scholarly journals Index case testing, a strategy of improving HIV positivity yield among sexual partners and biological children of Newly diagnosed HIV positive clients in Minna, Nigeria

2021 ◽  
Author(s):  
Chindo Ibrahim Bisallah ◽  
Onyilo Ochigbo Michael ◽  
Prince Obinna Anyanwu ◽  
Bilkisu Sulaiman
Keyword(s):  
Index Case ◽  
Sexual Partners ◽  
Hiv Positive ◽  
Newly Diagnosed ◽  
Biological Children

scholarly journals PO 8276 COMMUNITY INDEX CASE APPROACH AND HIV TESTING AND COUNSELING (HTC) FOR SEXUAL PARTNERS OF HIV-POSITIVE PATIENTS LOST TO FOLLOW-UP: THE EXPERIENCE OF WORLD VISION MOZAMBIQUE

2019 ◽  
Vol 4 (Suppl 3) ◽  
pp. A26.1-A26
Author(s):  
Miguelhete Lisboa ◽  
Saraiva Culuze ◽  
Saimado Imputiua ◽  
Adolfo Cambule ◽  
Christine Latif
Keyword(s):  
Hiv Testing ◽  
Index Case ◽  
Sexual Partners ◽  
Hiv Positive ◽  
Hiv Testing And Counseling ◽  
World Vision ◽  
Lost To Follow Up ◽  
Testing And Counseling ◽  
Hiv Aids

BackgroundHIV-positive patients lost to follow-up (HP-LTFU) represent a challenge for HIV/AIDS control efforts as they are associated with higher risk of HIV transmission to their sexual partners, low viral load suppression and higher risk of morbidity and mortality than adherent patients. The SCIP-Ogumaniha programme implemented by World Vision Mozambique, has been utilising the index case approach together with systematic home-based HIV testing and counseling (hHTC) since August 2016 in 7 districts of the Zambezia province. This abstract outlines an evaluation of the contribution of this approach to HIV/AIDS care and treatment (HACT) of sexual partners of HP-LTFU in alignment with the first and second targets of the 90–90–90 UNAIDS strategy.MethodsThe study involved HP-LTFU returned to HACT between October 2016 and September 2017. These patients reported to have sexual partners who had not been tested for HIV and provided informed, written consent for joint hHTC with these individuals. The hHTC package for sexual partners was offered by World Vision project counselors and those who tested HIV-positive were referred to HACT.ResultsOf 7.084 patients who returned to HACT and reported to have an untested sexual partner, 63% (4,471) provided informed, written consent for joint hHTC. Of 4264 sexual partners found and tested, 52% was female, 64% was in the 15–34 age groups, and 88% had never been tested for HIV. About 28% (1.205/4.264) was HIV-positive, 56% of the sexual partners who tested HIV-positive, was female and 98% of these was successfully referred to HACT.ConclusionThe index case approach together with hHTC has contributed to the early diagnosis of 28% of new HIV infections among sexual partners of HP-LTFU and 98% of them ensured timely linkage to the HACT. Therefore, broader promotion and adoption of this approach would make a significant contribution to achievement of the first and second targets of the 90–90–90 UNAIDS strategy.

scholarly journals Implementing Assisted Partner Services to HIV Test and Treat Men and their Female Sexual Partners: A Study Protocol (Preprint)

2021 ◽  
Author(s):  
Edward Kariithi ◽  
Monisha Sharma ◽  
Emily Kemunto ◽  
Harison Lagat ◽  
George Otieno ◽  
...  
Keyword(s):  
Hiv Testing ◽  
Real World ◽  
Sexual Partners ◽  
Hiv Positive ◽  
Newly Diagnosed ◽  
Western Kenya ◽  
Hiv Testing Services ◽  
Male Sexual Partners ◽  
Female Index

BACKGROUND Despite the effective scale-up of HIV testing and treatment programs worldwide, only 75% of persons living with HIV (PLWH) globally know their status, with lower rates among men. This highlights the importance of implementing HIV testing and linkage interventions with high uptake in this population group. In a cluster randomized controlled trial conducted between 2013 and 2015, our team found that assisted partner services (APS) for HIV-exposed partners of newly diagnosed PLWH, safely reached more at-risk individuals to conduct testing compared to client referral alone. However, more data is needed to assess APS implementation in a real-world setting. OBJECTIVE This study evaluates the effectiveness, acceptability, fidelity, and cost of APS when integrated into existing HIV testing services (HTS) in Western Kenya. METHODS In a collaboration between the University of Washington and PATH, we are integrating APS into 31 health facilities in Western Kenya and enrolling female index clients newly diagnosed with HIV who receive APS, their male sexual partners, and female sexual partners of the male sexual partners who test HIV positive. Female index clients and all sexual partners testing HIV-positive will be followed up at 6 weeks, 6 months, and 12 months to assess linkage to care, antiretroviral therapy (ART) initiation, and HIV viral load suppression. We will evaluate acceptability, fidelity and cost of real-world implementation of APS via in-depth interviews conducted with national, county, and sub-county level policymakers responsible for HIV testing services. Facility health staff providing HIV testing services and APS, in addition to staff working with the study project team will also be interviewed. We will also conduct direct observations of facility infrastructure and clinic procedures, and extract data from facility and county/national databases. RESULTS As of March 2020, we have recruited 1724 index clients, 3201 male partners, and 1585 female partners. We have completed all recruitment for this study and have completed all 6-week (99%), 6-month (97%) and 12-month (91%) follow-up visits. Preliminary analyses demonstrate that through scaling-up APS, facilities are able to identify 12-18 new HIV-positive males for every 100 men contacted and tested. We are now in the process of completing the remaining follow-up interviews and building a self-testing component of the study as an adaptation to the COVID-19 pandemic. CONCLUSIONS Results will be used to bridge the gap between clinical research findings and everyday practice, and provide guidance on optimal strategies for APS integration into HIV service delivery. CLINICALTRIAL N/A

scholarly journals Newly diagnosed HIV positive children: a unique index case to improve HIV diagnosis and linkage to care of parents

AIDS Care ◽  
2020 ◽  
Vol 32 (11) ◽  
pp. 1400-1405
Author(s):  
Jillian Neary ◽  
Irene N. Njuguna ◽  
Lisa M. Cranmer ◽  
Vincent O. Otieno ◽  
Cyrus Mugo ◽  
...  
Keyword(s):  
Index Case ◽  
Linkage To Care ◽  
Hiv Positive ◽  
Newly Diagnosed ◽  
Hiv Diagnosis ◽  
Unique Index

scholarly journals Sexual behaviour patterns and STI risk: results of a cluster analysis among men who have sex with men in Portugal

BMJ Open ◽  
2021 ◽  
Vol 11 (1) ◽  
pp. e033290
Author(s):  
Karel Blondeel ◽  
Sonia Dias ◽  
Martina Furegato ◽  
Armando Seuc ◽  
Ana Gama ◽  
...  
Keyword(s):  
Cluster Analysis ◽  
Sexual Behaviour ◽  
Hierarchical Cluster ◽  
Risk Behaviour ◽  
Sexual Partners ◽  
Hiv Positive ◽  
Research Approach ◽  
Cross Sectional ◽  
Combination Prevention ◽  
Sex With Men

ObjectivesPortugal has the highest HIV incidence rate in Western Europe. The proportion assigned to sexual contact between men recently increased to more than 30% of all HIV infections. Men who have sex with men (MSM) are vulnerable to the acquisition of other sexually transmitted infections (STIs), increasing the per-contact risk of HIV infection. Building on syndemic theory, the aim of this analysis was to identify patterns of current sexual behaviour in MSM, and explore their relationship with self-reported current, past STI diagnoses and HIV positive serostatus.DesignA cross-sectional behavioural survey was conducted in Portugal among MSM, using a community-based participatory research approach. Hierarchical cluster analysis was used to identify patterns including behavioural and demographic factors.ResultsThe analysis resulted in six clusters. Three clusters showed higher rates of current STI diagnosis (ranging from 11.7% to 17.1%), past STI diagnosis (ranging from 25.5% to 41.5%) and HIV positive serostatus (ranging from 13.0% to 16.7%). From the three clusters scoring lower on current and past STI and HIV diagnoses, one was characterised by a high number of sexual partners (62% had more than 12 partners in the last year), a high proportion (94.6%) of frequent visits to gay venues to meet sexual partners and high alcohol use (46.1%). The other two clusters scored lower on high risk sexual behaviour.ConclusionFactors other than sexual behaviour appear to reinforce the vulnerability to STIs and HIV of some MSM in this study, suggesting a syndemic of STIs, HIV and other adverse conditions. More research is needed to better understand the drivers of the STI/HIV epidemic in Portuguese MSM, using a concept that goes beyond risk behaviour, to develop effective combination prevention interventions.

scholarly journals Time taken to link newly identified HIV positive clients to care following a home-base index case HIV testing: Experience from two provinces in Zimbabwe

PLoS ONE ◽  
2018 ◽  
Vol 13 (8) ◽  
pp. e0201018 ◽  
Author(s):  
Taurayi A. Tafuma ◽  
Nyikadzino Mahachi ◽  
Chengetai Dziwa ◽  
Peter Marowa ◽  
Tafara Moga ◽  
...  
Keyword(s):  
Hiv Testing ◽  
Index Case ◽  
Hiv Positive ◽  
Home Base

scholarly journals What is the level of uptake of Partner Notification Services in HIV testing  in Selected Health Facilities in Muranga County – Kenya; a retrospective Study

2020 ◽  
Author(s):  
Rewel Kariuki ◽  
Gilbert Koome Rithaa ◽  
Oyugi Elvis ◽  
Daniel Gachathi
Keyword(s):  
Hiv Testing ◽  
Partner Notification ◽  
Sexual Partners ◽  
Health Facilities ◽  
World Health ◽  
Hiv Positive ◽  
People Living With Hiv ◽  
Cross Sectional ◽  
Case Identification ◽  
Health Organization

Abstract Background: Identification of people living with HIV is key in HIV prevention and control. Partner Notification service is a World Health Organization backed strategy of reaching out to sexual partners of people diagnosed with HIV for HIV testing. However, its adoption and success rate in Kenya remains unknown.Methods: A cross sectional facility based study was undertaken in five purposively selected health facilities in Muranga County, Kenya. A retrospective review of patient medical records data for HIV positive index clients and their Sexual Partners conducted. Census approach applied to extract data for study subjects from Partner Notification Service registers for the period covering January 2017 to August 2018. Epi Info software was used for data analysis.Results: A total of 183 index clients offered Partner notification services. The mean age of the indexed clients studied was 39(SD ±13.1). Females comprised 64 % of clients studied. Of the 183 indexed clients, 89% accepted the services and elicited 216 sexual partners for tracing. The ratio of elicited sexual partners to index client was 1.3:1. Out of the 216 sexual partners, 77% were reached and tested. A total of 46 [32%] of the sexual partners elicited and traced, tested HIV positive. The most preferred approaches were provider referral (51%) and contract referral (45%). Dual referral (4%) was the least preferred approach. Conclusions: Partner notification services is acceptable and an effective strategy of increasing HIV case identification and raising awareness to exposed sexual partners in low resource countries.

Sign in / Sign up

Export Citation Format

Share Document