Scale-Up and Case-Finding Effectiveness of an HIV Partner Services Program in Cameroon: An Innovative HIV Prevention Intervention for Developing Countries
Scale-Up and Case-Finding Effectiveness of an HIV Partner Services Program in Cameroon: An Innovative HIV Prevention Intervention for Developing Countries
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DOI：
10.1097/olq.0000000000000032
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发表时间：
2013-12-01
影响因子：
3.1
通讯作者：
Muffih, Pius Tih
中科院分区：
文献类型：
--
作者：
Henley, Catherine;Forgwei, Gideon;Muffih, Pius Tih
背景：伙伴服务（PS）是美国和欧洲部分地区艾滋病控制计划的一个长期组成部分。小型随机试验表明，艾滋病毒PS可以有效地识别未确诊的艾滋病毒感染者。然而，艾滋病毒PS在低收入countries.Methods的可扩展性和有效性是未知的：我们使用的数据收集从2009年至2010年通过一个大型的艾滋病毒PS计划在喀麦隆评估艾滋病毒PS在发展中国家。对产前保健、自愿咨询和检测以及住院设施中诊断的艾滋病毒阳性指数病例进行了访谈，以收集其性伴侣的信息。合作伙伴通过电话或家访通知，测试，并登记那些被发现是HIV阳性的medicalcare.Results：健康顾问采访了1462人与HIV感染者在评估期间，这些人提供了有关1607性伴侣的信息。健康顾问通知了其中1 347人（83.8%），其中900人（66.8%）接受了艾滋病毒检测。在接受检测的伴侣中，451人（50.1%）为艾滋病毒阳性，其中386人（85.6%）接受了艾滋病毒医疗护理。平均3.2指数的情况下，需要接受采访，以确定1 HIV cases.Conclusions：艾滋病毒PS可以成功地实施在发展中国家，是非常有效的识别艾滋病毒感染者，并将他们与护理。
Background: Partner services (PSs) are a long-standing component of HIV control programs in the United States and some parts of Europe. Small randomized trials suggest that HIV PS can be effective in identifying persons with undiagnosed HIV infection. However, the scalability and effectiveness of HIV PS in low-income countries are unknown.Methods: We used data collected from 2009 to 2010 through a large HIV PS program in Cameroon to evaluate HIV PS in a developing country. HIV-positive index cases diagnosed in antenatal care, voluntary counseling and testing, and inpatient facilities were interviewed to collect information on their sexual partners. Partners were contacted via telephone or home visit to notify, test, and enroll those found to be HIV positive in medical care.Results: Health advisors interviewed 1462 persons with HIV infection during the evaluation period; these persons provided information about 1607 sexual partners. Health advisors notified 1347 (83.8%) of these partners, of whom 900 (66.8%) were HIV tested. Of partners tested, 451 (50.1%) were HIV positive, of whom 386 (85.6%) enrolled into HIV medical care. An average 3.2 index cases needed to be interviewed to identify 1 HIV case.Conclusions: HIV PS can be successfully implemented in a developing country and is highly effective in identifying persons with HIV infection and linking them to care.