Jhpiego Tanzania, Dar es Salaam, Tanzania.
CSK Research Solutions Ltd., Dar es Salaam, Tanzania.
AIDS Behav. 2018 Jan;22(1):102-116. doi: 10.1007/s10461-017-1936-x.
A growing evidence base supports expansion of partner notification in HIV testing services (HTS) in sub-Saharan Africa. In 2015, a cross-sectional study was conducted in Njombe region, Tanzania, to evaluate partner notification within facility-based HTS. Men and women newly diagnosed with HIV were enrolled as index clients and asked to list current or past sexual partners for referral to HTS. Successful partner referral was 2.5 times more likely among married compared to unmarried index clients and 2.2 times more likely among male compared to female index clients. In qualitative analysis, male as well as female index clients mentioned difficulties notifying past or casual partners, and noted disease symptoms as a motivating factor for HIV testing. Female index clients mentioned gender-specific challenges to successful referral. Women may need additional support to overcome challenges in the partner notification process. In addition to reducing barriers to partner notification specific to women, a programmatic emphasis on social strengths of males in successfully referring partners should be considered.
越来越多的证据支持在撒哈拉以南非洲的艾滋病毒检测服务（HTS）中扩大伙伴通知。2015 年，在坦桑尼亚的姆万扎地区进行了一项横断面研究，以评估基于机构的 HTS 中的伙伴通知。新诊断出艾滋病毒的男性和女性被招募为索引客户，并被要求列出当前或过去的性伴侣，以转介到 HTS。与未婚的索引客户相比，已婚的索引客户成功转介的可能性高出 2.5 倍，与女性相比，男性索引客户的可能性高出 2.2 倍。在定性分析中，男性和女性的索引客户都提到了通知过去或偶然伴侣的困难，并指出疾病症状是进行 HIV 检测的一个动机因素。女性索引客户提到了成功转介的性别特定挑战。女性可能需要额外的支持来克服伙伴通知过程中的挑战。除了减少针对女性的伙伴通知障碍外，还应考虑在方案上强调男性在成功转介伙伴方面的社会优势。
