Perspectives on voluntary assisted partner notification among providers, people with HIV and the general population in Indonesia: a formative qualitative study.
Perspectives on voluntary assisted partner notification among providers, people with HIV and the general population in Indonesia: a formative qualitative study.
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DOI：
10.1186/s12889-021-10332-8
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发表时间：
2021-01-30
影响因子：
4.5
通讯作者：
Katz DA
中科院分区：
文献类型：
--
作者：
Wirawan GBS;Januraga PP;Mahendra IGAA;Harjana NPA;Mahatmi T;Luhukay L;Rewari BB;Johnson C;Katz DA
自愿协助的伴侣通知服务在增加艾滋病毒感染者的伴侣获得和接受艾滋病毒检测方面是有效的。根据世界卫生组织2016年的建议，印度尼西亚评估了各种aPN方法。我们提出了从形成性业务研究中吸取的经验教训，以了解艾滋病毒高负担城市的三个示范点的供应商和患者对aPN的看法。我们在2019年9月至10月期间在三个城市进行了形成性定性研究：雅加达，塞马朗和登巴萨。我们在卫生保健提供者、艾滋病毒感染者和普通人群中进行了六次焦点小组讨论（FGD）（n = 44名参与者）。我们探讨了参与者的偏好和对如何提供aPN的关注，包括联系合作伙伴的方法和消息。所有FGD均以印度尼西亚语进行。定性数据采用专题分析进行分析。aPN在不同的参与者人群中是可接受的，尽管有警告。在一般人群、提供者和艾滋病毒感染者之间观察到一些差异。艾滋病毒感染者主要关心的是程序的保密性，并倾向于使用避免明确提及艾滋病毒感染的电信和信息。提供者倾向于类似的方法，但出于不同的原因，主要是关心自我效能和安全。就双重转诊模式达成了共识。使用电话和短信是首选，因为这些被认为是最大限度地减少负面反应和耻辱，保护客户的机密性，并适合当前的法律的情况。一般民众主要关心的是有效性，更喜欢直接由提供者主导的方法，例如更喜欢当面会晤，并明确通知潜在的艾滋病毒暴露。我们发现利益相关者对接受aPN，特别是双重转诊方法达成了共识。aPN协议的制定和实施还应考虑客户的个人情况和对保密的担忧，并提供一系列选择，以适应所有相关利益攸关方。在线版本包含补充材料，可通过10.1186/s12889-021-10332-8获得。
Voluntary assisted partner notification (aPN) services are effective in increasing access to and uptake of HIV testing among partners of people with HIV. Following recommendations by the World Health Organization in 2016, Indonesia evaluated various approaches to aPN. We present the lessons learned from formative operational research undertaken to understand provider and patient perspectives on aPN from three demonstration sites in cities with a high HIV burden. We conducted a formative qualitative study in three cities: Jakarta, Semarang, and Denpasar between September and October 2019. We conducted six focus group discussions (FGDs) (n = 44 participants) among health-care providers, people living with HIV and the general population. We explored participant preferences and concerns about how aPN should be delivered, including the methods of and messaging for contacting partners. All FGDs were conducted in the Indonesian language. Qualitative data were analysed using thematic analysis. aPN was acceptable across different participant populations, although with caveats. Some differences were observed between the general population, providers and people living with HIV. People living with HIV were mainly concerned with confidentiality of the procedure and preferred the use of telecommunication and messages that avoid explicit mention of HIV exposure. Providers preferred similar approaches but for different reasons, being concerned mainly with self-efficacy and security. There was consensus regarding dual referral models. The use of phone calls and short messages were preferred as these are perceived to minimize negative reactions and stigma, protect client confidentiality and are suitable in the current legal situation. The general population was mainly concerned with effectiveness and prefer direct provider-led approaches, such as preferring in-person meeting with explicit notification of potential HIV exposure. We found consensus among stakeholders on acceptance of aPN, especially dual referral methods. Development and implementation of aPN protocols should also consider clients’ individual situations and concerns regarding safeguarding of confidentiality, and offer a range of options to accommodate all stakeholders involved. The online version contains supplementary material available at 10.1186/s12889-021-10332-8.
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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：
10.1016/s2352-3018(15)00182-4
发表时间：
2015-11
期刊：
The lancet. HIV
影响因子：
--
作者：
Rosenberg NE;Mtande TK;Saidi F;Stanley C;Jere E;Paile L;Kumwenda K;Mofolo I;Ng'ambi W;Miller WC;Hoffman I;Hosseinipour M
通讯作者：
Hosseinipour M
影响因子：
16.1
作者：
Januraga, Pande Putu;Reekie, Joanne;Kaldor, John M.
通讯作者：
Kaldor, John M.
影响因子：
1.4
作者：
Apoola, A.;Radcliffe, K. W.;Rajakumar, R.
通讯作者：
Rajakumar, R.