HIV Partner Notification Values and Preferences Among Sex Workers, Fishermen, and Mainland Community Members in Rakai, Uganda: A Qualitative Study.

Journal: AIDS and behavior

Volume: 22

Issue: 10

Year of Publication: 2018

Affiliated Institutions:  Department of International Health, Social and Behavioral Interventions Program, Johns Hopkins Bloomberg School of Public Health, N. Wolfe St, Baltimore, MD, , USA. caitjquinn@gmail.com. Rakai Health Sciences Program, Kalisizo, Uganda. Department of International Health, Social and Behavioral Interventions Program, Johns Hopkins Bloomberg School of Public Health, N. Wolfe St, Baltimore, MD, , USA. Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.

Abstract summary 

HIV partner notification involves contacting sexual partners of people who test HIV positive and referring them to HIV testing, treatment, and prevention services. To understand values and preferences of key and general populations in Rakai, Uganda, we conducted 6 focus group discussions and 63 in-depth interviews in high prevalence fishing communities and low prevalence mainland communities. Participants included fishermen and sex workers in fishing communities, male and female mainland community members, and healthcare providers. Questions explored three approaches: passive referral, provider referral, and contract referral. Qualitative data were coded and analyzed using a team-based matrix approach. Participants agreed that passive referral was most suitable for primary partners. Provider referral was acceptable in fishing communities for notifying multiple, casual partners. Healthcare providers voiced concerns about limited time, resources, and training for provider-assisted approaches. Options for partner notification may help people overcome barriers to HIV serostatus disclosure and help reach key populations.

Authors & Co-authors:  Quinn Caitlin C Nakyanjo Neema N Ddaaki William W Burke Virginia M VM Hutchinson Naadiya N Kagaayi Joseph J Wawer Maria J MJ Nalugoda Fred F Kennedy Caitlin E CE

Study Outcome 

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Statistics
Citations :  Ferreira A, Young T, Mathews C, Zunza M, Low N. Strategies for partner notification for sexually transmitted infections, including HIV. Cochrane database of systematic reviews (Online) 2013;10:CD002843.
Authors :  9
Identifiers
Doi : 10.1007/s10461-018-2035-3
SSN : 1573-3254
Study Population
Male,Female
Mesh Terms
Adult
Other Terms
General populations;HIV/AIDS;Key populations;Partner notification;Sex workers
Study Design
Cross Sectional Study
Study Approach
Qualitative
Country of Study
Uganda
Publication Country
United States