Patient-led partner referral enhances sexually transmitted disease service delivery in two towns in the Central African Republic

In Bambari and Bria, 2 towns in the Central African Republic (CAR), we analysed a patient-led partner referral programme within enhanced sexually transmitted disease (STD) services. New (index) patients received syndromic management, counselling about notifying and treating contacts, and vouchers fo...

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Bibliographic Details
Published inInternational journal of STD & AIDS Vol. 10; no. 6; pp. 376 - 382
Main Authors Koumans, E H, Barker, K, Massanga, M, Hawkins, R V, Somse, P, Parker, K A, Moran, J
Format Journal Article
LanguageEnglish
Published London, England SAGE Publications 01.06.1999
Royal Society of Medicine Press
Subjects
Adolescent
Adult
AIDS/HIV
Biological and medical sciences
Central African Republic
Female
General aspects
Health Services
Human infectious diseases. Experimental studies and models
Humans
Infectious diseases
Male
Medical sciences
Risk-Taking
Sexual Partners
Sexually Transmitted Diseases
Tropical medicine
Africa
Central African Republic
Partner notification
STD
Central African Republic
Human
Prevention
Sanitary program
Sexually transmitted disease
Condom
Sex partner
Method
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Summary:In Bambari and Bria, 2 towns in the Central African Republic (CAR), we analysed a patient-led partner referral programme within enhanced sexually transmitted disease (STD) services. New (index) patients received syndromic management, counselling about notifying and treating contacts, and vouchers for distribution. From October 1993 to February 1996, 5232 and 4320 patient visits, of which 1814 (35%) and 4320 (30%) were contact referral visits, were logged in Bambari and Bria, respectively. Vouchers were distributed for at least 90% of contacts. Index and contact patients had similar age and sex distributions. In both towns, having a spouse (Bambari: odds ratio [OR] 1.5, 95% confidence interval [CI] 1.4–1.7; Bria: OR 1.9, 95% CI 1.5–2.3) was a factor associated with successful referral of a partner. Successful referral was accomplished by both male and female patients. Appropriate counselling techniques and vouchers facilitated partner referral. Further research on how to reach casual partners would enhance STD control efforts using patient-led partner referral.
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ISSN:0956-4624
1758-1052
DOI:10.1177/095646249901000605