title: Addressing the First 90: A Highly Effective Partner Notification Approach Reaches Previously Undiagnosed Sexual Partners in Tanzania.
abstract: To meet UNAIDS' 90-90-90 treatment goals, effective approaches to HIV testing services (HTSs) are urgently needed. In 2015, a cross-sectional study was conducted to evaluate effectiveness and feasibility of partner notification for HTS in Tanzania. Men and women newly diagnosed with HIV were enrolled as index clients, listed sexual partners, and given options to notify and link their partners to HTS. Of 653 newly diagnosed individuals, 390 index clients were enrolled, listed 438 sexual partners, of whom 249 (56.8%) were successfully referred. Of 249 partners reaching the facilities, 96% tested for HIV, 148 (61.9%) tested HIV+ (all newly diagnosed), and 104 (70.3%) of partners testing positive were enrolled into HIV care and treatment. Results showed good acceptability, feasibility and effectiveness, as evidenced by high uptake of partner notification among newly diagnosed individuals, over half of listed partners successfully referred, and a very high positivity rate among referred sexual partners.
authors.affiliation: Jhpiego Tanzania, Dar es Salaam, Tanzania.
authors.forename: Catherine
authors.initials: C
authors.lastname: Kahabuka
authors.affiliation: Jhpiego Tanzania, Dar es Salaam, Tanzania. Marya.plotkin@jhpiego.org.|, 1660 Thames Street, Baltimore, MD, 21231, USA. Marya.plotkin@jhpiego.org.
authors.forename: Marya
authors.identifier: http://orcid.org/0000-0002-7861-5369
authors.initials: M
authors.lastname: Plotkin
authors.affiliation: Jhpiego Tanzania, Dar es Salaam, Tanzania.
authors.forename: Alice
authors.initials: A
authors.lastname: Christensen
authors.affiliation: USAID Washington, Washington, DC, USA.
authors.forename: Charlene
authors.initials: C
authors.lastname: Brown
authors.affiliation: Jhpiego Tanzania, Dar es Salaam, Tanzania.
authors.forename: Mustafa
authors.initials: M
authors.lastname: Njozi
authors.affiliation: National AIDS Control Programme, Ministry of Health, Community Development, Gender, Elderly and Children, Dar es Salaam, Tanzania.
authors.forename: Renatus
authors.initials: R
authors.lastname: Kisendi
authors.affiliation: National AIDS Control Programme, Ministry of Health, Community Development, Gender, Elderly and Children, Dar es Salaam, Tanzania.
authors.forename: Werner
authors.initials: W
authors.lastname: Maokola
authors.affiliation: USAID Tanzania, Dar es Salaam, Tanzania.
authors.forename: Erick
authors.initials: E
authors.lastname: Mlanga
authors.affiliation: Jhpiego Tanzania, Dar es Salaam, Tanzania.
authors.forename: Ruth
authors.initials: R
authors.lastname: Lemwayi
authors.affiliation: Jhpiego Baltimore, Baltimore, USA.|Johns Hopkins Bloomberg School of Public Health, Baltimore, USA.
authors.forename: Kelly
authors.initials: K
authors.lastname: Curran
authors.affiliation: USAID Washington, Washington, DC, USA.
authors.forename: Vincent
authors.initials: V
authors.lastname: Wong
mesh_terms: D000293:Adolescent; D000328:Adult; D016358:Contact Tracing / Q000379:methods*; D003430:Cross-Sectional Studies; D005240:Feasibility Studies; D005260:Female; D015658:HIV Infections / Q000453:epidemiology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010342:Patient Acceptance of Health Care; D012017:Referral and Consultation; D012747:Sexual Partners; D013636:Tanzania / Q000453:epidemiology; D055815:Young Adult
keywords: HIV testing services; Index clients; Partner notification; Tanzania; Undiagnosed HIV