Quality assessment of VMMC sites (measuring readiness to provide quality services), by year.

*<p>Eight sites were visited by external supervisory teams shortly after the SYMMACS data collection, which is not reflected in these data.</p

Assessment of pre-operative and safety control procedures for VMMC, by year.

<p>Assessment of pre-operative and safety control procedures for VMMC, by year.</p

Assessment of post-operative procedures for VMMC, by year.

<p>Assessment of post-operative procedures for VMMC, by year.</p

Provider characteristics, operating times, and efficiency elements across repeat and expanded sites.

1<p>Based on responses from provider survey;</p>2<p>Based on observation of VMMC procedures.</p

Proportion of VMMC sites by month and by country using forceps-guided method, January 2010 –mid-2012.

<p>The number of sites on which these data are based varies markedly by month over the observation period, as shown in <a href="http://www.plosone.org/article/info:doi/10.1371/journal.pone.0082518#pone-0082518-g001" target="_blank">Figure 1</a>.</p

Proportion of sites adopting each efficiency element by year and by country.

<p>Proportion of sites adopting each efficiency element by year and by country.</p

Task-sharing: percentage of providers reporting that secondary providers complete certain clinical tasks in the VMMC operating theater, by year and by country.

1<p>95% confidence intervals;</p><p>*p value (of difference between years) <0.05;</p><p>**p value (of difference between years) <0.001. Countries differed significantly (p<.001) on both variables.</p

Surgical beds per site, by country and by year, based on site assessment.

<p>% confidence intervals;¹ 95</p><p>**p value (of differences between countries) <0.001; p value (of difference between years) <0.05.</p

Proportion of VMMC sites using pre-packaged kits with consumables and disposable instruments, January 2010 – mid-2012.

<p>The number of sites on which these data are based varies markedly by month over the observation period, as shown in <a href="http://www.plosone.org/article/info:doi/10.1371/journal.pone.0082518#pone-0082518-g001" target="_blank">Figure 1</a>.</p

Number of VMMC procedures performed by month, type of site, and country, January 2010 – mid-2012.

<p>Number of VMMC procedures performed by month, type of site, and country, January 2010 – mid-2012.</p