title: Acceptance of referral for partners by clients testing positive for human immunodeficiency virus.
abstract: BACKGROUND
  Human immunodeficiency virus (HIV)-positive individuals who do not disclose their HIV status to their partners are more likely to present late for HIV and acquired immune deficiency syndrome (AIDS) care than those who have disclosed their HIV status to their partners. A major area of challenge with regards to HIV counseling for clients is disclosure of their HIV status to their partners. The main methods of partner notification are patient referral, provider referral, contract referral, and outreach assistance. The emphasis on a plausible and comprehensive partner referral strategy for widespread positive case detection in resource-limited countries needs to be thought out and developed.
  
  
  METHODS
  A qualitative study was conducted among newly HIV-positive clients to identify partners for notification and acceptance of referral by their partners. Health service providers working in HIV testing and counseling clinics were also provided with semistructured questionnaires in order to assess their view towards partner notification strategies for clients testing positive for HIV.
  
  
  RESULTS
  Fifteen newly diagnosed HIV-positive clients were counseled to provide referral slips to their partners. All clients agreed and took the referral card. However, only eight were willing and actually provided the card to their partners. Five of the eight partners of clients who tested HIV-positive and who were provided with referral cards responded to the referral and were tested for HIV. Three were positive and two were negative. Nine of 11 counselors did not agree to requesting partner locator information from HIV-positive clients for contractual referral and/or outreach assistance. The findings from the study were categorized by nine themes. A comprehensive and integrated approach of partner notification and a referral framework with active counselor involvement was developed.
  
  
  CONCLUSIONS
  Partner notification and referral can be improved by an integrated and comprehensive framework, with active involvement of HIV counselors in the disclosure process.
authors: IMA World Health SuddHealth Multi Donor Trust Fund-Basic Package of Health Services Project, Juba, South Sudan;
authors: Fetene
authors: F
authors: Netsanet
authors: Ayalew
authors: A
authors: Dessie
keywords: human immunodeficiency virus; partner locator information; partner notification and referral
references: J Adv Nurs. 2010 Sep;66(9):2094-103
references: 20626492
references: BMC Public Health. 2010 Jan 18;10:19
references: 20082718
references: J Acquir Immune Defic Syndr. 2011 Apr 15;56(5):437-42
references: 22046601
references: Open AIDS J. 2012;6:8-15
references: 22408699
references: BMC Public Health. 2011 Aug 17;11:651
references: 21849048
references: Math Biosci. 2010 Mar;224(1):35-42
references: 20043926
references: Am J Prev Med. 2007 Aug;33(2 Suppl):S89-100
references: 17675019
references: AIDS Patient Care STDS. 2010 Feb;24(2):117-26
references: 20059356
references: AIDS Behav. 2009 Jun;13(3):573-81
references: 19184394
references: Public Health Rep. 2008 Nov-Dec;123 Suppl 3:126-35
references: 19166096
references: Soc Sci Med. 2010 Dec;71(11):1921-6
references: 20943297
references: BMJ. 2007 Feb 17;334(7589):354
references: 17237298
references: BMC Int Health Hum Rights. 2011 Jun 03;11:6
references: 21639894
references: AIDS Res Ther. 2011 Feb 28;8:8
references: 21356115
references: Bull World Health Organ. 2008 Apr;86(4):302-9
references: 18438519
references: AIDS Behav. 2011 Oct;15(7):1347-58
references: 20976538
references: BMC Infect Dis. 2010 Jul 01;10:194
references: 20594313