{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,13]],"date-time":"2025-12-13T04:05:07Z","timestamp":1765598707056,"version":"3.48.0"},"reference-count":35,"publisher":"BMJ","issue":"9","license":[{"start":{"date-parts":[[2023,9,20]],"date-time":"2023-09-20T00:00:00Z","timestamp":1695168000000},"content-version":"unspecified","delay-in-days":19,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"name":"the U. S. Department of Health and Human Services, Health Resources and Services Administration (HRSA), Office of Global Health","award":["U91HA06801"],"award-info":[{"award-number":["U91HA06801"]}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2023,8,30]]},"published-print":{"date-parts":[[2023,9]]},"abstract":"\n Objectives<\/jats:title>\n The effectiveness of HIV index testing (IT) in Eastern Europe has not been described. This study reports the performance of a scaled IT programme in Ukraine.<\/jats:p>\n <\/jats:sec>\n \n Design<\/jats:title>\n This observational study included clients enrolled in IT services in 2020, and used routinely collected data from programme registers and the national electronic health record system.<\/jats:p>\n <\/jats:sec>\n \n Setting<\/jats:title>\n The study covered 39 public-sector health facilities where IT services were integrated into medical visits for persons living with HIV (PLHIV) already enrolled in HIV care.<\/jats:p>\n <\/jats:sec>\n \n Participants<\/jats:title>\n Participants included PLHIV with both recent (<6 months) and previously established (\u22656 months) HIV diagnoses.<\/jats:p>\n <\/jats:sec>\n \n Intervention<\/jats:title>\n Ukraine\u2019s physician-led IT model involves a cascade of steps including voluntary informed consent, partner elicitation, selection of partner notification method and follow-up with clients to ensure partners are notified, tested for HIV and linked to HIV prevention and treatment services, as needed.<\/jats:p>\n <\/jats:sec>\n \n Primary and secondary outcome measures<\/jats:title>\n Outcomes included contact index, testing, index and HIV case-finding index disaggregated by index client (IC) subgroups, including people with current or past injection drug use (PWID) and men who have sex with men (MSM).<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n Of 14\u2009525 ICs offered index testing, 51.9% accepted, of whom 98.3% named at least one sexual, injection or biological child partner. In total, 14.9% of ICs were PWID and 3.5% were MSM. Clients named 8448 unique partners (contact index=1.14). HIV case finding averaged 0.14 cases per client, and was highest among clients with recent HIV diagnosis (0.29) and among PWID (0.23), and lower among clients with established HIV diagnosis (0.07). More than 90% of all partners with new HIV diagnoses were linked to care.<\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n There was a high case-finding index among ICs with recent HIV and high linkage to care for all partners, demonstrating the effectiveness of this integrated, physician-led model implemented in 39 health facilities in Ukraine.<\/jats:p>\n <\/jats:sec>","DOI":"10.1136\/bmjopen-2022-070542","type":"journal-article","created":{"date-parts":[[2023,9,20]],"date-time":"2023-09-20T20:51:13Z","timestamp":1695243073000},"page":"e070542","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":3,"title":["Distinctive model for HIV index testing (IT) in Eastern Europe: results of Ukraine\u2019s physician-led, integrated IT programme"],"prefix":"10.1136","volume":"13","author":[{"given":"Alyona P","family":"Ihnatiuk","sequence":"first","affiliation":[{"name":"International Training and Education Center for Health (I-TECH), Kyiv, Ukraine"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anna Y","family":"Shapoval","sequence":"additional","affiliation":[{"name":"International Training and Education Center for Health (I-TECH), Kyiv, Ukraine"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anna P","family":"Kazanzhy","sequence":"additional","affiliation":[{"name":"International Training and Education Center for Health (I-TECH), Kyiv, Ukraine"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Igor V","family":"Kuzin","sequence":"additional","affiliation":[{"name":"Public Health Center, Ministry of Health of Ukraine, Kiiv, Ukraine"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sergii V","family":"Riabokon","sequence":"additional","affiliation":[{"name":"Public Health Center, Ministry of Health of Ukraine, Kiiv, Ukraine"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Solmaz","family":"Shotorbani","sequence":"additional","affiliation":[{"name":"International Training and Education Center for Health, Department of Global Health, University of Washington, Seattle, Washington, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Misti R","family":"McDowell","sequence":"additional","affiliation":[{"name":"International Training and Education Center for Health, Department of Global Health, University of Washington, Seattle, Washington, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matthew R","family":"Golden","sequence":"additional","affiliation":[{"name":"International Training and Education Center for Health, Department of Global Health, University of Washington, Seattle, Washington, USA"},{"name":"HIV\/STD Control Program, Public Health, Seattle & King County, Seattle, Washington, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6693-9278","authenticated-orcid":false,"given":"Nancy H","family":"Puttkammer","sequence":"additional","affiliation":[{"name":"International Training and Education Center for Health, Department of Global Health, University of Washington, Seattle, Washington, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2023,9,20]]},"reference":[{"key":"2025121220014627000_13.9.e070542.1","unstructured":"World Health Organization . Consolidated Guidelines on HIV Testing Services for a Changing Epidemic. Geneva: World Health Organization, 2019."},{"key":"2025121220014627000_13.9.e070542.2","unstructured":"World Health Organization . Guidelines on HIV Self-Testing and Partner Notification: Supplement to Consolidated Guidelines on HIV Testing Services. Geneva: World Health Organization, 2016."},{"key":"2025121220014627000_13.9.e070542.3","doi-asserted-by":"crossref","first-page":"e74","DOI":"10.1016\/S2352-3018(16)30214-4","article-title":"Assisted partner services for HIV in Kenya: a cluster randomised controlled trial","volume":"4","author":"Cherutich","year":"2017","journal-title":"Lancet HIV"},{"key":"2025121220014627000_13.9.e070542.4","doi-asserted-by":"crossref","first-page":"e483","DOI":"10.1016\/S2352-3018(15)00182-4","article-title":"Recruiting male partners for couple HIV testing and counselling in Malawi's option B+ programme: an Unblinded randomised controlled trial","volume":"2","author":"Rosenberg","year":"2015","journal-title":"Lancet HIV"},{"key":"2025121220014627000_13.9.e070542.5","doi-asserted-by":"publisher","DOI":"10.1097\/QAI.0b013e318202bf7d"},{"key":"2025121220014627000_13.9.e070542.6","doi-asserted-by":"publisher","DOI":"10.1093\/heapol\/czs140"},{"key":"2025121220014627000_13.9.e070542.7","doi-asserted-by":"crossref","first-page":"233","DOI":"10.1097\/QAD.0000000000001697","article-title":"Assisted partner notification services are cost-effective for decreasing HIV burden in Western Kenya","volume":"32","author":"Sharma","year":"2018","journal-title":"AIDS"},{"key":"2025121220014627000_13.9.e070542.8","unstructured":"UNAIDS . Testing approaches used: assisted partner notification\/index testing. 2021. 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