INNOVATION
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Innovations in Providing HIV Index Testing Services: A Retrospective Evaluation of Partner Elicitation Models in Southern Nigeria

Caesar C. Dibia, Pius Nwaokoro, Uduak Akpan, Otoyo Toyo, Simon Cartier, Olusola Sanwo, Ngozi Sydney-Agbor, Barinaada Afirima, Kunle Kakanfo, Uwem Essien, Christa Fischer Walker, Hadiza Khamofu, Satish Raj Pandey and Moses Bateganya
Global Health: Science and Practice October 2024, 12(5):e2400013; https://doi.org/10.9745/GHSP-D-24-00013

Figures & Tables

Figures

Tables

  • TABLE 1.

    Characteristics of HIV-Positive Index Clients Offered Index Testing Services Across Selected Health Facilities, March 2021–April 2022

    N=2,705No. (%)
    Sex
     Male911 (33.7)
     Female1,794 (66.3)
    Age, years
     15–24194 (7.2)
     25–492,189 (80.9)
     50+323 (11.9)
    Marital status
     Single908 (35.5)
     Married1,403 (54.8)
     Separated/widowed248 (9.7)
    Type of client
     Newly identified positive535 (20.0)
     Stable on ART2,117 (79.3)
     Unstable on ART19 (0.7)

    • Abbreviation: ART, antiretroviral therapy.

  • TABLE 2.

    Comparative Analysis of Choice of Elicitation Model by Client Characteristics Across Selected Health Facilities, March 2021–April 2022

     Choice of Elicitation, No. (%)
     ConventionalElicitation BoxP Valueχ2
    Overall2,043 (82.3)439 (17.7)
    Sex
     Male699 (81.4)160 (18.6).370.79
     Female1,344 (82.8)279 (17.2)
    Age (years)
     15–24140 (75.7)45 (24.3)<.00127.3
     25–491,660 (81.5)376 (18.5)
     50+243 (93.1)18 (6.9)
    Type of index
     Newly identified positive400 (83.9)77 (16.1).461.54
     Stable on ART1,602 (81.9)354 (18.1)
     Unstable on ART14 (77.8)4 (22.2)
    Marital status
     Single581 (70.9)239 (29.1)<.001162.4
     Married1,259 (91.2)121 (8.8)
     Separated/widowed113 (72.9)42 (27.1)

    • Abbreviations: ART, antiretroviral therapy; χ2, chi-square test statistics.

  • TABLE 3.

    Characteristics of Index Partner Contacts Listed by Elicitation Type

    No. (%)
     Total (N=3,789)Conventional (n=2,543)Elicitation Box (n=1,246)
    Sexa
     Male2,449 (64.6)1,646 (64.7)803 (64.4)
     Female1,340 (35.4)897 (35.3)443 (35.6)
    Age, years   
     15–24231 (6.1)128 (5.0)103 (8.3)
     25–493,199 (84.3)2,110 (82.9)1,089 (87.3)
     50+363 (9.6)307 (12.1)56 (4.4)

    • ↵a No sex documented for 7 elicited partners.

  • TABLE 4.

    HIV Testing Outcomes for Index Partner Contacts Listed by Elicitation Type

    No. (%)
    Characteristics

    Total (N=3,796)

    Conventional Elicitation (n=2,546)

    Elicitation Box (n=1,250)

    		P Valueχ2
    HIV testing status
     Not tested1,105 (29.1)696 (27.3)409 (32.7)
     Declined231 (6.1)141 (33.4)90 (7.2)
     Negative1,382 (36.4)850 (33.4)532 (42.6)
     Known HIV positive876 (23.1)733 (28.8)143 (11.4)
     Newly identified HIV positive202 (53.3)126 (4.9)76 (6.1).130.72
    Testing coverage2,460/3,796 (64.8)1,709/2,546 (67.1)751/1,250 (60.1)<.00118.24
    Testing yield202/1,584 (12.8)126/976 (12.9)76/608 (12.5).810.057
    Linkage to ART202/202 (100)126/126 (100)76/76 (100).130.72

    • Abbreviations: ART, antiretroviral therapy; χ2, chi-square test statistics.

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Innovations in Providing HIV Index Testing Services: A Retrospective Evaluation of Partner Elicitation Models in Southern Nigeria
Caesar C. Dibia, Pius Nwaokoro, Uduak Akpan, Otoyo Toyo, Simon Cartier, Olusola Sanwo, Ngozi Sydney-Agbor, Barinaada Afirima, Kunle Kakanfo, Uwem Essien, Christa Fischer Walker, Hadiza Khamofu, Satish Raj Pandey, Moses Bateganya
Global Health: Science and Practice Oct 2024, 12 (5) e2400013; DOI: 10.9745/GHSP-D-24-00013
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