Incorporating Rapid HIV Testing into Partner Counseling and Referral Services

Begley, Elin; Oster, Alexandra M.; Song, Bo; Lesondak, Linda; Voorhees, Kelly; Esquivel, Magdalena; Merrick, Ronald L; Carrel, Jack; Sebesta, Douglas S.; Vergeront, James M.; Shrestha, Dhana; Heffelfinger, James D.

doi:10.1177/00333549081230s315

Cited by 17 publications

(18 citation statements)

References 18 publications

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“…25,26,29,30 The social network strategy to encourage HIV testing among those at highest risk is closely related to the use of partner services (previously known as partner counseling and referral services), in that the partner services provide HIV counseling and testing to partners and associates of high-risk or HIVpositive persons. 7,31,32 Previous studies reported that the cost per person notified of a new HIV diagnosis using partner services ranged from $3800 to $13 000 (seropositivity: 1.3%-21.8%; costs adjusted to US$ 2007). 29,30 The cost analysis of partner services, using methods similar to those presented here, and that of HIV testing in outreach settings, using mobile van, showed that the cost per partner tested and informed of a new HIV diagnosis ranged from $7200 to $22 200 (seropositivity: 6.6%-9.9%).…”

Section: • Discussionmentioning

confidence: 99%

Cost-effectiveness of Using Social Networks to Identify Undiagnosed HIV Infection Among Minority Populations

Shrestha¹,

Sansom²,

Kimbrough³

et al. 2010

Journal of Public Health Management and Practice

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Section: • Discussionmentioning

confidence: 99%

Cost-effectiveness of Using Social Networks to Identify Undiagnosed HIV Infection Among Minority Populations

Shrestha¹,

Sansom²,

Kimbrough³

et al. 2010

Journal of Public Health Management and Practice

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“…To increase the proportion of partners notified in the field who tested, the FSU staff supplemented clinic referrals PARTNER SERVICES CAN effectively reach a population with high HIV prevalence. 3,4 That study used rapidtesting technology in both field and clinic settings and found that 78% of notified partners tested for HIV. However, the study did not report on changes in the proportion of partners who tested…”

Section: Field Testingmentioning

confidence: 99%

The Effect of HIV Field-Based Testing on the Proportion of Notified Partners Who Test for HIV in New York City

Renaud

Wong²,

Bocour³

et al. 2011

Am J Public Health

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HIV partner services can effectively reach populations with high HIV prevalence. However, located and notified sex and needle-sharing partners of persons infected with HIV often fail to test. Field testing may increase the proportion of notified partners who test for HIV. In 2008, New York City's health department incorporated field testing into partner services. After the introduction of field testing, the proportion of notified partners who tested for HIV rose from 52% to 76% (P<.001). HIV prevalence fell slightly among notified partners who accepted testing (12% to 9%, P=.82), but we identified more than double the number of new positives (11 vs 25). All positive and 97% of negative results were received by the person tested.

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“…Five of the 11 counselors strongly agreed that provision of a written referral card for subsequent provider involvement could improve partner notification and referral as well as HIV counseling and testing rates. A study conducted in the US has shown that the passive model is ineffective for identifying partners with unrecognized HIV infection 18. Another study conducted in Malawi showed that such provider-assisted partner notification was effective in patients attending STI clinics.…”

Section: Discussionmentioning

confidence: 99%

Acceptance of referral for partners by clients testing positive for human immunodeficiency virus

Netsanet¹,

Ayalew²

2013

HIV

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Background:Human immunodeficiency virus (HIV)-positive individuals who do not disclose their HIV status to their partners are more likely to present late for HIV and acquired immune deficiency syndrome (AIDS) care than those who have disclosed their HIV status to their partners. A major area of challenge with regards to HIV counseling for clients is disclosure of their HIV status to their partners. The main methods of partner notification are patient referral, provider referral, contract referral, and outreach assistance. The emphasis on a plausible and comprehensive partner referral strategy for widespread positive case detection in resource-limited countries needs to be thought out and developed.Methods:A qualitative study was conducted among newly HIV-positive clients to identify partners for notification and acceptance of referral by their partners. Health service providers working in HIV testing and counseling clinics were also provided with semistructured questionnaires in order to assess their view towards partner notification strategies for clients testing positive for HIV.Results:Fifteen newly diagnosed HIV-positive clients were counseled to provide referral slips to their partners. All clients agreed and took the referral card. However, only eight were willing and actually provided the card to their partners. Five of the eight partners of clients who tested HIV-positive and who were provided with referral cards responded to the referral and were tested for HIV. Three were positive and two were negative. Nine of 11 counselors did not agree to requesting partner locator information from HIV-positive clients for contractual referral and/or outreach assistance. The findings from the study were categorized by nine themes. A comprehensive and integrated approach of partner notification and a referral framework with active counselor involvement was developed.Conclusion:Partner notification and referral can be improved by an integrated and comprehensive framework, with active involvement of HIV counselors in the disclosure process.

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Incorporating Rapid HIV Testing into Partner Counseling and Referral Services

Cited by 17 publications

References 18 publications

Cost-effectiveness of Using Social Networks to Identify Undiagnosed HIV Infection Among Minority Populations

Cost-effectiveness of Using Social Networks to Identify Undiagnosed HIV Infection Among Minority Populations

The Effect of HIV Field-Based Testing on the Proportion of Notified Partners Who Test for HIV in New York City

Acceptance of referral for partners by clients testing positive for human immunodeficiency virus

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