Partner notification in the real world: a four site time-allocation study.
OBJECTIVE
Although partner notification has been a long-standing intervention and prevention strategy for sexually transmitted diseases (STD), variations in partner notification practices across sites have never been documented.


OBJECTIVE
To describe provider-assisted partner notification practices in four STD programs in the United States.


METHODS
Eleven disease intervention specialists (DIS) in each of three urban sites and seven DIS in one rural site documented their activities and clients for 14 working days using a personal digital assistant.


RESULTS
Of 2,506 recorded activity hours across sites, 37.4% of the recorded time was spent on partner notification (PN) activities with 1148 clients. Field visits to locate contacts accounted for the largest proportion of time spent on PN. Overall, PN clients were cases of or were contacts to nonprimary and secondary (P&S) syphilis (39.6%), gonorrhea (25.5%), chlamydia (18.0%), HIV/AIDS (10.4%), and P&S syphilis (6.5%).


CONCLUSIONS
The activities which constitute PN, the diseases for which PN is used, and the time spent on each PN client vary across sites. More research is needed on the determinants of these variations and their association with the ultimate goal of disease prevention.
Macke
B A
BA
Behavioral Interventions Research Branch, Division of STD Prevention, National Center for HIV, STD, and TB Prevention, Centers for Disease Control and Prevention, Atlanta, Georgia 30333, USA.
Hennessy
M
M
McFarlane
M M
MM
Bliss
M J
MJ
D002487:Centers for Disease Control and Prevention, U.S.; D016358:Contact Tracing; D006801:Humans; D012749:Sexually Transmitted Diseases / Q000517:prevention & control / Q000635:transmission*; D013997:Time Factors; D014481:United States; D016526:Workload