Wayal, S;
Estcourt, C;
Mercer, C;
Saunders, J;
Low, N;
McKinnon, T;
Symonds, M;
Optimising partner notification outcomes for bacterial sexually transmitted infections: a deliberative process and consensus.
UCL Institute for Global Health: London, UK.
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Abstract
Partner notification (PN) is an essential element of sexually transmitted infection (STI) control. It enables identification, treatment and advice for sexual contacts who may benefit from additional preventive interventions, such as HIV pre-exposure prophylaxis (PrEP). PN is most effective in reducing STI transmission in a population when it reaches individuals who are most likely to have a STI, and to engage in sexual behaviour that facilitates STI transmission, including having multiple and/or new sex partners. Outcomes of PN practice need to be measurable in order to inform standards. They need to address all five stages in the cascade of care: elicitation of partners, establishing contactable partners, notification, testing and treatment. In the United Kingdom, established outcome measures cover only the first three stages and do not take into account the type of sexual partnership. We report on an evidence-based process used to develop new PN outcomes and inform standards of care. We undertook a systematic literature review, evaluation of published information on types of sexual partnership, and a modified Delphi process to reach consensus. We propose six new PN outcome measures at five stages of the cascade, including stratification for sex partnership type. Our framework for PN outcome measurement has potential to contribute in other domains, notably Covid-19.
| Type: | Working / discussion paper |
|---|---|
| Title: | Optimising partner notification outcomes for bacterial sexually transmitted infections: a deliberative process and consensus |
| Open access status: | An open access version is available from UCL Discovery |
| Publisher version: | https://www.ucl.ac.uk/global-health/ |
| Language: | English |
| Keywords: | STI, Partner Notification |
| UCL classification: | UCL UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute for Global Health UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute for Global Health > Infection and Population Health |
| URI: | https://discovery.ucl.ac.uk/id/eprint/10137905 |
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