Effect of clients Strategic Index Case Testing on community-based detection of HIV infections (STRICT study)

Katbi, Moses; Adegboye, Adeoye; Adefisayo, Adedoyin; Yunusa, Fadimatu; Kayode, Gbenga A; Bello, Maryam; Dakum, Patrick

doi:10.1016/j.ijid.2018.06.018

Cited by 33 publications

(39 citation statements)

References 14 publications

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“…However, some studies have also reported preference for other PN methods i.e. in Nigeria, where contract referral accounted for more than two-thirds of the partner referrals done [21].…”

Section: Discussionmentioning

confidence: 99%

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Outcomes of and factors associated with partner notification and HIV testing in Northeastern Tanzania.

Lyamuya¹,

Muro²,

Manongi³

et al. 2020

Preprint

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Background: There is growing evidence of high effectiveness of partner notification (PN) in reaching previously undiagnosed sexual partners. As a result, there is increasing implementation of PN in sub-Saharan Africa. Tanzania, like other countries in the region, has recently expanded PN in HIV testing services. However, this approach is unlikely to yield the expected results if not well implemented. This study aimed to identify gaps and provide recommendations to improve routine implementation of PN in Tanzania.Methods: A cross-sectional study was conducted across seven care and treatment centers (CTCs) in the Kilimanjaro region from November 2018 to April 2019. A total of 297 newly diagnosed HIV infected clients with sexual partner(s) in the past 24 months were recruited at 2 months of their CTC enrollment. Interviews using structured questionnaires were conducted. Descriptive statistics, bivariate and multivariate regression analyses were done.Results: Two-thirds (195) were females. The majority 165 (85%) of those counseled and had partner(s) not previously tested for HIV consented to PN. They all chose passive PN with 102 (62%) reporting successful HIV status disclosure to their partner(s). Reporting disclosure was associated with; being married adjusted odds ratio (aOR 5.1, 95%CI: 2.4–10.9, p < 0.001), in a relationship for > 10 years (aOR 4.9, 95%CI: 1.3–17.6, p = 0.02) and living with the partner(s) (aOR 3.4, 95%CI: 1.3–9.1, p = 0.02). Fifty-three clients (27%) of those with partners not previously tested for HIV reported partner HIV testing following PN, associated with being married (aOR 3.4, 95%CI: 1.3-9, p < 0.02) and living with the partner (aOR 4.5, 95%CI: 1.3–15, p < 0.02). Male partner(s) had lower odds of successful HIV testing (aOR 0.4, 95%CI: 0.2–0.9, p = 0.02). Thirty-seven (67%) of those tested were HIV infected.Conclusions: Detection rate of previously undiagnosed HIV infection among clients referred for HIV-testing through PN was high. However, a significant number of partners did not report for HIV testing after 2 months of index clients CTC enrollment. Initiatives to improve PN are needed with special attention towards those who are single, not living with their partners, in a relationship for < 10 years as well as male sexual partners.

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“…However, some studies have also reported preference for other PN methods i.e. in Nigeria, where contract referral accounted for more than two-thirds of the partner referrals done [21].…”

Section: Discussionmentioning

confidence: 99%

“…and 51%, respectively [9,12,21,25]. Furthermore, in a systematic review, the HIV prevalence among sexual partners successfully tested for HIV ranged from 12-86 % [26].…”

Section: Discussionmentioning

confidence: 99%

Outcomes of and factors associated with partner notification and HIV testing in Northeastern Tanzania.

Lyamuya¹,

Muro²,

Manongi³

et al. 2020

Preprint

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“…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 . Qualitative investigation of preferences among FSWs suggests that aPN is particularly acceptable for contacting more “casual” and non‐primary partners and can be affordable and cost‐effective, particularly when implemented by trained lay providers .…”

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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“…In 2014, UNAIDS set the goal to end the AIDS epidemic by 2030 and also stated that worldwide 95% of all people living with HIV should be aware of their HIV status while an estimated 40% still remain undiagnosed (8). HIV partner noti cation enables to identify people with undiagnosed HIV infection (9,10) and linking clients to ART (11).…”

Section: Introductionmentioning

confidence: 99%

Assessment of the proportion and the factors associated with partner and family based index case HIV testing in Woliso town, Oromia, Ethiopia: a cross-sectional study

Haile¹,

Gulema²

2020

Preprint

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Background: Despite the enormous expansion of HIV testing services (HTS), an estimated 40% of people with HIV infection remain undiagnosed. In Ethiopia, the current working UNAIDS spectrum estimate for PLHIV is 649,264, of the estimated PLHIV, only about 72% know their status. Methods: A facility based cross-sectional study design with internal comparison was conducted among randomly selected 346 people currently on ART in Woliso town. Data entry carried out by Epi Info™ version 7.2.3.1 and analyzed using SPSS version 21.0 statistical software for Windows.Results: Among 345 study participants, 333 (96.5%) with 95 % CI (94.5 - 98.3) of index cases have tested families. The odds of HIV testing were 7.22 times higher among those who disclosed their HIV status (AOR=7.22 95% CI: 1.45, 35.82) compared to those who did not disclosed. Those who have stayed <12 months on ART are 87% less likely to have tested families (AOR=0.13 95% CI: 0.03, 0.63) compared to those who stayed ≥12 months on ART. Conclusion: this study finding shows that higher proportions of families of index cases have been tested for HIV. It also shows that partner and family based index case HIV testing has significant association with HIV status disclosure of index cases and the length of the duration that the index cases stayed on ART. It is essential to sustain the platform of partner and family based index case HIV testing service through strengthening disclosure counselling and assisting HIV status disclosure in health facilities with fully trained provider and qualified health providers. It also suggests the need to focus on those who received ART for less than 12 months duration and communicate on the timing of HIV testing for HIV negative families with ongoing risk of acquiring HIV.

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Effect of clients Strategic Index Case Testing on community-based detection of HIV infections (STRICT study)

Cited by 33 publications

References 14 publications

Outcomes of and factors associated with partner notification and HIV testing in Northeastern Tanzania.

Outcomes of and factors associated with partner notification and HIV testing in Northeastern Tanzania.

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

Assessment of the proportion and the factors associated with partner and family based index case HIV testing in Woliso town, Oromia, Ethiopia: a cross-sectional study

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