HIV Testing Approaches; A Comparative Analysis of Partner Notification Services and Other Methods in Anambra State: A Formative Evaluation
The combined effects of limited time to the deadline of the UNAIDS 95-95-95
by 2020 for the epidemic control of HIV, need for early HIV case detection and decline
in funding for HIV services necessitated partners in the HIV response to seek cost
effective but smarter and result oriented methods of reaching the HIV testing targets
which is the gateway to prevention and treatment of HIV, using the partner notification
services (PNS) as a key approach.
A descriptive cross-sectional quantitative method was employed to review
the performance of PNS after eight months of implementation. A multi staged random
sampling was employed to select six health facilities providing comprehensive HIV
services. Data from HIV testing services registers utilized within the period were
reviewed for testing approaches, gender of clients, and linkage status. The anti-retroviral
therapy registers were accessed for confirmation of linkages. Data was collected
in excel sheet and transferred to SPSS version 21 for statistical analysis.
A significantly higher positivity rate and linkage from PNS though low coverage
was observed. More women were reached than men. PNS needs to be optimized and also prioritized while challenges such
as stigma, disclosure and gender issues should be addressed.
Keywords: Index case testing for HIV, provider-initiated testing
and counseling, formative evaluation, innovative testing for HIV.
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