{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,7]],"date-time":"2026-02-07T09:03:00Z","timestamp":1770454980340,"version":"3.49.0"},"reference-count":26,"publisher":"Wiley","issue":"S3","license":[{"start":{"date-parts":[[2019,7,19]],"date-time":"2019-07-19T00:00:00Z","timestamp":1563494400000},"content-version":"vor","delay-in-days":18,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["R01 MH095507"],"award-info":[{"award-number":["R01 MH095507"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000865","name":"Bill and Melinda Gates Foundation","doi-asserted-by":"publisher","award":["OPP1056051"],"award-info":[{"award-number":["OPP1056051"]}],"id":[{"id":"10.13039\/100000865","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Intern AIDS Soc"],"published-print":{"date-parts":[[2019,7]]},"abstract":"Abstract<\/jats:title>Introduction<\/jats:title>Partner notification services (PNS<\/jats:styled-content>) increase theHIV<\/jats:styled-content>status knowledge and linkage to care and treatment. However, it is unclear ifPNS<\/jats:styled-content>can facilitate linkage ofHIV<\/jats:styled-content>\u2010negative partners to prevention services such as pre\u2010exposure prophylaxis (PrEP<\/jats:styled-content>). Using qualitative methods, we explored provider perspective regarding the interaction of PrEP<\/jats:styled-content>availability,PNS<\/jats:styled-content>and antiretroviral treatment (ART<\/jats:styled-content>) outcomes within a project integrating PrEP<\/jats:styled-content>services intoHIV<\/jats:styled-content>care clinics in eight counties in western and central Kenya.<\/jats:p><\/jats:sec>Methods<\/jats:title>From May 2017 to August 2018, data on integrated PrEP<\/jats:styled-content>service delivery including its interaction withPNS<\/jats:styled-content>were collected through 71 key informant in\u2010depth interviews with healthcare providers and 24 standardized technical assistance reports summarizing implementation at the participating clinics. Thus, the perspective was from that of providers; analyses focused on emergent themes relatingPNS<\/jats:styled-content>to PrEP<\/jats:styled-content>andART<\/jats:styled-content>services.<\/jats:p><\/jats:sec>Results<\/jats:title>Providers found that PrEP<\/jats:styled-content>integration provided an additional concrete prevention option forHIV<\/jats:styled-content>\u2010negative partners and created a motivation to offerPNS<\/jats:styled-content>to persons living withHIV<\/jats:styled-content>. PrEP<\/jats:styled-content>availability also seemed to operate as an incentive for those living withHIV<\/jats:styled-content>to participate inPNS<\/jats:styled-content>, which in turn enhanced identification of potential PrEP<\/jats:styled-content>clients and created an environment for discussingHIV<\/jats:styled-content>transmission risk. Providers commented that initiatingHIV<\/jats:styled-content>\u2010negative partners on PrEP<\/jats:styled-content>enhanced mutual monitoring of health outcomes, including improved adherence toART<\/jats:styled-content>by partners living withHIV<\/jats:styled-content>. Clinics noted prioritizing people living withHIV<\/jats:styled-content>with detectable viral loads forPNS<\/jats:styled-content>in order to identifyHIV<\/jats:styled-content>\u2010negative partners who would benefit most from PrEP<\/jats:styled-content>. Providers felt motivated by the apparent synergistic interaction ofPNS<\/jats:styled-content>, PrEP<\/jats:styled-content>andART<\/jats:styled-content>.<\/jats:p><\/jats:sec>Conclusions<\/jats:title>Providers felt that the integration of PrEP<\/jats:styled-content>intoHIV<\/jats:styled-content>care clinics stimulated the provision ofPNS<\/jats:styled-content>, andPNS<\/jats:styled-content>was used to improve the identification of potential PrEP<\/jats:styled-content>clients. The integrated combination ofPNS<\/jats:styled-content>, PrEP<\/jats:styled-content>andART<\/jats:styled-content>is synergistic and should be promoted inHIV<\/jats:styled-content>clinics.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jia2.25303","type":"journal-article","created":{"date-parts":[[2019,7,19]],"date-time":"2019-07-19T07:02:41Z","timestamp":1563519761000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":16,"title":["Integrating PrEP<\/scp>intoHIV<\/scp>care clinics could improve partner testing services and reinforce mutual support among couples: provider views from a PrEP<\/scp>implementation project in Kenya"],"prefix":"10.1002","volume":"22","author":[{"given":"Josephine B","family":"Odoyo","sequence":"first","affiliation":[{"name":"Kenya Medical Research Institute Center for Microbiology Research Nairobi Kenya"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jennifer F","family":"Morton","sequence":"additional","affiliation":[{"name":"Department of Global Health University of Washington Seattle WA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kenneth","family":"Ngure","sequence":"additional","affiliation":[{"name":"Department of Global Health University of Washington Seattle WA USA"},{"name":"Department of Community Health Jomo Kenyatta University of Agriculture and Technology Nairobi Kenya"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gabrielle","family":"O'Malley","sequence":"additional","affiliation":[{"name":"Department of Global Health University of Washington Seattle WA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kenneth K","family":"Mugwanya","sequence":"additional","affiliation":[{"name":"Department of Global Health University of Washington Seattle WA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elizabeth","family":"Irungu","sequence":"additional","affiliation":[{"name":"Department of Global Health University of Washington Seattle WA USA"},{"name":"Kenya Medical Research Institute Center for Clinical Research Nairobi Kenya"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Merceline","family":"Awuor","sequence":"additional","affiliation":[{"name":"Kenya Medical Research Institute Center for Microbiology Research Nairobi Kenya"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Annabell","family":"Dolla","sequence":"additional","affiliation":[{"name":"Kenya Medical Research Institute Center for Microbiology Research Nairobi Kenya"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fernandos","family":"Ongolly","sequence":"additional","affiliation":[{"name":"Kenya Medical Research Institute Center for Clinical Research Nairobi Kenya"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elizabeth A","family":"Bukusi","sequence":"additional","affiliation":[{"name":"Kenya Medical Research Institute Center for Microbiology Research Nairobi Kenya"},{"name":"Department of Global Health University of Washington Seattle WA USA"},{"name":"Department of Obstetrics and Gynecology University of Washington Seattle WA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nelly R","family":"Mugo","sequence":"additional","affiliation":[{"name":"Department of Global Health University of Washington Seattle WA USA"},{"name":"Kenya Medical Research Institute Center for Clinical Research Nairobi Kenya"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jared M","family":"Baeten","sequence":"additional","affiliation":[{"name":"Department of Global Health University of Washington Seattle WA USA"},{"name":"Department of Medicine University of Washington Seattle WA USA"},{"name":"Department of Epidemiology University of Washington Seattle WA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"for the Partners Scale\u2010Up Project Team","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2019,7,19]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.12688\/gatesopenres.12752.1"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1108524"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.1002099"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1105243"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/QAD.0000000000001631"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2352-3018(16)30214-4"},{"key":"e_1_2_9_8_1","unstructured":"Ministry of Health and National AIDS & STI Control Programme.Guidelines on use of antiretroviral drugs for treating and preventing HIV infection in Kenya 2016 edition.2016[cited 2019 May 25]. 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