Over the years, resources, time and energy have been invested in developing low-cost interventions to contain the spread of HIV/AIDS.
Male Circumcision has been one of the World Health Organisation (WHO) recommended strategies for a comprehensive HIV prevention programme in areas with high HIV rates like Sub Sahara Africa.
Several large-scale clinical trials have demonstrated that adult voluntary medical male circumcision (VMMC) provides a 50 – 60% reduction in the risk of transmitting HIV infection. Further studies have found this long-term effect of protection to be sustained at up to 73% for as long as five years following circumcision.
In a bid to overcome inherent challenges in surgical VMMC procedures, such as time-consuming factors as well as other adverse effects; a more effective, faster, and safer approach to male circumcision, such as a device, is needed for global implementation in both the adult and adolescent populations.
Centre for Infectious Disease Research in Zambia (CIDRZ) with support from the U.S. President’s Emergency Plan for AIDS Relief (PEPFAR), Center for Disease Control and Prevention (CDC) and the Bill and Melinda Gates Foundation, hosted a training for 24 VMMC providers on the use of Shang Ring, a novel disposable device invented for male circumcision by Jian Zhong Shang from china.
The first revised training on the use of Shang Ring was conducted by AKESO ASSOCIATES, following safety approval for the use of the device by WHO. Shang Ring was successfully prequalified by WHO on 5th June 2015, added to the WHO list of prequalified male circumcision devices and recommended for VMMC for HIV prevention globally by WHO on 11th June 2015.
The safety and acceptability of the Shang Ring has been clinically evaluated in over 3,000 males: it is simple, small, disposable and easy to use, providing sutureless circumcision that is a safe, cost effective and an acceptable alternative to current VMMC Surgical techniques.
The Shang Ring has been safely used for circumcision in more than 1.4 million men worldwide since 2006.
AKESO ASSOCIATES Senior Partner Carmine Bozzi said, “I am pleased to announce that Zambia is the first country being trained under a revised Shang Ring which was done in Kenya. We therefore expect the community to respond positively towards the usage of Shang Ring, this will reduce the spread of HIV/AIDS”.
Ray Yip, an Advisor for the Bill and Melinda Gates Foundation based in Beijing, China said “It has been a long journey bringing this product to Africa, but we are happy that WHO approved the Shang Ring in Africa and I encourage men and young men to get circumcised using Shang Ring because it is safe, faster with less complications”.
The following are the Surgical Procedures for the Shang Ring Circumcision:
Step 1. The penis is measured with special measuring tape
Step 2. Inner ring is placed on the penis and foreskin edges grasped
Step 3. Foreskin everted over inner ring
Step 4. Outer ring placed
Step 5. Foreskin excised
Step 6. Device in place
Therefore, the ring is removed from the penis after 7-10 days and the following is the removal procedure
Step 1. The outer ring is removed
Step 2. Inner ring pulled back from wound edge
Step 3. Inner ring cut and removed
Step 4. Wound covered for 24 hours