Skip to content
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Menu
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Menu
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
HIV partner notification is effective and feasible in sub-Saharan Africa: Opportunities for HIV treatment and prevention
Journal of Acquired Immune Deficiency Syndromes, Volume 56, No. 5, Year 2011
Notification
URL copied to clipboard!
Description
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. 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. 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. 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. © 2011 Lippincott Williams & Wilkins.
Authors & Co-Authors
Brown, Lillian B.
United States, Chapel Hill
The University of North Carolina at Chapel Hill
Malawi, Lilongwe
Unc Project-malawi
Miller, William C.
United States, Chapel Hill
The University of North Carolina at Chapel Hill
Kamanga, Gift
Malawi, Lilongwe
Unc Project-malawi
Nyirenda, Naomi
Malawi, Lilongwe
Unc Project-malawi
Mmodzi, Pearson
Malawi, Lilongwe
Unc Project-malawi
Pettifor, Audrey E.
United States, Chapel Hill
The University of North Carolina at Chapel Hill
Dominik, Rosalie C.
United States, Chapel Hill
The University of North Carolina at Chapel Hill
Kaufman, Jay Scott
United States, Chapel Hill
The University of North Carolina at Chapel Hill
Canada, Montreal
Université Mcgill
Mapanje, Clement
Malawi, Lilongwe
Unc Project-malawi
Martinson, Francis E.A.
Malawi, Lilongwe
Unc Project-malawi
Cohen, Myron S.
United States, Chapel Hill
The University of North Carolina at Chapel Hill
Hoffman, Irving F.
United States, Chapel Hill
The University of North Carolina at Chapel Hill
Statistics
Citations: 169
Authors: 12
Affiliations: 3
Identifiers
Doi:
10.1097/QAI.0b013e318202bf7d
ISSN:
15254135
Research Areas
Health System And Policy
Infectious Diseases
Sexual And Reproductive Health
Study Locations
Malawi