Assisted partner services for HIV

Golden, Matthew R.

doi:10.1097/qad.0000000000001534

Cited by 9 publications

(8 citation statements)

References 19 publications

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“…The use of PEs may help to overcome this barrier. Other potential benefits of the program in Mozambique (and other) context includes partner disclosure as an HIV prevention approach, [27] as well as our results…”

Section: Discussionsupporting

confidence: 71%

Effects of a Peer Educator Program for HIV Status Disclosure and Health System Strengthening: Findings from a Clinic-Based Disclosure Support Program in Mozambique

Dawson–Rose¹,

Gutin²,

Hunguana³

et al. 2019

SSRN Journal

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Section: Discussionsupporting

confidence: 71%

Effects of a Peer Educator Program for HIV Status Disclosure and Health System Strengthening: Findings from a Clinic-Based Disclosure Support Program in Mozambique

Dawson–Rose¹,

Gutin²,

Hunguana³

et al. 2019

SSRN Journal

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Section: Discussionsupporting

confidence: 71%

Effects of a peer educator program for HIV status disclosure and health system strengthening: Findings from a clinic-based disclosure support program in Mozambique

et al. 2020

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Background In Mozambique, HIV counseling and testing (HCT) rates are low and the cascade (or continuum) of care is poor. Perhaps more importantly, low disclosure rates and low uptake of joint testing are also related to both (1) limitations on access to services and (2) the availability of trained staff. We describe the implementation and impact of a disclosure support implemented by peer educators (PE). Methods Ten PEs, previously trained in basic HIV and post-test counseling, completed additional training on providing disclosure support for newly-diagnosed persons living with HIV (PLH). Results Of the 6,092 persons who received HCT, 677 (11.1%) tested positive. Any newly-diagnosed PLH who was tested when PEs were present (606 / 677) was approached about participating in the disclosure program; of these, 94.2% of PLH (n = 574) agreed to participate. Of these, at follow-up (between 1 day and 3 months later, depending on client inclination and availability) 91.9% (n = 528) said that they had disclosed their HIV infection, of whom 66.9% (n = 384) were female and 24.1% (n = 144) male. In turn, 92.7% of partners (n = 508) who had received HIV-related exposure information were tested; of these, 78.7% (n = 400) were found to be HIV-positive. Of the latter, 96.3% (n = 385) were then seen by health care providers and referred for further diagnosis and treatment. Conclusions Supporting newly-diagnosed PLH is important both for their own health and that of others. For the newly-diagnosed, there are extensive challenges related to understanding the implications of their illness; social support from clinical care teams can be vital in planning and

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“…Several programmes in concentrated epidemics have successfully implemented aPN methods . Partner services among MSM have been well taken up when implemented through alternative testing sites, using social network approaches and offering opt‐out options and multiple follow‐ups . Other studies showed that aPN services increased HIV testing and linkage to care of previously unserved partners .…”

Section: Introductionmentioning

confidence: 99%

Community‐led HIV testing services including HIV self‐testing and assisted partner notification services in Vietnam: lessons from a pilot study in a concentrated epidemic setting

Nguyen¹,

Phan²,

Kato³

et al. 2019

J Intern AIDS Soc

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Introduction The HIV epidemic in Vietnam is concentrated in key populations and their partners – people who inject drugs, men who have sex with men, sex workers and partners of people living with HIV. These groups have poor access to and uptake of conventional HIV testing services (HTS). To address this gap, lay provider‐ and self‐testing and assisted partner notification (aPN) were introduced and delivered by the community. We explored the feasibility and effectiveness of implementing aPN as part of community testing services for key populations. Methods Lay provider testing and self‐testing was started in January 2017, and targeted key populations and their partners. Since July 2017, aPN was introduced. HTS was offered at drop‐in houses or coffee shops in Thai Nguyen and Can Tho provinces. All self‐testing was assisted and observed by peer educators. Both in‐person and social network methods were used to mobilize key populations to test for HIV and offer HTS to partners of people living with HIV. Client‐level data, including demographic information and self‐reported risk behaviour, were collected on site by peer educators. Results Between January 2017 and May 2018, 3978 persons from key populations were tested through community‐led HTS; 66.7% were first‐time testers. Of the 3978 clients, 3086 received HTS from a lay provider and 892 self‐tested in the presence of a lay provider. Overall, 245 (6.2% of tested clients) had reactive results, 231 (94.3%) were confirmed to be HIV positive; 215/231 (93.1%) initiated antiretroviral therapy (ART). Of 231 adult HIV‐positive clients, 186 (80.5%) were provided voluntary aPN, and 105 of their partners were contacted and received HTS. The ratio of partners who tested for HIV per index client was 0.56. Forty‐four (41.9%) partners of index clients receiving HTS were diagnosed with HIV, 97.7% initiated ART during the study period. No social harm was identified or reported. Conclusions Including aPN as part of community‐led HTS for key populations and their partners is feasible and effective, particularly for reaching first‐time testers and undiagnosed HIV clients. Scale‐up of aPN within community‐led HTS for key populations is essential for achieving the United Nations 90‐90‐90 targets in Vietnam.

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Assisted partner services for HIV

Cited by 9 publications

References 19 publications

Effects of a Peer Educator Program for HIV Status Disclosure and Health System Strengthening: Findings from a Clinic-Based Disclosure Support Program in Mozambique

Effects of a Peer Educator Program for HIV Status Disclosure and Health System Strengthening: Findings from a Clinic-Based Disclosure Support Program in Mozambique

Effects of a peer educator program for HIV status disclosure and health system strengthening: Findings from a clinic-based disclosure support program in Mozambique

Community‐led HIV testing services including HIV self‐testing and assisted partner notification services in Vietnam: lessons from a pilot study in a concentrated epidemic setting

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