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COPE® FOR MALE CIRCUMCISION SERVICES - EngenderHealth

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COPE for Male Circumcision Services<br />

8. Do you think that the following areas of your health care setting that clients use are<br />

pleasant and comfortable (For example, do they offer enough space Is the space well<br />

organized, clean, well lit, comfortable, and well ventilated)<br />

■ Toilets<br />

■ Registration, reception, waiting areas<br />

■ Counseling areas<br />

■ Examination and procedure rooms<br />

■ Postprocedure recovery room/space<br />

■ Pharmacy<br />

■ Other areas<br />

9. Are client waiting times for MC services reasonable in your health care setting<br />

10. Do staff do their best to reduce unnecessary waiting times for clients (e.g., by having a<br />

nurse or other health professional serve clients when it is unnecessary for them to wait<br />

for an MC provider, by conducting health talks in the reception area, by having the HIV<br />

counseling and testing health worker draw blood and perform rapid tests rather than<br />

send clients to the laboratory, etc.)<br />

11. Does your service setting have an established system in place for receiving clients (e.g.,<br />

first come, first served; by appointment; with emergency conditions) Do staff always<br />

follow this system<br />

12. Are records organized so that retrieval is quick and easy<br />

13. Do staff feel that clients have adequate time with providers to ask all of the questions<br />

they might have<br />

14. Do staff always explain to clients what type of examination, test, or procedure will be<br />

done; what to expect and how to avoid postoperative and intraoperative complications (e.g.,<br />

properly caring for the wound, avoiding sexual intercourse or masturbation for up to 4–6<br />

weeks, and attending follow-up visits); why the examination, test, or procedure is needed;<br />

and the reason why clients should come back for review at their appointed time<br />

15. Do staff ensure that clients experience the least possible pain during procedures (e.g., by<br />

administering adequate local anesthetic and observing the client to assess pain during<br />

MC procedure)<br />

16. Do staff engage clients, as appropriate, to make them feel comfortable during MC<br />

procedure (e.g., by engaging them in conversation to distract them from an uncomfortable<br />

or painful procedure, or by offering comfort when they are in distress)<br />

17. Does your health care setting offer HIV counseling and testing services in an atmosphere<br />

that is inviting for men, including adolescents<br />

38 <strong>EngenderHealth</strong>

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