{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T09:56:56Z","timestamp":1753869416373,"version":"3.41.2"},"reference-count":25,"publisher":"Wiley","issue":"S1","license":[{"start":{"date-parts":[[2024,7,5]],"date-time":"2024-07-05T00:00:00Z","timestamp":1720137600000},"content-version":"vor","delay-in-days":4,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000060","name":"National Institute of Allergy and Infectious Diseases","doi-asserted-by":"publisher","award":["R01AI134130"],"award-info":[{"award-number":["R01AI134130"]}],"id":[{"id":"10.13039\/100000060","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000025","name":"National Institute of Mental Health","doi-asserted-by":"publisher","award":["K01MH115789"],"award-info":[{"award-number":["K01MH115789"]}],"id":[{"id":"10.13039\/100000025","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000061","name":"Fogarty International Center","doi-asserted-by":"publisher","award":["D43 TW009580","D43 TW009783","D43 TW010905"],"award-info":[{"award-number":["D43 TW009580","D43 TW009783","D43 TW010905"]}],"id":[{"id":"10.13039\/100000061","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Int AIDS Soc."],"published-print":{"date-parts":[[2024,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Assisted partner services (APS), or exposure notification and HIV testing for sexual partners of persons diagnosed HIV positive (index clients), is recommended by the World Health Organization. Most APS literature focuses on outcomes among index clients and their partners. There is little data on the benefits of providing APS to partners of partners diagnosed with HIV.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We utilized data from a large\u2010scale APS implementation project across 31 facilities in western Kenya from 2018 to 2022. Females testing HIV positive at facilities were offered APS; those who consented provided contact information for all male sexual partners in the last 3 years. Male partners were notified of their potential HIV exposure and offered HIV testing services (HTS). Males newly testing positive were also offered APS and asked to provide contact information for their female partners in the last 3 years. Female partners of male partners (FPPs) were provided exposure notification and HTS. All participants with HIV were followed up at 12 months post\u2010enrolment to assess linkage\u2010to antiretroviral treatment (ART) and viral suppression. We compared HIV positivity, demographics and linkage outcomes among female index clients and FPPs.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Overall, 5708 FPPs were elicited from male partners, of whom 4951 received HTS through APS (87% coverage); 291 FPPs newly tested HIV positive (6% yield), an additional 1743 (35.2%) reported a prior HIV diagnosis, of whom 99% were on ART at baseline. At 12 months follow\u2010up, most FPPs were taking ART (92%) with very few adverse events: &lt;1% reported intimate partner violence or reported relationship dissolution. FPPs were more likely than female index clients to report HIV risk behaviours including no condom use at last sex (45% vs. 30%) and multiple partners (38% vs. 19%).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Providing HIV testing via APS to FPP is a safe and effective strategy to identify newly diagnosed females and achieve high linkage and retention to ART and can be an efficient means of identifying HIV cases in the era of declining HIV incidence. The high proportion of FPPs reporting HIV risk behaviours suggests APS may help interrupt community HIV transmission via increased knowledge of HIV status and linkage to treatment.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jia2.26280","type":"journal-article","created":{"date-parts":[[2024,7,5]],"date-time":"2024-07-05T07:50:27Z","timestamp":1720165827000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Providing HIV\u2010assisted partner services to partners of partners in western Kenya: an implementation science study"],"prefix":"10.1002","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7599-1561","authenticated-orcid":false,"given":"Monisha","family":"Sharma","sequence":"first","affiliation":[{"name":"Department of Global Health University of Washington  Seattle Washington USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Barbara Wanjiku","family":"Mambo","sequence":"additional","affiliation":[{"name":"Ministry of Health  Nairobi Kenya"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hanley","family":"Kingston","sequence":"additional","affiliation":[{"name":"Department of Global Health University of Washington  Seattle Washington USA"},{"name":"Institute of Public Health Genetics University of Washington  Seattle WA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"George","family":"Otieno","sequence":"additional","affiliation":[{"name":"PATH\u2010Kenya  Kisumu Kenya"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9836-4616","authenticated-orcid":false,"given":"Sarah","family":"Masyuko","sequence":"additional","affiliation":[{"name":"Department of Global Health University of Washington  Seattle Washington USA"},{"name":"Ministry of Health  Nairobi Kenya"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Harison","family":"Lagat","sequence":"additional","affiliation":[{"name":"School of Nursing University of Washington  Seattle Washington USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7786-0194","authenticated-orcid":false,"given":"David A.","family":"Katz","sequence":"additional","affiliation":[{"name":"Department of Global Health University of Washington  Seattle Washington USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Beatrice","family":"Wamuti","sequence":"additional","affiliation":[{"name":"Department of Global Health University of Washington  Seattle Washington USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paul","family":"Macharia","sequence":"additional","affiliation":[{"name":"School of Computing and Engineering Sciences Strathmore University  Nairobi Kenya"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rose","family":"Bosire","sequence":"additional","affiliation":[{"name":"Centre for Public Health Research Kenya Medical Research Institute (KEMRI)  Nairobi Kenya"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mary","family":"Mugambi","sequence":"additional","affiliation":[{"name":"Ministry of Health  Nairobi Kenya"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Edward","family":"Kariithi","sequence":"additional","affiliation":[{"name":"PATH\u2010Kenya  Kisumu Kenya"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8575-3439","authenticated-orcid":false,"given":"Carey","family":"Farquhar","sequence":"additional","affiliation":[{"name":"Department of Global Health University of Washington  Seattle Washington USA"},{"name":"School of Nursing University of Washington  Seattle Washington USA"},{"name":"Department of Epidemiology University of Washington  Seattle Washington USA"},{"name":"Department of Medicine University of Washington  Seattle Washington USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,7,5]]},"reference":[{"key":"e_1_2_12_2_1","unstructured":"Joint United Nations Programme on HIV\/.In Danger: UNAIDS Global AIDS Update 2022 [Internet].Geneva:2022[cited 2023 Aug 24]. 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