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

Multivariate logistic regression: work fatigue/burnout in Kenya in 2011 and 2012.

<p>Multivariate logistic regression: work fatigue/burnout in Kenya in 2011 and 2012.</p

VMMC provider profile in the four SYMMACS countries.

<p>[A] Primary providers perform VMMC (removes foreskin).</p><p>[B] Secondary providers assist the primary surgical provider.</p><p>[C] full time defined as dedicated ≥90% of working hours to VMMC.</p

Association of VMMC provider job-fulfillment and work fatigue/burnout<b>.</b>

*<p>P<.05, **p<.01, ***p<.001, using the Pearson’s chi-square test statistic.</p

Summary of Availability of VMMC Protocols, Equipment, Supplies, and Services from Initial Year (2011) to Expansion Year (2012).

[A]<p>Includes only percent of facilities with total score ( = 1 point). Items receiving a partial score ( = 0.5 point) at the facility were not counted as available.</p>*<p>Denotes statistically significant at p<0.05.</p

Item-Level Quality of VMMC Surgical Care from Initial Year (2011) to Expansion Year (2012).

[A]<p>Includes only percent of surgical observations with total score ( = 1 point). Items receiving a partial score ( = 0.5 point) during observation were not counted as correctly done.</p>*<p>Differences from T₀ to T₁ reported at p<0.05 statistical significance.</p

Job-fulfillment and work fatigue/burnout among VMMC providers by country.

<p>Job-fulfillment and work fatigue/burnout among VMMC providers by country.</p