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Poverty and InequalitySexual and Reproductive HealthFamily, Maternal & Child HealthMethodology

HIV Partner Notification Values and Preferences Among Sex Workers, Fishermen, and Mainland Community Members in Rakai, Uganda: A Qualitative Study

TitleHIV Partner Notification Values and Preferences Among Sex Workers, Fishermen, and Mainland Community Members in Rakai, Uganda: A Qualitative Study
Publication TypeJournal Article
Year of Publication2018
AuthorsQuinn, C, Nakyanjo, N, Ddaaki, W, Burke, VM, Hutchinson, N, Kagaayi, J, Wawer, MJ, Nalugoda, F, Kennedy, CE
JournalAIDS Behav
Volume22
Pagination3407-3416
Date PublishedOct
ISBN Number1090-7165
Accession Number29372453
Keywords*Referral and Consultation, *Sexual Partners, Adult, Contact Tracing/*methods/statistics & numerical data, Female, Fisheries/*manpower, Focus Groups, General populations, Health Personnel, HIV Infections/*diagnosis/prevention & control/*transmission, HIV/AIDS, Humans, Key populations, Male, Mass Screening, Partner notification, Qualitative Research, Sex Workers, Sex Workers/*psychology, Uganda/epidemiology, Young Adult
Abstract

HIV partner notification involves contacting sexual partners of people who test HIV positive and referring them to HIV testing, treatment, and prevention services. To understand values and preferences of key and general populations in Rakai, Uganda, we conducted 6 focus group discussions and 63 in-depth interviews in high prevalence fishing communities and low prevalence mainland communities. Participants included fishermen and sex workers in fishing communities, male and female mainland community members, and healthcare providers. Questions explored three approaches: passive referral, provider referral, and contract referral. Qualitative data were coded and analyzed using a team-based matrix approach. Participants agreed that passive referral was most suitable for primary partners. Provider referral was acceptable in fishing communities for notifying multiple, casual partners. Healthcare providers voiced concerns about limited time, resources, and training for provider-assisted approaches. Options for partner notification may help people overcome barriers to HIV serostatus disclosure and help reach key populations.

PMCID

PMC6060041