Evidence map›Paper›PMID 25884936›Full record

Trial reportImplementation science : IS2015

Assisted partner notification services to augment HIV testing and linkage to care in Kenya: study protocol for a cluster randomized trial.

Beatrice Muthoni Wamuti, Laura Kelly Erdman, Peter Cherutich, Matthew Golden, Matthew Dunbar, David Bukusi, Barbra Richardson, Anne Ng'ang'a, Ruanne Barnabas, Peter Maingi Mutiti and 5 more

Registry-linked trialOpen access · goldAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Implementation science : IS, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01616420 (Assisted Partner Notification to Augment HIV Treatment and Prevention in Kenya), which is not on this map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
1.9field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01616420 nacompletednot on this map

Assisted Partner Notification to Augment HIV Treatment and Prevention in Kenya

TypeinterventionalSponsorUniversity of WashingtonRan2012 to 2015Enrolled2,424ConditionsHIVArmsAssisted-partner notification services
3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 1 synthesis or guideline pooled it, 34 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors at 5 institutions in 3 countries.

Beatrice Muthoni WamutiDepartment of Research and Programs, Kenyatta National Hospital, Hospital Road, Upper Hill, Nairobi, 00202, Kenya. bwamuti@gmail.com.
Laura Kelly ErdmanDepartment of Pediatrics, University of Toronto, Hospital for Sick Children, 555 University Avenue, Toronto, ON, M5G 1X8, Canada. laura.erdman@utoronto.ca.
Peter CherutichNASCOP, Ministry of Health, Government of Kenya, Kenyatta National Hospital Grounds, P.O. Box 19361-00202, Nairobi, Kenya. pcheru@uw.edu.
Matthew GoldenDepartment of Epidemiology, University of Washington, 1959 NE Pacific Street, Health Sciences Building F-250, Seattle, WA, 98195-7236, USA. golden@uw.edu.
Matthew DunbarCenter for Studies in Demography and Ecology, University of Washington, 206 Raitt Hall, Seattle, WA, 98195-3412, USA. mddunbar@uw.edu.
David BukusiVCT and HIV Prevention Unit, Kenyatta National Hospital, Hospital Road, Upper Hill, Nairobi, 00202, Kenya. davidbukusi@gmail.com.
Barbra RichardsonDepartment of Global Health, University of Washington, 1510 NE San Juan Road, Seattle, WA, 98195-7965, USA. barbrar@uw.edu.
Anne Ng'ang'aNASCOP, Ministry of Health, Government of Kenya, Kenyatta National Hospital Grounds, P.O. Box 19361-00202, Nairobi, Kenya. annie@nascop.or.ke.
Ruanne BarnabasDepartment of Epidemiology, University of Washington, 1959 NE Pacific Street, Health Sciences Building F-250, Seattle, WA, 98195-7236, USA. rbarnaba@uw.edu.
Peter Maingi MutitiVCT and HIV Prevention Unit, Kenyatta National Hospital, Hospital Road, Upper Hill, Nairobi, 00202, Kenya. pmaingi08@gmail.com.
Paul MachariaNASCOP, Ministry of Health, Government of Kenya, Kenyatta National Hospital Grounds, P.O. Box 19361-00202, Nairobi, Kenya. macharia.m.paul@gmail.com.
Mable JeropDepartment of Research and Programs, Kenyatta National Hospital, Hospital Road, Upper Hill, Nairobi, 00202, Kenya. jmabz86@gmail.com.
Felix Abuna OtienoDepartment of Research and Programs, Kenyatta National Hospital, Hospital Road, Upper Hill, Nairobi, 00202, Kenya. fabuna@yahoo.com.
Danielle PooleDepartment of Global Health and Population, Harvard University, 655 Huntington Avenue, Boston, MA, 02115, USA. danielle.n.poole@gmail.com.
Carey FarquharDepartment of Epidemiology, University of Washington, 1959 NE Pacific Street, Health Sciences Building F-250, Seattle, WA, 98195-7236, USA. cfarq@uw.edu.
Kenyatta National Hospital · KEUniversity of Washington · USHarvard University · USMinistry of Health · KESickKids Foundation · CA

Funding

Methods and Data CoreR24HD042828 · NICHD · UNIVERSITY OF WASHINGTON · PI ELLIS, JOHN MARK · 2002 to 2016
$9.3M
Scientific/Technical CoreP2CHD042828 · NICHD · UNIVERSITY OF WASHINGTON · PI SARA R. CURRAN · 2017 to 2026
$6.3M
Assisted Partner Notification to Augment HIV Treatment and Prevention in KenyaR01AI099974 · NIAID · UNIVERSITY OF WASHINGTON · PI FARQUHAR, CAREY · 2012 to 2014
$2.6M
HIV-1 and Protective Immunity against Common Childhood PathogensK24AI087399 · NIAID · UNIVERSITY OF WASHINGTON · PI FARQUHAR, CAREY · 2010 to 2014
$647k
NIAID NIH HHS K24 AI087399NIAID NIH HHS R01 AI099974NIAID NIH HHS R01 AI1099974NICHD NIH HHS P2C HD042828NICHD NIH HHS R24 HD042828
6 · The paper itself

Abstract

backgroundHIV case-finding and linkage to care are critical for control of HIV transmission. In Kenya, >50% of seropositive individuals are unaware of their status. Assisted partner notification is a public health strategy that provides HIV testing to individuals with sexual exposure to HIV and are at risk of infection and disease. This parallel, cluster-randomized controlled trial will evaluate the effectiveness, cost-effectiveness, and feasibility of implementing HIV assisted partner notification services at HIV testing sites (clusters) in Kenya. METHODS/

designEighteen sites were selected among health facilities in Kenya with well-established, high-volume HIV testing programs, to reflect diverse communities and health-care settings. Restricted randomization was used to balance site characteristics between study arms (n = 9 per arm). Sixty individuals testing HIV positive ('index partners') will be enrolled per site (inclusion criteria: ≥18 years, positive HIV test at a study site, willing to disclose sexual partners, and never enrolled for HIV care; exclusion criteria: pregnancy or high risk of intimate partner violence). Index partners provide names and contact information for all sexual partners in the past 3 years. At intervention sites, study staff immediately contact sexual partners to notify them of exposure, offer HIV testing, and link to care if HIV seropositive. At control sites, passive partner referral is performed according to national guidelines, and assisted partner notification is delayed by 6 weeks. Primary outcomes, assessed 6 weeks after index partner enrollment and analyzed at the cluster level, are the number of partners accepting HIV testing and number of HIV infections diagnosed and linked to care per index partner. Secondary outcomes are the incremental cost-effectiveness of partner notification and the costs of identifying >1 partner per index case. Participants are closely monitored for adverse outcomes, particularly intimate partner violence. The study is unblinded due to practical limitations. DISCUSSION: This rigorously designed trial will inform policy decisions regarding implementation of HIV partner notification services in Kenya, with possible application to other parts of sub-Saharan Africa. Examination of effectiveness and cost-effectiveness in diverse settings will enable targeted application and define best practices.

trial registrationClinicalTrials.gov NCT01616420 .

Indexed as

AdultAIDS SerodiagnosisClinical ProtocolsContact TracingCost-Benefit AnalysisFemaleHIV InfectionsHumansIntimate Partner ViolenceKenyaMaleProgram EvaluationSexual Partners

Identifiers

PMID25884936
PMCPMC4342094
OpenAlexW2111081430

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.