The PEPFAR Male Circumcision Technical Working Group (MC TWG) assigned SCMS the task of leading the procurement and supply chain management of MC kits and supplementary commodities. Kit components and supplementary commodities have been agreed upon through consensus of the MC TWG partners.  As a result SCMS can apply economies of scale to negotiate the lowest prices possible while maintaining the highest-quality product for the MC program.

The MC TWG’s report from The PEPFAR Male Circumcision Partners' Meeting on Commodities and Improved Coordination of Male Circumcision for HIV Prevention provides a wealth of information on the subject. It also lists all commodities contained in each kit, as well as other commodities that are needed for MC programs. 

Ordering from SCMS

• Access the current list of MC products
• Download the core list in PDF format which is updated biannually.
• If you have any questions about the MC program, products or procurement process, please contact Juan Jaramillo, Program Manager, at jjaramillo@pfscm.org

Order lead time

The current lead time for any MC kit is three months for manufacturing, plus four weeks for air shipment and 8-10 weeks for ocean shipment. These lead times are dictated by the manufacturer and are subject to change. SCMS will advise clients with a best estimate for delivery date shortly after an order is entered into the system.

Kit options and their components

The PEPFAR MC TWG has agreed on the following MC kit options:

Option 1: Reusable MC kit for forceps-guided procedure

Option 2: Reusable MC kit for sleeve resection and dorsal slit procedures

Option 3: Fully disposable MC kit for forceps-guided procedure

Each kit includes a set of surgical instruments sufficient for one MC procedure plus a standard consumable pack which is packaged separately (re-usable kit options 1 and 2) or as part of the MC kit (fully disposable MC kit option 3).

A standard list of pharmaceuticals is also available for purchase separately, as such products fall under a different set of packaging, shipping and regulatory requirements. Note that the kit is custom-designed specifically for this program. Items from any kit option or the supplementary modules cannot be removed, supplemented or substituted.

Supplementary modules

The PEPFAR MC TWG has also recognized the need for additional commodities to support MC programs. Three supplementary modules have been designed, each containing a set of commodities that serve a particular purpose:

1. Infection prevention

2. Equipment

3. Emergency supplies

Waste management concerns

Due to the scale of MC programs it will be essential to include medical waste management measures. It is the responsibility of each country to plan for and implement waste management protocols. SCMS is in the process of identifying products to support medical waste management but at this time does not provide such products as part of the MC program core list.

Although waste management products are not part of the core list, SCMS can procure the required items based on the client's precise need.

Access SCMS's guide on how to develop a waste management plan, and an article in PLoS Medicine on our MC efforts.