Benemariya Noella, Ntaganira Joseph
Department of Epidemiology and Biostatistics, School of Public Health, College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda.
Rwanda J Med Health Sci. 2023 Mar 28;6(1):53-60. doi: 10.4314/rjmhs.v6i1.7. eCollection 2023 Mar.
Partner notification is among strategies adopted by WHO to identify people at risk of HIV infection among sexual partners with people living with HIV to achieve the 90-90-90 target. There is still a gap in Sub-Saharan Africa.
To assess the determinants of partner notification among people infected with HIV in Bushenge hospital.
An unmatched case control study was conducted, 141 people who successfully notified their sexual partners as controls and 141 who did not as cases were selected to identify the factors associated with partner notification. Data were analyzed with Stata V13.
Most cases were female 81(58%); 91(64.5%) of cases and 97(68.8.5%) of controls were in couple, 40(28.8%) of cases and 67(48%) of controls had multiple partner. Thirty-five 35(25%) of cases and 51(36%) of controls were newly diagnosed; 73(74%) of cases and 78(86.6%) suppressed the viral load. Notification approach was associated with partner notification, aOR = 9, CI[2.8, 29].
Partner notification as one of the strategies to reach the first 90 requires more efficient and effective efforts. Different initiatives are needed especially in partner notification approach.
性伴通知是世界卫生组织采用的策略之一，旨在识别与艾滋病毒感染者有性接触的人群中存在艾滋病毒感染风险的人，以实现“90-90-90”目标。撒哈拉以南非洲地区仍存在差距。
评估布申格医院艾滋病毒感染者中性伴通知的决定因素。
开展了一项非匹配病例对照研究，选取141名成功将性伴通知到位的人作为对照，141名未成功通知的人作为病例，以确定与性伴通知相关的因素。数据采用Stata V13进行分析。
大多数病例为女性，共81例（58%）；91例（64.5%）病例和97例（68.85%）对照处于伴侣关系，40例（28.8%）病例和67例（48%）对照有多个性伴。35例（25%）病例和51例（36%）对照为新诊断病例；73例（74%）病例和78例（86.6%）病例病毒载量得到抑制。通知方式与性伴通知相关，调整后比值比为9，可信区间为[2.8, 29]。
性伴通知作为实现首个“90”目标的策略之一，需要更高效有力的举措。尤其在性伴通知方式上需要采取不同的行动。
