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HIV partner notification is effective and feasible in sub-Saharan Africa: opportunities for HIV treatment and prevention.
- Source :
-
Journal of acquired immune deficiency syndromes (1999) [J Acquir Immune Defic Syndr] 2011 Apr 15; Vol. 56 (5), pp. 437-42. - Publication Year :
- 2011
-
Abstract
- Background: Sexual partners of persons with newly diagnosed HIV infection require HIV counseling, testing and, if necessary, evaluation for therapy. However, many African countries do not have a standardized protocol for partner notification, and the effectiveness of partner notification has not been evaluated in developing countries .<br />Methods: Individuals with newly diagnosed HIV infection presenting to sexually transmitted infection clinics in Lilongwe, Malawi, were randomized to 1 of 3 methods of partner notification: passive referral, contract referral, or provider referral. The passive referral group was responsible for notifying their partners themselves. The contract referral group was given seven days to notify their partners, after which a health care provider contacted partners who had not reported for counseling and testing. In the provider referral group, a health care provider notified partners directly.<br />Results: Two hundred forty-five index patients named 302 sexual partners and provided locator information for 252. Among locatable partners, 107 returned for HIV counseling and testing; 20 of 82 [24%; 95% confidence interval (CI): 15% to 34%] partners returned in the passive referral arm, 45 of 88 (51%; 95% CI: 41% to 62%) in the contract referral arm, and 42 of 82 (51%; 95% CI: 40% to 62%) in the provider referral arm (P < 0.001). Among returning partners (n = 107), 67 (64%) of were HIV infected with 54 (81%) newly diagnosed.<br />Discussion: This study provides the first evidence of the effectiveness of partner notification in sub-Saharan Africa. Active partner notification was feasible, acceptable, and effective among sexually transmitted infections clinic patients. Partner notification will increase early referral to care and facilitate risk reduction among high-risk uninfected partners.
- Subjects :
- AIDS Serodiagnosis
Adult
Africa South of the Sahara epidemiology
Ambulatory Care Facilities
Contact Tracing statistics & numerical data
Counseling
Female
HIV Infections prevention & control
HIV Infections virology
HIV Seropositivity diagnosis
HIV Seropositivity drug therapy
Health Personnel
Humans
Malawi epidemiology
Male
Referral and Consultation
Sexually Transmitted Diseases diagnosis
Sexually Transmitted Diseases drug therapy
Young Adult
Contact Tracing methods
HIV Infections diagnosis
HIV Infections drug therapy
Sexual Partners psychology
Sexually Transmitted Diseases prevention & control
Subjects
Details
- Language :
- English
- ISSN :
- 1944-7884
- Volume :
- 56
- Issue :
- 5
- Database :
- MEDLINE
- Journal :
- Journal of acquired immune deficiency syndromes (1999)
- Publication Type :
- Academic Journal
- Accession number :
- 22046601
- Full Text :
- https://doi.org/10.1097/qai.0b013e318202bf7d