Addressing the First 90: A Highly Effective Partner Notification Approach Reaches Previously Undiagnosed Sexual Partners in Tanzania
- PMID: 28299518
- PMCID: PMC5533821
- DOI: 10.1007/s10461-017-1750-5
Addressing the First 90: A Highly Effective Partner Notification Approach Reaches Previously Undiagnosed Sexual Partners in Tanzania
Abstract
To meet UNAIDS' 90-90-90 treatment goals, effective approaches to HIV testing services (HTSs) are urgently needed. In 2015, a cross-sectional study was conducted to evaluate effectiveness and feasibility of partner notification for HTS in Tanzania. Men and women newly diagnosed with HIV were enrolled as index clients, listed sexual partners, and given options to notify and link their partners to HTS. Of 653 newly diagnosed individuals, 390 index clients were enrolled, listed 438 sexual partners, of whom 249 (56.8%) were successfully referred. Of 249 partners reaching the facilities, 96% tested for HIV, 148 (61.9%) tested HIV+ (all newly diagnosed), and 104 (70.3%) of partners testing positive were enrolled into HIV care and treatment. Results showed good acceptability, feasibility and effectiveness, as evidenced by high uptake of partner notification among newly diagnosed individuals, over half of listed partners successfully referred, and a very high positivity rate among referred sexual partners.
Keywords: HIV testing services; Index clients; Partner notification; Tanzania; Undiagnosed HIV.
Conflict of interest statement
Conflict of interest
Catherine Kahabuka declares that she has no conflict of interest. Marya Plotkin declares that she has no conflict of interest. Alice Christensen declares that she has no conflict of interest. Charlene Brown declares that she has no conflict of interest. Mustafa Njozi declares that he has no conflict of interest. Renatus Kisendi declares that he has no conflict of interest. Werner Maokola declares that he has no conflict of interest. Eric Mlanga declares that he has no conflict of interest. Ruth Lemwayi declares that she has no conflict of interest. Kelly Curran declares that she has no conflict of interest. Vincent Wong declares that he has no conflict of interest.
Ethical approval
All procedures performed in studies involving human participants were in accordance with the Ethical Standards of the Institutional and/or National Research Committees of Johns Hopkins University and the National Institute of Medical Research of Tanzania.
Informed consent
Informed consent was obtained from all individual participants included in the study.
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