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

Regressions by year and by country to predict total elapsed operating time (TEOP) in seconds.

<p>* = p-value under 0.10 significance;</p><p>** = p-value under 0.05 significance; τ = cells with less than five observations were excluded from this analysis.</p

Median TEOT and PPTC (in minutes:seconds) for the VMMC procedure, by elements of interest and by country<b>.</b>

<p>* = p-value under 0.10 significance;</p><p>** = p-value under 0.05 significance; τ = cells with less than five observations were excluded from this analysis.</p

Descriptive statistics on four surgical efficiency elements and the quality score for VMMC procedures, by year and by country<b>.</b>

<p>Descriptive statistics on four surgical efficiency elements and the quality score for VMMC procedures, by year and by country<b>.</b></p

Regressions by year and by country, to predict primary provider time with client (PPTC) in seconds.

<p>* = p<0.10;</p><p>** = p<0.05; τ = cells with less than five observations were excluded from this analysis.</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