Health service provider education and/or training in infant male circumcision to improve short- and long-term morbidity outcomes: A systematic review

Thomas Gyan, Natalie A. Strobel, Kimberley McAuley, Caitlin Shannon, Sam Newton, Charlotte Tawiah-Agyemang, Seeba Amenga-Etego, Seth Owusu-Agyei, David Forbes, Karen Edmond

Research output: Contribution to journalReview article

Abstract

Aim: To systematically review the effectiveness of education and/or training for traditional (informal) and formal health service providers in infant male circumcision on morbidity or mortality outcomes. Methods: We searched Cochrane Central Register of Controlled Trials, MEDLINE, EMBASE, CINAHL, Global Health, Cochrane Database of Systematic Reviews and Database of Abstracts of Reviews of Effects and clinical trial registries in all languages from January 1985 to June 2018. Our primary outcomes were all-cause morbidity and all-cause mortality. Results: We identified 1399 publications. Only four non-controlled before and after studies from the USA and Uganda satisfied our criteria, all of which examined the effect of training on the skills and knowledge of medical doctors, midwives and clinical officers. No study involved informal traditional circumcision providers. All included studies were low quality. Conclusions: High-quality studies of simple training packages to improve education and training of circumcision providers, especially informal non-medical providers in low income countries are needed.

Original languageEnglish
JournalJournal of Paediatrics and Child Health
DOIs
Publication statusE-pub ahead of print - 10 Jun 2019

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Male Circumcision
Health Services
Databases
Morbidity
Education
Uganda
Mortality
Midwifery
MEDLINE
Registries
Publications
Language
Clinical Trials
Global Health

Cite this

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title = "Health service provider education and/or training in infant male circumcision to improve short- and long-term morbidity outcomes: A systematic review",
abstract = "Aim: To systematically review the effectiveness of education and/or training for traditional (informal) and formal health service providers in infant male circumcision on morbidity or mortality outcomes. Methods: We searched Cochrane Central Register of Controlled Trials, MEDLINE, EMBASE, CINAHL, Global Health, Cochrane Database of Systematic Reviews and Database of Abstracts of Reviews of Effects and clinical trial registries in all languages from January 1985 to June 2018. Our primary outcomes were all-cause morbidity and all-cause mortality. Results: We identified 1399 publications. Only four non-controlled before and after studies from the USA and Uganda satisfied our criteria, all of which examined the effect of training on the skills and knowledge of medical doctors, midwives and clinical officers. No study involved informal traditional circumcision providers. All included studies were low quality. Conclusions: High-quality studies of simple training packages to improve education and training of circumcision providers, especially informal non-medical providers in low income countries are needed.",
keywords = "education, infant male circumcision, systematic review, training",
author = "Thomas Gyan and Strobel, {Natalie A.} and Kimberley McAuley and Caitlin Shannon and Sam Newton and Charlotte Tawiah-Agyemang and Seeba Amenga-Etego and Seth Owusu-Agyei and David Forbes and Karen Edmond",
year = "2019",
month = "6",
day = "10",
doi = "10.1111/jpc.14528",
language = "English",
journal = "Journal of Paediatric and Child Health",
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publisher = "John Wiley & Sons",

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Health service provider education and/or training in infant male circumcision to improve short- and long-term morbidity outcomes : A systematic review. / Gyan, Thomas; Strobel, Natalie A.; McAuley, Kimberley; Shannon, Caitlin; Newton, Sam; Tawiah-Agyemang, Charlotte; Amenga-Etego, Seeba; Owusu-Agyei, Seth; Forbes, David; Edmond, Karen.

In: Journal of Paediatrics and Child Health, 10.06.2019.

Research output: Contribution to journalReview article

TY - JOUR

T1 - Health service provider education and/or training in infant male circumcision to improve short- and long-term morbidity outcomes

T2 - A systematic review

AU - Gyan, Thomas

AU - Strobel, Natalie A.

AU - McAuley, Kimberley

AU - Shannon, Caitlin

AU - Newton, Sam

AU - Tawiah-Agyemang, Charlotte

AU - Amenga-Etego, Seeba

AU - Owusu-Agyei, Seth

AU - Forbes, David

AU - Edmond, Karen

PY - 2019/6/10

Y1 - 2019/6/10

N2 - Aim: To systematically review the effectiveness of education and/or training for traditional (informal) and formal health service providers in infant male circumcision on morbidity or mortality outcomes. Methods: We searched Cochrane Central Register of Controlled Trials, MEDLINE, EMBASE, CINAHL, Global Health, Cochrane Database of Systematic Reviews and Database of Abstracts of Reviews of Effects and clinical trial registries in all languages from January 1985 to June 2018. Our primary outcomes were all-cause morbidity and all-cause mortality. Results: We identified 1399 publications. Only four non-controlled before and after studies from the USA and Uganda satisfied our criteria, all of which examined the effect of training on the skills and knowledge of medical doctors, midwives and clinical officers. No study involved informal traditional circumcision providers. All included studies were low quality. Conclusions: High-quality studies of simple training packages to improve education and training of circumcision providers, especially informal non-medical providers in low income countries are needed.

AB - Aim: To systematically review the effectiveness of education and/or training for traditional (informal) and formal health service providers in infant male circumcision on morbidity or mortality outcomes. Methods: We searched Cochrane Central Register of Controlled Trials, MEDLINE, EMBASE, CINAHL, Global Health, Cochrane Database of Systematic Reviews and Database of Abstracts of Reviews of Effects and clinical trial registries in all languages from January 1985 to June 2018. Our primary outcomes were all-cause morbidity and all-cause mortality. Results: We identified 1399 publications. Only four non-controlled before and after studies from the USA and Uganda satisfied our criteria, all of which examined the effect of training on the skills and knowledge of medical doctors, midwives and clinical officers. No study involved informal traditional circumcision providers. All included studies were low quality. Conclusions: High-quality studies of simple training packages to improve education and training of circumcision providers, especially informal non-medical providers in low income countries are needed.

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