URC DHAPP used a model developed by the World Health Organisation (WHO) and used in very many countries worldwide. It is a model to optimize volume and efficiency (MOVE). We adapted this MOVE model to the local military context and were able to circumcise 22,000 males in a four (4) months period which was 120% of its allocated target.  The MOVE model was implemented at both static and mobile sites, in which teams of highly qualified technical teams provided services through task shifting. The teams set up operating rooms to ensure that increased number of males are circumcised, using the dorsal slit method, in a timely manner and under minimum operating standards. 48 hour follow up was undertaken for every circumcised male which allowed for minimal adverse events (AE) occurring. Infact only one (01) severe adverse of tetanus was reported, and in a case report we profile this adverse event.

URC DHAPP program managed to achieve its allocated target through using the MOVE model because the model was adapted to suit the local context. Other countries and civilian populations have also implemented MOVE; however, it is different contextual realities that each VMMC camp or procedure needs to consider for it to be effective. MOVE allows for optimization of volume and efficiency through assessing and improving on the management of demand creation, client flow, theatre set up, task shifting, logistics management. We used the uniformed personnel’s ability to mobilize through command-led mobilization techniques which create a surge in VMMC uptake. What resulted was an increased prevalence of VMMC from 7% in Quarter 1 to 121% at Q4 which was a remarkable achievement.