Integrating assisted partner notification within <scp>HIV</scp> prevention service package for people who inject drugs in Pakistan

Malik, Maimoona; Jamil, Muhammad S; Johnson, Cheryl; Pasha, Muhammad Safdar Kamal; Hermez, Joumana; Qureshi, Salman ul H

doi:10.1002/jia2.25317

Cited by 8 publications

(8 citation statements)

References 2 publications

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“…HIV positivity rates among contacts (i.e. proportion of contacts tested for HIV who are newly diagnosed as HIV positive) in these programmes ranged from 6% to 15% in Central and South Asia to 29% to 52% in sub‐Saharan Africa and 42% in Southeast Asia .…”

Section: Programmatic Evidence Of Assisted Pns Effectivenessmentioning

confidence: 99%

“…From Pakistan, Malik et al. report on an assisted partner notification strategy for reaching spouses of PWID with ongoing HIV testing, prevention and care services through field outreach and sensitization of heads of family (often mothers‐in‐law) to overcome barriers related to local culture and family structures. This programme reached the spouses of 71% of married index clients but had relatively low positivity (9%).…”

Section: Pns For Key Populationsmentioning

confidence: 99%

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The power of partners: positively engaging networks of people with HIV in testing, treatment and prevention

et al. 2019

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Section: Programmatic Evidence Of Assisted Pns Effectivenessmentioning

confidence: 99%

Section: Pns For Key Populationsmentioning

confidence: 99%

The power of partners: positively engaging networks of people with HIV in testing, treatment and prevention

et al. 2019

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“…1 The US President's Emergency Plan for AIDS Relief promotes APS, 2 and many ministries of health around the world are implementing APS programs. [3][4][5] Randomized trials and other controlled studies support the efficacy of APS, [6][7][8][9][10][11] and program evaluations have found that the intervention can affect large numbers of persons with HIV. 3,4,12,13 However, the effectiveness of APS programs in low-and middle-income countries and how to best implement and monitor large-scale APS programs remain uncertain.…”

Section: Introductionmentioning

confidence: 99%

Intensified Assisted Partner Notification Implementation in Botswana Increased Partner Identification but Not HIV Case-Finding: Findings Highlight the Need for Improved Data Monitoring

Grande¹,

Mawandia

Bakae³

et al. 2021

JAIDS Journal of Acquired Immune Deficiency Syndromes

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“…Not all female spouses were able to be contacted or registered with NZT. This was predominantly due to separation of partners, including geographic separation [ 16 ]. This group of female spouses, who were unable to be contacted, is considered to have a low risk of intimate partner HIV transmission given they were separated.…”

Section: Discussionmentioning

confidence: 99%

HIV incidence and associated risk factors in female spouses of men who inject drugs in Pakistan

Iversen¹,

Qureshi²,

Zafar³

et al. 2021

Harm Reduct J

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Introduction Female sexual partners of men who inject drugs (MWID) living with HIV are at risk of HIV transmission. HIV prevalence estimates among non-drug using female sex partners of MWID are scarce, with no studies documenting HIV incidence. We investigated HIV prevalence and incidence among female spouses of MWID registered at Nai Zindagi Trust (NZT), Pakistan, between 2012 and 2019. Methods NZT registration and service provision data for female spouses who participated in HIV testing and counselling calculated HIV prevalence and incidence using the person years (PY) method. Cox proportional hazards models identified factors associated with incident infection. Results Overall HIV prevalence among female spouses of MWID was 8.5%. Among 3478 HIV-negative female spouses, 109 incident infections were observed, yielding an incidence rate of 1.5/100PY (95% CI 1.2–1.8). Independent predictors of incident infection were registration in Punjab province (AHR 1.73 95% CI 1.13–2.68, p = 0.012) and 1–5 years of education (AHR 1.89 95% CI 1.22–2.93, p = 0.004). Knowledge of HIV at registration was protective against infection (AHR 0.51, 95% CI 0.26–0.99, p = 0.047), along with a MWID spouse who had initiated antiretroviral therapy (ART) (AHR 0.25, 95% CI 0.16–0.38, p < 0.001), while incident infection was inversely associated with number of children (≥ 5 children AHR 0.44 95% CI 0.22–0.88, p = 0.022). Conclusions Additional efforts are needed to reduce HIV transmission among female spouses of MWID, including targeted provision of HIV education and access to HIV screening. Interventions that target MWID are also required, including evidence-based drug treatment and access to ART, including support to maximize adherence. Finally, consideration should be given to making HIV pre-exposure prophylaxis available to female spouses at high risk of HIV transmission, particularly young women and those whose husbands are not receiving, or have difficulty adhering to, ART.

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Integrating assisted partner notification within HIV prevention service package for people who inject drugs in Pakistan

Cited by 8 publications

References 2 publications

The power of partners: positively engaging networks of people with HIV in testing, treatment and prevention

The power of partners: positively engaging networks of people with HIV in testing, treatment and prevention

Intensified Assisted Partner Notification Implementation in Botswana Increased Partner Identification but Not HIV Case-Finding: Findings Highlight the Need for Improved Data Monitoring

HIV incidence and associated risk factors in female spouses of men who inject drugs in Pakistan

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