Voluntary Medical Male Circumcision (VMMC) services are primarily delivered through public-sector
clinics with support from external partners such as Population Services International (PSI) and Population
Solutions for Health (PSH). Traditionally, these partners manage the program budgets, supplying
essential resources like vehicles, fuel, and travel allowances to local health authorities. Partners decide the allocation of funds for key activities such as staff training, outreach, demand creation, and service delivery. While this model ensures a wide reach of services, it restricts local health authorities’ ability to plan and manage these services based on local needs and achieve optimal results. Health authorities often perceive budgets as limitless, as they lack visibility into how funds are managed and
allocated.
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