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

被引：12
作者：
Klabbers, Robin E. [1 ]
Muwonge, Timothy R. [2 ]
Ayikobua, Emmanuel [2 ]
Izizinga, Diego [2 ]
Bassett, Ingrid V. [3 ]
Kambugu, Andrew [2 ]
Tsai, Alexander C. [4 ,5 ,9 ,10 ]
Ravicz, Miranda [6 ]
Klabbers, Gonnie [11 ]
O'Laughlin, Kelli N. [7 ,8 ]
机构：
[1] Maastricht Univ, Fac Hlth Med & Life Sci, Maastricht, Netherlands
[2] Makerere Univ, Infect Dis Inst, Coll Hlth Sci, Kampala, Uganda
[3] Massachusetts Gen Hosp, Dept Med, Boston, MA 02114 USA
[4] Massachusetts Gen Hosp, Ctr Global Hlth, Boston, MA 02114 USA
[5] Massachusetts Gen Hosp, Mongan Inst, Boston, MA 02114 USA
[6] Massachusetts Gen Hosp, Dept Internal Med & Pediat, Boston, MA 02114 USA
[7] Univ Washington, Dept Emergency Med, Seattle, WA 98195 USA
[8] Univ Washington, Dept Global Hlth, Seattle, WA 98195 USA
[9] Harvard Med Sch, Boston, MA 02115 USA
[10] Mbarara Univ Sci & Technol, Mbarara, Uganda
[11] Maastricht Univ, Fac Hlth Med & Life Sci, Dept Hlth Eth & Soc, Maastricht, Netherlands
来源：
AIDS AND BEHAVIOR | 2021年 / 25卷 / 10期
关键词：
HIV; Partner notification; Uganda; Mixed methods; Refugee; SUB-SAHARAN AFRICA; INFECTION; DISCLOSURE; SERVICES; PROGRAM; PEOPLE;
D O I：
10.1007/s10461-021-03265-1
中图分类号：
R1 [预防医学、卫生学];
学科分类号：
1004 ; 120402 ;
摘要：
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.
引用
收藏
页码：3206 / 3222
页数：17
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