PMID- 37040123
OWN - NLM
STAT- MEDLINE
DCOM- 20230628
LR  - 20230927
IS  - 1944-7884 (Electronic)
IS  - 1525-4135 (Linking)
VI  - 93
IP  - 4
DP  - 2023 Aug 1
TI  - Assisted Partner Notification Services Are Safe and Effective as They Are Brought 
      to Scale in Mozambique.
PG  - 305-312
LID - 10.1097/QAI.0000000000003203 [doi]
AB  - BACKGROUND: The World Health Organization recommends that persons diagnosed with 
      HIV be offered assisted partner notification services (APS). There are limited 
      data on the safety of APS as implemented in public health programs. SETTING: 
      Three public health centers in Maputo, Mozambique, 2016-2019. METHODS: Counselors 
      offered APS to persons with newly diagnosed HIV and, as part of a program 
      evaluation, prospectively assessed the occurrence of adverse events (AEs), 
      including (1) pushing, abandonment, or yelling; (2) being hit; and (3) loss of 
      financial support or being expelled from the house. RESULTS: Eighteen thousand 
      nine hundred sixty-five persons tested HIV-positive in the 3 clinics, 13,475 
      (71%) were evaluated for APS eligibility, 9314 were eligible and offered APS, and 
      9219 received APS. Index cases (ICs) named 8933 partners without a previous HIV 
      diagnosis, of whom 6137 tested and 3367 (55%) were diagnosed with HIV 
      (case-finding index = 0.36). APS counselors collected follow-up data from 6680 
      (95%) of 7034 index cases who had untested partners who were subsequently 
      notified; 78 (1.2%) experienced an AE. Among 270 ICs who reported a fear of AEs 
      at their initial APS interview, 211 (78%) notified >/=1 sex partner, of whom 5 
      (2.4%) experienced an AE. Experiencing an AE was associated with fear of loss of 
      support (odds ratio [OR] 4.28; 95% confidence interval [CI]: 1.50 to 12.19) and 
      having a partner who was notified, but not tested (OR 3.47; 95% CI: 1.93 to 
      6.26). CONCLUSION: Case-finding through APS in Mozambique is high and AEs after 
      APS are uncommon. Most ICs with a fear of AEs still elect to notify partners with 
      few experiencing AEs.
CI  - Copyright (c) 2023 Wolters Kluwer Health, Inc. All rights reserved.
FAU - Golden, Matthew R
AU  - Golden MR
AD  - University of Washington Center for AIDS and STD, Seattle, WA.
AD  - International Training and Education Center for Health-Mozambique, Maputo, 
      Mozambique.
FAU - Mamudo, Allend
AU  - Mamudo A
AD  - International Training and Education Center for Health-Mozambique, Maputo, 
      Mozambique.
FAU - Vio, Ferruccio
AU  - Vio F
AD  - International Training and Education Center for Health-Mozambique, Maputo, 
      Mozambique.
FAU - Branigan, Erin
AU  - Branigan E
AD  - International Training and Education Center for Health-Seattle, Seattle, WA.
FAU - Paredes, Zulmira
AU  - Paredes Z
AD  - International Training and Education Center for Health-Mozambique, Maputo, 
      Mozambique.
FAU - Maiela, Adelina
AU  - Maiela A
AD  - International Training and Education Center for Health-Mozambique, Maputo, 
      Mozambique.
FAU - Augusto, Orvalho
AU  - Augusto O
AD  - Faculdade de Medicina, Universidade Eduardo Mondlane, Cidade de Maputo, 
      Mozambique.
AD  - Department of Global Health, University of Washington, Seattle, WA; and.
FAU - Couto, Aleny
AU  - Couto A
AD  - Ministry of Health, Maputo, Mozambique.
FAU - Amane, Guita
AU  - Amane G
AD  - Ministry of Health, Maputo, Mozambique.
FAU - Chicuecue, Noela
AU  - Chicuecue N
AD  - Ministry of Health, Maputo, Mozambique.
FAU - Wate, Joaquim
AU  - Wate J
AD  - International Training and Education Center for Health-Mozambique, Maputo, 
      Mozambique.
FAU - Mudender, Florindo
AU  - Mudender F
AD  - International Training and Education Center for Health-Mozambique, Maputo, 
      Mozambique.
LA  - eng
GR  - R03 MH123285/MH/NIMH NIH HHS/United States
PT  - Journal Article
PT  - Research Support, N.I.H., Extramural
PL  - United States
TA  - J Acquir Immune Defic Syndr
JT  - Journal of acquired immune deficiency syndromes (1999)
JID - 100892005
SB  - IM
MH  - Humans
MH  - *HIV Infections/diagnosis/prevention & control/epidemiology
MH  - Contact Tracing
MH  - Mozambique
MH  - Sexual Partners
MH  - Eligibility Determination
COIS- The authors have no conflicts of interest to disclose.
EDAT- 2023/04/12 06:00
MHDA- 2023/06/28 06:42
CRDT- 2023/04/11 11:33
PHST- 2022/04/15 00:00 [received]
PHST- 2023/01/03 00:00 [accepted]
PHST- 2023/06/28 06:42 [medline]
PHST- 2023/04/12 06:00 [pubmed]
PHST- 2023/04/11 11:33 [entrez]
AID - 00126334-202308010-00006 [pii]
AID - 10.1097/QAI.0000000000003203 [doi]
PST - ppublish
SO  - J Acquir Immune Defic Syndr. 2023 Aug 1;93(4):305-312. doi: 
      10.1097/QAI.0000000000003203.