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.
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.
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DOI：
10.1007/s10461-021-03265-1
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发表时间：
2021-10
影响因子：
4.4
通讯作者：
O'Laughlin KN
中科院分区：
文献类型：
--
作者：
Klabbers RE;Muwonge TR;Ayikobua E;Izizinga D;Bassett IV;Kambugu A;Tsai AC;Ravicz M;Klabbers G;O'Laughlin KN
世界卫生组织建议通过辅助伴侣通知（APN），将接触艾滋病毒的情况通知性伴侣。自2018年以来，乌干达向乌干达国民和难民提供了APN。难民安置点的个人所面临的独特挑战可能会影响行动方案的利用和有效性。为了探索APN障碍和促进因素，我们从西尼罗河地区为难民和乌干达国民提供护理的11个卫生中心的APN登记中提取了指数客户和性伴侣数据，并对卫生工作者进行了定性访谈（N = 32）。自APN启动以来，882名指数客户参与了APN，确定了1126名性伴侣。通报后，95%（1025/1126）的伴侣接受了艾滋病毒检测；22%（230/1025）被诊断为艾滋病毒，14%（139/1025）被检测的伴侣是新诊断的。对耻辱和与披露有关的暴力的恐惧限制了APN的利用和有效性。需要进行涉及指数客户和性伴侣的前瞻性研究，以促进难民定居点安全的APN优化。
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.
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DOI：
10.1097/qad.0000000000001555
发表时间：
2017-08-24
期刊：
AIDS (London, England)
影响因子：
--
作者：
Dalal S;Johnson C;Fonner V;Kennedy CE;Siegfried N;Figueroa C;Baggaley R
通讯作者：
Baggaley R
DOI：
10.1016/s2352-3018(16)30214-4
发表时间：
2017-02
期刊：
The lancet. HIV
影响因子：
--
作者：
Cherutich P;Golden MR;Wamuti B;Richardson BA;Ásbjörnsdóttir KH;Otieno FA;Ng'ang'a A;Mutiti PM;Macharia P;Sambai B;Dunbar M;Bukusi D;Farquhar C;aPS Study Group
通讯作者：
aPS Study Group
DOI：
10.1097/qai.0000000000001012
发表时间：
2016-08-15
期刊：
Journal of acquired immune deficiency syndromes (1999)
影响因子：
--
作者：
Maman S;Groves AK;McNaughton Reyes HL;Moodley D
通讯作者：
Moodley D
影响因子：
3.1
作者：
Henley, Catherine;Forgwei, Gideon;Muffih, Pius Tih
通讯作者：
Muffih, Pius Tih
影响因子：
3.1
作者：
Myers, R. Serene;Feldacker, Caryl;Golden, Matthew R.
通讯作者：
Golden, Matthew R.