Evidence map›Paper›PMID 27849369›Full record

Trial reportAIDS patient care and STDs2016

Understanding Barriers to Scaling Up HIV-Assisted Partner Services in Kenya.

Marielle Goyette, Beatrice Muthoni Wamuti, Mercy Owuor, David Bukusi, Peter Mutiti Maingi, Felix Abuna Otieno, Peter Cherutich, Anne Ng'ang'a, Carey Farquhar

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in AIDS patient care and STDs, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 2 pooled it
1.3field-weighted citation impact, top 19% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 2 syntheses or guidelines pooled it, 26 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

9 authors at 3 institutions in 2 countries.

Marielle Goyette1 Department of Epidemiology, University of Washington , Seattle, Washington.
Beatrice Muthoni Wamuti2 Department of Research and Programs, Kenyatta National Hospital , Nairobi, Kenya .
Mercy Owuor2 Department of Research and Programs, Kenyatta National Hospital , Nairobi, Kenya .
David Bukusi3 Department of Voluntary Counseling and Testing (VCT) and HIV Prevention Unit, Kenyatta National Hospital , Nairobi, Kenya .
Peter Mutiti Maingi3 Department of Voluntary Counseling and Testing (VCT) and HIV Prevention Unit, Kenyatta National Hospital , Nairobi, Kenya .
Felix Abuna Otieno2 Department of Research and Programs, Kenyatta National Hospital , Nairobi, Kenya .
Peter Cherutich4 National AIDS & STI Control Program (NASCOP), Kenya Ministry of Health , Nairobi, Kenya .
Anne Ng'ang'a4 National AIDS & STI Control Program (NASCOP), Kenya Ministry of Health , Nairobi, Kenya .
Carey Farquhar1 Department of Epidemiology, University of Washington , Seattle, Washington.
Kenyatta National Hospital · KENational Aids Control Council · KEUniversity of Washington · US

Funding

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 AI099974
6 · The paper itself

Abstract

Assisted partner services (APS) are more effective than passive referral in identifying new cases of HIV in many settings. Understanding the barriers to the uptake of APS in sub-Saharan Africa is important before its scale up. In this qualitative study, we explored client, community, and healthcare worker barriers to APS within a cluster randomized trial of APS in Kenya. We conducted 20 in-depth interviews with clients who declined enrollment in the APS study and 9 focus group discussions with health advisors, HIV testing and counseling (HTC) counselors, and the general HTC client population. Two analysts coded the data using an open coding approach and identified major themes and subthemes. Many participants reported needing more time to process an HIV-positive result before providing partner information. Lack of trust in the HTC counselor led many to fear a breach of confidentiality, which exacerbated the fears of stigma in the community and relationship conflicts. The type of relationship affected the decision to provide partner information, and the lack of understanding of APS at the community level contributed to the discomfort in enrolling in the study. Establishing trust between the client and HTC counselor may increase uptake of APS in Kenya. A client's decision to provide partner information may depend on the type of relationship he or she is in, and alternative methods of disclosure may need to be offered to accommodate different contexts. Spreading awareness about APS in the community may make clients more comfortable providing partner information.

Indexed as

Attitude of Health PersonnelHealth Knowledge, Attitudes, PracticeSocial StigmaAdultConfidentialityContact TracingCounselingDisclosureFearFemaleFocus GroupsHealth PersonnelHIV InfectionsHumansInterviews as TopicKenyaAfricaassisted partner servicesattitudeHIVqualitative research

Identifiers

PMID27849369
PMCPMC5116694
OpenAlexW2559525481

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.