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

Abstract:

: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.

journal_name

Int J STD AIDS

authors

Koumans EH,Barker K,Massanga M,Hawkins RV,Somse P,Parker KA,Moran J

subject

Has Abstract

pub_date

1999-06-01 00:00:00

pages

376-82

issue

6

eissn

0956-4624

issn

1758-1052

journal_volume

10

pub_type

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