Perceived barriers to partner notification among sexually transmitted infection clinic patients, Cape Town, South Africa

Kalichman, Seth C.; Mathews, Catherine; Kalichman, Moira O.; Lurie, Mark N.; Dewing, Sarah

doi:10.1093/pubmed/fdw051

Cited by 20 publications

(41 citation statements)

References 14 publications

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“…This aligns with our experience in two previous studies from rural South Africa where, despite recruiting women regardless of the presence of symptoms, a relatively large proportion of women reported STI-associated symptoms upon recruitment [9,10]. Various factors may prevent symptomatic individuals from seeking health care: a lack of knowledge and awareness of sexual health and stigmatised ideas about STIs among patients and healthcare workers [11], poor effectiveness of the syndromic approach [12], lack of partner notification and subsequent reinfection [13] and rising resistance rates of N. gonorrhoeae and M. genitalium resulting in disappointment due to ineffectiveness of initial treatment [4,14].…”

Section: Introductionsupporting

confidence: 87%

“…These proportions might have been even higher since we did not enquire about over-the-counter medication from private pharmacies. These findings may be due to lack of partner notification, which was reported by 52% of our participants; or poor effectiveness of the syndromic approach; or administration of incorrect or incomplete treatment; or rising resistance rates of N. gonorrhoeae and M. genitalium [4,[12][13][14]. For men, creating a more male-friendly environment is needed, since 21% of men in our study reported the lack of male healthcare workers working in PHCs as a reason for not consulting sooner.…”

Section: Discussionmentioning

confidence: 76%

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Community‐based strategies to identify the unmet need for care of individuals with sexually transmitted infection‐associated symptoms in rural South Africa

Hoffman

Fritz

Matlakala

et al. 2019

Tropical Med Int Health

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objectives To determine the unmet need for care and barriers for consulting sexually transmitted infection (STI) services at six primary healthcare (PHC) facilities in rural South Africa.methods Cross-sectional study using three community-based strategies to mobilise adult individuals with STI-associated symptoms to access care. Participants were mobilised through clinic posters and referral by community healthcare workers (CHWs) and traditional leaders after training. Men with male urethritis syndrome and women with vaginal discharge syndrome were mobilised to visit participating PHC facilities on two designated days when an expert team visited the facility. Questionnaires were completed and HIV rapid tests offered. The minimal unmet need for care of individuals with STI-associated symptoms was calculated by dividing the number of cases over the adult catchment population of each PHC facility.results We successfully mobilised 177 symptomatic individuals: 134 (76%) women and 43 (24%) men. The estimated minimal unmet need for STI care was 1:364 (95% CI 1:350-1:380) individuals in this region; the rate was higher in village than township facilities, and among women. Mobilisation through clinic posters (57%) and by CHWs (23%) was most successful. Three-quarters of individuals (132/177) reported symptoms that had been present for >30 days; 49% (87/177) had symptoms >6 months. In addition, we identified 14 individuals with untreated HIV infection amounting to a 7% HIV testing yield. Lack of awareness of symptoms (34%), and disappointment in care due to persistent (23%) or recurrent (15%) symptoms after previous treatment, or disappointment with health services in general during previous visit(s) for any reason (10%) was the most common reasons for not consulting health care.conclusions We demonstrate a high unmet need for care of individuals with STI-associated symptoms in rural South Africa that requires urgent attention. A multidisciplinary approach that creates service demand through community awareness and information provision by healthcare workers combined with strengthening the quality of STI services is required to improve reproductive health and prevent complications of untreated STIs in this population.keywords unmet need, sexually transmitted infections, community-based strategies, primary health care Tropical Medicine and International Health

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Section: Introductionsupporting

confidence: 87%

Section: Discussionmentioning

confidence: 76%

Community‐based strategies to identify the unmet need for care of individuals with sexually transmitted infection‐associated symptoms in rural South Africa

Hoffman

Fritz

Matlakala

et al. 2019

Tropical Med Int Health

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“…1 HIV and STI partner notification in South Africa largely depends on the patients diagnosed with infections notifying their own sex partners, as opposed to provider-assisted partner notification. 23 , 24 Studies in South Africa show that up to 50% of persons diagnosed with STIs have no intention of notifying their partner. 25…”

Section: Setting South Africa Up To Fail?mentioning

confidence: 99%

Will the current National Strategic Plan enable South Africa to end AIDS, Tuberculosis and Sexually Transmitted Infections by 2022?

Hopkins

Doherty

Gray

2018

Southern African Journal of HIV Medicine

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BackgroundIn May 2017, the South African National AIDS Council released the fourth National Strategic Plan (NSP) for HIV, tuberculosis and sexually transmitted infections. This five-year plan (2017–2022), which aims to track the progress towards transitioning these epidemics to no longer being public health threats by the year 2030, is built on the successes and barriers of the previous NSP (2012–2016). However, the NSP does not address some critical components, which may contribute to a future failure in achieving its hefty goals.ObjectivesThis article outlines the gaps within the new NSP, as well as highlighting aspects requiring careful focus, which are critical to address in order for South Africa to make progress towards the set targets.MethodThis commentary included an in depth review of the NSP, other South African National Strategic Plans and documents, and scientific literature.ResultsThe NSP does not address gaps in funding, oversights in prevention and treatment strategies, human resource shortages and lacking health system requirements.ConclusionTo realistically achieve the NSP targets and goals, a robust, client-centred strategy addressing the NSP gaps needs to be implemented. The strategy must be cost-effective; provide active linkage to care; and address health system weaknesses that inhibit its successful implementation, including human resources, service delivery and supply chain management, accountability and monitoring and evaluation (M&E).

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“…24 Tornam-se os indivíduos com sorologia positiva para a sífilis mais suscetíveis à coinfecção com outras IST, e essa relação pode se associar diretamente a fatores predominantes nessa população, tais como múltiplos parceiros, não uso de preservativos, dentre outros. 26,27 Corrobora-se, além disso, os achados desta investigação por outro estudo que evidenciou que indivíduos do sexo masculino apresentam 2,52 vezes mais chances de coinfecção entre sífilis e outras IST. 28 Alerta-se que outro fator que aumentou a chance de se infectar pela sífilis, neste estudo, foi o uso de substâncias psicoativas, em que o abuso de cocaína e álcool se associou positivamente para o exame de sífilis.…”

Section: Resultsunclassified

Infecções sexualmente transmissíveis rastreados pelo pré-natal masculino

Araújo

Barros

Lucchese

et al. 2019

Rev enferm UFPE on line.

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Objetivo: estimar a prevalência de infecções sexualmente transmissíveis nos exames de pré-natal masculino. Método: trata-se de um estudo quantitativo, retrospectivo, de casos novos de infecções sexualmente transmissíveis por rastreio de 335 exames pré-natais masculino. Utilizou-se como instrumento de pesquisa a ficha de registro do pré-natal masculino tendo as variáveis: idade, sexo, escolaridade, entre outros. Digitaram-se os dados em planilhas eletrônicas, analisando-os no programa SPSS, versão 22.0 Resultados: informa-se que os resultados foram considerados todos casos novos, uma vez que não havia relato anterior de diagnóstico ou tratamento das ISTs. Mostra-se que a idade média dos homens registrados foi de 30,55 anos. Dentre esta amostra houveram três casos reagentes para HIV/Aids, 22 para Sífilis, cinco casos reagentes para hepatite B, e três casos para hepatite C. Conclusão: conclui-se que mesmo diante de uma amostra não representativa numericamente do total de gestantes atendidas no município, observou-se que é importante realizar o rastreio positivo para casos novos de infecção por HIV/Aids, Hepatite B e C, sobretudo para Sífilis. Descritores: Sífilis Congênita; Hepatite B; Hepatite C; HIV; Prevalência; Saúde do Homem.AbstractObjective: to estimate the prevalence of sexually transmitted infections in male prenatal examinations. Method: this is a retrospective quantitative study of new cases of sexually transmitted infections by screening 335 male prenatal examinations. The research instrument used was the male prenatal registration form with the variables: age, sex, education, among others. Data was entered into spreadsheets and analyzed using the SPSS program, version 22.0. Results: it is reported that the results were considered all new cases, since there was no previous report of diagnosis or treatment of STIs. The average age of registered men is shown to be 30.55 years. Among this sample there were three cases reactive for HIV/AIDS, 22 cases for Syphilis, five cases reactive for hepatitis B, and three cases for hepatitis C. Conclusion: it is concluded that even before a sample not numerically representative of the total number of pregnant women attended in the It was noted that positive screening for new cases of HIV/AIDS, Hepatitis B and C infection is important, especially for Syphilis. Descriptors: Syphilis, Congenital; Hepatitis B; Hepatitis C; HIV; Prevalence; Men's Health.ResumenObjetivo: estimar la prevalencia de infecciones de transmisión sexual en los exámenes prenatales masculinos. Método: este es un estudio cuantitativo retrospectivo de nuevos casos de infecciones de transmisión sexual mediante la detección de 335 exámenes prenatales masculinos. El instrumento de investigación utilizado fue el formulario de registro prenatal masculino con las variables: edad, sexo, escolaridad, entre otros. Los datos se ingresaron en hojas de cálculo y se analizaron utilizando el programa SPSS, versión 22.0 Resultados: se informa que los resultados se consideraron todos los casos nuevos, ya que no había un informe previo de diagnóstico o tratamiento de las ITS. La edad promedio de los hombres registrados es de 30.55 años. Entre esta muestra, hubo tres casos reactivos para el VIH/SIDA, 22 casos para la Sífilis, cinco casos reactivos para la hepatitis B y tres casos para la hepatitis C. Conclusión: se concluye que incluso antes de una muestra no representa numéricamente el número total de mujeres embarazadas atendidas en el municipio, se observó que la detección positiva de nuevos casos de infección por VIH/SIDA, Hepatitis B y C, especialmente para Sífilis, era importante. Descriptores: Sífilis Congénita; Hepatitis B; Hepatitis C; VIH; Prevalencia; Salud del Hombre.

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Perceived barriers to partner notification among sexually transmitted infection clinic patients, Cape Town, South Africa

Abstract: Interventions that assist patients to develop strategies to safely inform their partners are needed to increase patient-initiated partner notification.

Cited by 20 publications

References 14 publications

Community‐based strategies to identify the unmet need for care of individuals with sexually transmitted infection‐associated symptoms in rural South Africa

Community‐based strategies to identify the unmet need for care of individuals with sexually transmitted infection‐associated symptoms in rural South Africa

Will the current National Strategic Plan enable South Africa to end AIDS, Tuberculosis and Sexually Transmitted Infections by 2022?

Infecções sexualmente transmissíveis rastreados pelo pré-natal masculino

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