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卫生工作者对难民和乌干达国民艾滋病毒辅助性伴侣通知障碍和促进因素的看法：乌干达西部尼罗河地区的一项混合方法研究。

Health Worker Perspectives on Barriers and Facilitators of Assisted Partner Notification for HIV for Refugees and Ugandan Nationals: A Mixed Methods Study in West Nile Uganda.

机构信息

Faculty of Health, Medicine, and Life Sciences, Maastricht University, Maastricht, the Netherlands.

Infectious Diseases Institute, College of Health Sciences, Makerere University, Kampala, Uganda.

出版信息

AIDS Behav. 2021 Oct;25(10):3206-3222. doi: 10.1007/s10461-021-03265-1. Epub 2021 Apr 21.

DOI:10.1007/s10461-021-03265-1
PMID:33884511
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8416880/
Abstract

Assisted partner notification (APN) is recommended by the World Health Organization to notify sexual partners of HIV exposure. Since 2018, APN has been offered in Uganda to Ugandan nationals and refugees. Distinct challenges faced by individuals in refugee settlements may influence APN utilization and effectiveness. To explore APN barriers and facilitators, we extracted index client and sexual partner data from APN registers at 11 health centers providing care to refugees and Ugandan nationals in West Nile Uganda and conducted qualitative interviews with health workers (N = 32). Since APN started, 882 index clients participated in APN identifying 1126 sexual partners. Following notification, 95% (1025/1126) of partners tested for HIV; 22% (230/1025) were diagnosed with HIV with 14% (139/1025) of tested partners newly diagnosed. Fear of stigma and disclosure-related violence limit APN utilization and effectiveness. Prospective research involving index clients and sexual partners is needed to facilitate safe APN optimization in refugee settlements.

摘要

辅助性伴侣通知（APN）是世界卫生组织推荐的通知 HIV 暴露的性伴侣的方法。自 2018 年以来，乌干达已向乌干达国民和难民提供 APN。难民定居点的个人面临的独特挑战可能会影响 APN 的利用和效果。为了探讨 APN 的障碍和促进因素，我们从乌干达西部尼罗河的 11 个卫生中心为难民和乌干达国民提供护理的 APN 登记册中提取了索引客户和性伴侣数据，并对卫生工作者进行了定性访谈（N=32）。自 APN 启动以来，有 882 名索引客户参与了 APN，确定了 1126 名性伴侣。通知后，95%（1025/1126）的伴侣接受了 HIV 检测；22%（230/1025）被诊断出患有 HIV，其中 14%（139/1025）的检测伴侣新诊断出患有 HIV。对污名和与披露相关的暴力的恐惧限制了 APN 的利用和效果。需要对索引客户和性伴侣进行前瞻性研究，以促进难民定居点中安全的 APN 优化。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5d3e/8416880/ffb7ea72617b/10461_2021_3265_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5d3e/8416880/4ded38c74d16/10461_2021_3265_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5d3e/8416880/bf9f720c3310/10461_2021_3265_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5d3e/8416880/ffb7ea72617b/10461_2021_3265_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5d3e/8416880/4ded38c74d16/10461_2021_3265_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5d3e/8416880/bf9f720c3310/10461_2021_3265_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5d3e/8416880/ffb7ea72617b/10461_2021_3265_Fig3_HTML.jpg

相似文献

[1]
Health Worker Perspectives on Barriers and Facilitators of Assisted Partner Notification for HIV for Refugees and Ugandan Nationals: A Mixed Methods Study in West Nile Uganda.

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引用本文的文献

[1]
Feasibility and acceptability of peer-delivered HIV and syphilis self-test kits and assisted partner notification services for gay, bisexual and other men who have sex with men: a qualitative study in Uganda.

J Int AIDS Soc. 2025-5

[2]
Factors influencing community demand for assisted partner services for HIV in western Kenya: a multilevel qualitative analysis.

BMJ Open. 2025-3-15

[3]
Barriers and facilitators of HIV partner status notification in low- and lower-middle-income countries: A mixed-methods systematic review.

BMC Infect Dis. 2024-12-18

[4]
Uptake and acceptability of oral HIV self-testing in the context of assisted partner services in Western Kenya: A mixed-methods analysis.

PLOS Glob Public Health. 2024-11-15

[5]
Sexual and reproductive health implementation research in humanitarian contexts: a scoping review.

Reprod Health. 2024-5-13

[6]
Examining the feasibility of assisted index case testing for HIV case-finding: a qualitative analysis of barriers and facilitators to implementation in Malawi.

BMC Health Serv Res. 2024-5-9

[7]
"The targets…are driving the agenda and that probably needs to change": stakeholder perspectives on HIV partner notification in sub-Saharan Africa.

BMC Public Health. 2024-2-19

[8]
Effect of index HIV self-testing for sexual partners of clients enrolled in antiretroviral therapy (ART) programs in Malawi: A randomized controlled trial.

PLoS Med. 2023-8

[9]
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[10]
Screening, Diagnostic and Prognostic Tests for COVID-19: A Comprehensive Review.

Life (Basel). 2021-6-14

本文引用的文献

[1]
Reaching the First 90 in Uganda: Predictors of Success in Contacting and Testing the Named Sexual Partners of HIV+ Index Clients in Kiboga District.

AIDS Behav. 2018-8

[2]
Assisted partner notification services are cost-effective for decreasing HIV burden in western Kenya.

AIDS. 2018-1-14

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AIDS Behav. 2018-1

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AIDS. 2017-8-24

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Sex Transm Dis. 2016-11

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Predictors of HIV infection: a prospective HIV screening study in a Ugandan refugee settlement.

BMC Infect Dis. 2016-11-23

[9]
Diagnosis and Disclosure of HIV Status: Implications for Women's Risk of Physical Partner Violence in the Postpartum Period.

J Acquir Immune Defic Syndr. 2016-8-15

[10]
Partner Notification for Reduction of HIV-1 Transmission and Related Costs among Men Who Have Sex with Men: A Mathematical Modeling Study.

PLoS One. 2015-11-10

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