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Table 1 Overview of four NSV services that took part in this research

From: Vasectomy as a proxy: extrapolating health system lessons to male circumcision as an HIV prevention strategy in Papua New Guinea

NSV Service

Program Design

Service Leadership

Frontline Workforce

Service Delivery

Promotion of Service

Estimated Annual Service

Finance

Eastern Highlands Province (Government Service)

Stand alone service situated within family health services program

Provincial health

2 x CHW

· Clinic 2 x per week

· Peers/ Word of mouth

~400 per year

UNFPA

  

Family health services coordinator

1 x NO

· Outreach when requested

· District CHW

 

HSIP

Central Province (NGO service)

Aligned with men’s sexual and reproductive health program

International NGO

1 x CHW

· Rural outreach service.

· Men’s health clinic.

~ 2 per year at urban clinic

NGO supported

   

3 x NO

· Saturday clinic when available

· Promotion during outreach

~ 100 per year in rural areas

Small fee for service

   

1 x visiting medical doctor

 

· Peers/word of mouth

  
     

· District CHWs

  
     

· Incentives for health worker and clients

  

Central Province (Urban Government Hospital)

Aligned with Obstetrics and Gynaecology Department

Hospital Department Head

Medical doctors

· As requested and when available

· Wives/mothers

~ 40 per year

Government

     

· Peers/word of mouth

  

Madang Province (Government Service)

Stand alone service situated within family health services program

Provincial Government

2 x CHWs

· No set clinic

· Peers/word of mouth

Between 200 and 300 a year

NGO Support for training and outreach

  

Family Health services coordinator

 

· Outreach as required

· Promotion during outreach

 

HSIP

     

· District CHWs

 

UNFPA

  

Technical assistance from International NGO

  

· Incentives for clients

  
  1. NO: Nursing Officer; CHW: Community Health Worker; HSIP: Health Sector Improvement Program.