Full Text Available
Note: Clicking the button above will open the full text document at the original institutional repository in a new window.
Strategies for sexually transmitted infection partner notification
Bibliography: p. 171-172.
Saved in:
| Main Author: | |
|---|---|
| Other Authors: | |
| Format: | Thesis |
| Language: | English |
| Published: |
Department of Public Health and Family Medicine
2014
|
| Subjects: | |
| Tags: |
No Tags, Be the first to tag this record!
|
| _version_ | 1867614490491617280 |
|---|---|
| access_status_str | Open Access |
| author | Mathews, Catherine |
| author2 | Coetzee, Nicol |
| author_browse | Coetzee, Nicol Mathews, Catherine |
| author_facet | Coetzee, Nicol Mathews, Catherine |
| author_sort | Mathews, Catherine |
| collection | Thesis |
| description | Bibliography: p. 171-172. |
| format | Thesis |
| id | oai:open.uct.ac.za:11427/9377 |
| institution | University of Cape Town (South Africa) |
| language | eng |
| last_indexed | 2026-06-10T12:52:52.530Z |
| license_str | Not specified — see source repository |
| provenance_str_mv | Harvested via OAI-PMH from UCTD — University of Cape Town Open Access Repository |
| publishDate | 2014 |
| publishDateRange | 2014 |
| publishDateSort | 2014 |
| publisher | Department of Public Health and Family Medicine |
| publisherStr | Department of Public Health and Family Medicine |
| record_format | dspace |
| source_str | UCTD — University of Cape Town Open Access Repository |
| spelling | oai:open.uct.ac.za:11427/9377 Strategies for sexually transmitted infection partner notification Mathews, Catherine Coetzee, Nicol Myers, Jonny Public Health and Primary Health Care Bibliography: p. 171-172. South Africa's HIV epidemic has increased rapidly over the last 10 years, and developing effective strategies to curb it is a priority. The presence of other sexually transmitted infections (STIs) facilitates the sexual transmission of HIV, and the control of STIs has been shown to be an effective way of reducing HIV incidence. One component of the process of STI control is partner notification: a process whereby the sexual partners of patients who have been diagnosed with an STI are informed of their exposure to infection and of the importance of obtaining effective treatment. Partner notification is one of the two strategies to reach and treat asymptomatic and unrecognised STIs, which are highly prevalent in South Africa. Unfortunately, current partner notification strategies are not very effective, and there is a need to improve their effectiveness. This thesis investigates strategies to improve partner notification in South Africa. This aim is achieved through three separate studies. The first is a systematic review of published and unpublished randomized controlled trials (RCTs) conducted around the world, comparing the effects various partner notification strategies, in an attempt to uncover evidence of effective strategies. The review uses methods advocated by the Cochrane Collaboration. Eleven RCTs were found, including 8014 participants, only two of which were conducted in developing countries. The review found moderately strong evidence that either provider referral alone, or the choice between patient and provider referral, or contract referral, when compared with patient referral, improved partner notification. This evidence is of limited value in South Africa, where public health services have not been able to implement provider or contract referral due to the prohibitive staffing costs involved. The review also found that verbal, nurse-given health education together with intense patient-centred counselling by lay workers, when compared with standard care results in small increases in the rate of partners treated. The review concludes that there is a need for evaluations of patient education interventions (including audiovisual presentations), of interventions combining provider training and patient education, and for evaluations to be conducted in developing countries. Further, there is a need to measure potential harmful effects, such as domestic violence, to ensure that partner notification does more good than harm. 2014-11-08T08:06:36Z 2014-11-08T08:06:36Z 2002 Doctoral Thesis Doctoral PhD http://hdl.handle.net/11427/9377 eng application/pdf Department of Public Health and Family Medicine Faculty of Health Sciences University of Cape Town |
| spellingShingle | Public Health and Primary Health Care Mathews, Catherine Strategies for sexually transmitted infection partner notification |
| thesis_degree_str | Doctoral |
| title | Strategies for sexually transmitted infection partner notification |
| title_full | Strategies for sexually transmitted infection partner notification |
| title_fullStr | Strategies for sexually transmitted infection partner notification |
| title_full_unstemmed | Strategies for sexually transmitted infection partner notification |
| title_short | Strategies for sexually transmitted infection partner notification |
| title_sort | strategies for sexually transmitted infection partner notification |
| topic | Public Health and Primary Health Care |
| url | http://hdl.handle.net/11427/9377 |
| work_keys_str_mv | AT mathewscatherine strategiesforsexuallytransmittedinfectionpartnernotification |