities of urination. Databases such as MEDLINE (OVID), PsycINFO (OVID), EMBASE (OVID), CINAHL, Cochrane Library (including CENTRAL and DARE), WHO databases and reference list of papers will be searched for relevant articles. Study selection, data extraction and synthesis and risk of bias assessment using the Cochrane risk of bias assessment tool will be conducted. We will calculate the pooled estimates of the difference in means and risk ratios using random effects models. If insufficient data are available, we will present results descriptively.</AbstractText><AbstractText Label="DISCUSSION" NlmCategory="CONCLUSIONS">This review appears to be the first to be conducted in this area. The findings will have important implications for infant male circumcision programmes and policy.</AbstractText><AbstractText Label="SYSTEMATIC REVIEW REGISTRATION" NlmCategory="BACKGROUND">PROSPERO CRD42015029345.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Gyan</LastName><ForeName>Thomas</ForeName><Initials>T</Initials><AffiliationInfo><Affiliation>School of Paediatrics and Child Health, The University of Western Australia, Level 4, Administration Building Princess Margaret Hospital for Children, Roberts Road, Subiaco, 6008, Western Australia. thomas.gyan@uwa.edu.au.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Kintampo Health Research Centre, Ghana Health Service, Kintampo, Ghana. thomas.gyan@uwa.edu.au.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Strobel</LastName><ForeName>Natalie</ForeName><Initials>N</Initials><AffiliationInfo><Affiliation>School of Paediatrics and Child Health, The University of Western Australia, Level 4, Administration Building Princess Margaret Hospital for Children, Roberts Road, Subiaco, 6008, Western Australia. natalie.strobel@uwa.edu.au.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>McAuley</LastName><ForeName>Kimberley</ForeName><Initials>K</Initials><AffiliationInfo><Affiliation>School of Paediatrics and Child Health, The University of Western Australia, Level 4, Administration Building Princess Margaret Hospital for Children, Roberts Road, Subiaco, 6008, Western Australia. kimberley.mcauley@uwa.edu.au.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Shannon</LastName><ForeName>Caitlin</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>EngenderHealth Inc., Greater New York Area, USA. CShannon@engenderhealth.org.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Newton</LastName><ForeName>Sam</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>School of Community Health, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana. samkofinewton@yahoo.com.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Tawiah-Agyemang</LastName><ForeName>Charlotte</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>Kintampo Health Research Centre, Ghana Health Service, Kintampo, Ghana. charlotte.tawiah@kintampo-hrc.org.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Amenga-Etego</LastName><ForeName>Seeba</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Kintampo Health Research Centre, Ghana Health Service, Kintampo, Ghana. seeba.ae@kintampo-hrc.org.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Owusu-Agyei</LastName><ForeName>Seth</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Kintampo Health Research Centre, Ghana Health Service, Kintampo, Ghana. seth.owusu-agyei@kintampo-hrc.org.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Forbes</LastName><ForeName>David</ForeName><Initials>D</Initials><AffiliationInfo><Affiliation>School of Paediatrics and Child Health, The University of Western Australia, Level 4, Administration Building Princess Margaret Hospital for Children, Roberts Road, Subiaco, 6008, Western Australia. david.forbes@uwa.edu.au.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Edmond</LastName><ForeName>Karen</ForeName><Initials>K</Initials><AffiliationInfo><Affiliation>School of Paediatrics and Child Health, The University of Western Australia, Level 4, Administration Building Princess Margaret Hospital for Children, Roberts Road, Subiaco, 6008, Western Australia. karen.edmond@uwa.edu.au.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType><PublicationType UI="D016454">Review</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2016</Year><Month>03</Month><Day>01</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>Syst Rev</MedlineTA><NlmUniqueID>101580575</NlmUniqueID><ISSNLinking>2046-4053</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><CommentsCorrectionsList><CommentsCorrections RefType="Cites"><RefSource>J Trop Pediatr. 2013 Aug;59(4):292-7</RefSource><PMID Version="1">23598893</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Bull World Health Organ. 2010 Dec 1;88(12):907-14</RefSource><PMID Version="1">21124715</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Cochrane Database Syst Rev. 2012;11:CD009129</RefSource><PMID Version="1">23152269</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Lancet. 2007 Feb 24;369(9562):643-56</RefSource><PMID Version="1">17321310</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Lancet. 2007 Feb 24;369(9562):657-66</RefSource><PMID Version="1">17321311</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>PLoS Med. 2005 Nov;2(11):e298</RefSource><PMID Version="1">16231970</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>PLoS Med. 2009 Sep;6(9):e1000109</RefSource><PMID Version="1">19901974</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>J Clin Epidemiol. 2014 Jan;67(1):56-64</RefSource><PMID Version="1">24189091</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>BMJ. 2015;349:g7647</RefSource><PMID Version="1">25555855</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Can Urol Assoc J. 2013 Jul-Aug;7(7-8):260-4</RefSource><PMID Version="1">24032062</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Ann Fam Med. 2010 Jan-Feb;8(1):64-72</RefSource><PMID Version="1">20065281</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>J Clin Epidemiol. 2011 Apr;64(4):383-94</RefSource><PMID Version="1">21195583</PMID></CommentsCorrections></CommentsCorrectionsList><MeshHeadingList><MeshHeading><DescriptorName UI="D000349" MajorTopicYN="N">Africa</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D002944" MajorTopicYN="N">Circumcision, Male</DescriptorName><QualifierName UI="Q000193" MajorTopicYN="Y">education</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D002983" MajorTopicYN="Y">Clinical Competence</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015658" MajorTopicYN="N">HIV Infections</DescriptorName><QualifierName UI="Q000517" MajorTopicYN="N">prevention & control</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006282" MajorTopicYN="N">Health Personnel</DescriptorName><QualifierName UI="Q000193" MajorTopicYN="Y">education</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007231" MajorTopicYN="N">Infant, Newborn</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011183" MajorTopicYN="N">Postoperative Complications</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D016032" MajorTopicYN="Y">Randomized Controlled Trials as 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