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<title xml:lang="en">Recruiting the Social Contacts of STI Patients for HIV Screening in Lilongwe, Malawi: Process Evaluation and Assessment of Acceptability</title>
<author>
<name sortKey="Rosenberg, Nora E" sort="Rosenberg, Nora E" uniqKey="Rosenberg N" first="Nora E." last="Rosenberg">Nora E. Rosenberg</name>
<affiliation>
<nlm:aff id="A1">UNC Project, UNC Chapel Hill, Lilongwe, Malawi</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A3">Department of Epidemiology, UNC Chapel Hill, Chapel Hill, USA</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A4">Department of Medicine, UNC Chapel Hill, Chapel Hill, USA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Stanley, Christopher" sort="Stanley, Christopher" uniqKey="Stanley C" first="Christopher" last="Stanley">Christopher Stanley</name>
<affiliation>
<nlm:aff id="A1">UNC Project, UNC Chapel Hill, Lilongwe, Malawi</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Rutstein, Sarah E" sort="Rutstein, Sarah E" uniqKey="Rutstein S" first="Sarah E." last="Rutstein">Sarah E. Rutstein</name>
<affiliation>
<nlm:aff id="A2">Department of Health Policy and Management, UNC Chapel Hill, Chapel Hill, USA</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A4">Department of Medicine, UNC Chapel Hill, Chapel Hill, USA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Bonongwe, Naomi" sort="Bonongwe, Naomi" uniqKey="Bonongwe N" first="Naomi" last="Bonongwe">Naomi Bonongwe</name>
<affiliation>
<nlm:aff id="A1">UNC Project, UNC Chapel Hill, Lilongwe, Malawi</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Kamanga, Gift" sort="Kamanga, Gift" uniqKey="Kamanga G" first="Gift" last="Kamanga">Gift Kamanga</name>
<affiliation>
<nlm:aff id="A1">UNC Project, UNC Chapel Hill, Lilongwe, Malawi</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A2">Department of Health Policy and Management, UNC Chapel Hill, Chapel Hill, USA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Pettifor, Audrey" sort="Pettifor, Audrey" uniqKey="Pettifor A" first="Audrey" last="Pettifor">Audrey Pettifor</name>
<affiliation>
<nlm:aff id="A3">Department of Epidemiology, UNC Chapel Hill, Chapel Hill, USA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Mpanje, Clement" sort="Mpanje, Clement" uniqKey="Mpanje C" first="Clement" last="Mpanje">Clement Mpanje</name>
<affiliation>
<nlm:aff id="A1">UNC Project, UNC Chapel Hill, Lilongwe, Malawi</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Martinson, Francis" sort="Martinson, Francis" uniqKey="Martinson F" first="Francis" last="Martinson">Francis Martinson</name>
<affiliation>
<nlm:aff id="A1">UNC Project, UNC Chapel Hill, Lilongwe, Malawi</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A4">Department of Medicine, UNC Chapel Hill, Chapel Hill, USA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Hoffman, Irving F" sort="Hoffman, Irving F" uniqKey="Hoffman I" first="Irving F." last="Hoffman">Irving F. Hoffman</name>
<affiliation>
<nlm:aff id="A1">UNC Project, UNC Chapel Hill, Lilongwe, Malawi</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A4">Department of Medicine, UNC Chapel Hill, Chapel Hill, USA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Miller, William C" sort="Miller, William C" uniqKey="Miller W" first="William C." last="Miller">William C. Miller</name>
<affiliation>
<nlm:aff id="A3">Department of Epidemiology, UNC Chapel Hill, Chapel Hill, USA</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A4">Department of Medicine, UNC Chapel Hill, Chapel Hill, USA</nlm:aff>
</affiliation>
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<idno type="pmc">5290540</idno>
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<idno type="RBID">PMC:5290540</idno>
<idno type="doi">10.1136/sextrans-2015-052496</idno>
<date when="2016">2016</date>
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<title xml:lang="en" level="a" type="main">Recruiting the Social Contacts of STI Patients for HIV Screening in Lilongwe, Malawi: Process Evaluation and Assessment of Acceptability</title>
<author>
<name sortKey="Rosenberg, Nora E" sort="Rosenberg, Nora E" uniqKey="Rosenberg N" first="Nora E." last="Rosenberg">Nora E. Rosenberg</name>
<affiliation>
<nlm:aff id="A1">UNC Project, UNC Chapel Hill, Lilongwe, Malawi</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A3">Department of Epidemiology, UNC Chapel Hill, Chapel Hill, USA</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A4">Department of Medicine, UNC Chapel Hill, Chapel Hill, USA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Stanley, Christopher" sort="Stanley, Christopher" uniqKey="Stanley C" first="Christopher" last="Stanley">Christopher Stanley</name>
<affiliation>
<nlm:aff id="A1">UNC Project, UNC Chapel Hill, Lilongwe, Malawi</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Rutstein, Sarah E" sort="Rutstein, Sarah E" uniqKey="Rutstein S" first="Sarah E." last="Rutstein">Sarah E. Rutstein</name>
<affiliation>
<nlm:aff id="A2">Department of Health Policy and Management, UNC Chapel Hill, Chapel Hill, USA</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A4">Department of Medicine, UNC Chapel Hill, Chapel Hill, USA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Bonongwe, Naomi" sort="Bonongwe, Naomi" uniqKey="Bonongwe N" first="Naomi" last="Bonongwe">Naomi Bonongwe</name>
<affiliation>
<nlm:aff id="A1">UNC Project, UNC Chapel Hill, Lilongwe, Malawi</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Kamanga, Gift" sort="Kamanga, Gift" uniqKey="Kamanga G" first="Gift" last="Kamanga">Gift Kamanga</name>
<affiliation>
<nlm:aff id="A1">UNC Project, UNC Chapel Hill, Lilongwe, Malawi</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A2">Department of Health Policy and Management, UNC Chapel Hill, Chapel Hill, USA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Pettifor, Audrey" sort="Pettifor, Audrey" uniqKey="Pettifor A" first="Audrey" last="Pettifor">Audrey Pettifor</name>
<affiliation>
<nlm:aff id="A3">Department of Epidemiology, UNC Chapel Hill, Chapel Hill, USA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Mpanje, Clement" sort="Mpanje, Clement" uniqKey="Mpanje C" first="Clement" last="Mpanje">Clement Mpanje</name>
<affiliation>
<nlm:aff id="A1">UNC Project, UNC Chapel Hill, Lilongwe, Malawi</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Martinson, Francis" sort="Martinson, Francis" uniqKey="Martinson F" first="Francis" last="Martinson">Francis Martinson</name>
<affiliation>
<nlm:aff id="A1">UNC Project, UNC Chapel Hill, Lilongwe, Malawi</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A4">Department of Medicine, UNC Chapel Hill, Chapel Hill, USA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Hoffman, Irving F" sort="Hoffman, Irving F" uniqKey="Hoffman I" first="Irving F." last="Hoffman">Irving F. Hoffman</name>
<affiliation>
<nlm:aff id="A1">UNC Project, UNC Chapel Hill, Lilongwe, Malawi</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A4">Department of Medicine, UNC Chapel Hill, Chapel Hill, USA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Miller, William C" sort="Miller, William C" uniqKey="Miller W" first="William C." last="Miller">William C. Miller</name>
<affiliation>
<nlm:aff id="A3">Department of Epidemiology, UNC Chapel Hill, Chapel Hill, USA</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A4">Department of Medicine, UNC Chapel Hill, Chapel Hill, USA</nlm:aff>
</affiliation>
</author>
</analytic>
<series>
<title level="j">Sexually transmitted infections</title>
<idno type="ISSN">1368-4973</idno>
<idno type="eISSN">1472-3263</idno>
<imprint>
<date when="2016">2016</date>
</imprint>
</series>
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</teiHeader>
<front>
<div type="abstract" xml:lang="en">
<sec id="S1">
<title>Objectives</title>
<p id="P1">To explore acceptability of recruiting social contacts for HIV and STI screening in Lilongwe, Malawi.</p>
</sec>
<sec id="S2">
<title>Methods</title>
<p id="P2">In this observational study, three groups of “seed” patients were enrolled: 45 HIV-infected STI patients, 45 HIV-uninfected STI patients, and 45 community controls, who were also tested for HIV as part of the study. Each seed was given five coupons and asked to recruit up to five social contacts to the STI clinic. Seeds were told the programme for contacts would include HIV testing, STI screening, and general health promotion. Seeds were asked to return after one month to report on the contact recruitment process. Seeds received $2 for each successfully recruited contact.</p>
</sec>
<sec id="S3">
<title>Results</title>
<p id="P3">Eighty-nine seeds (66%) returned for one-month follow-up with no difference between the three seed groups (p=0.9). Returning seeds reported distributing most of their coupons (mean=4.1) and discussing each feature of the programme with most contacts—HIV testing (90%), STI screening (87%), and health promotion (91%). Seeds reported discussing their own HIV status with most contacts (52%), with a lower proportion of HIV-infected seeds discussing their HIV status (22%) than HIV-uninfected seeds (81%) or community seeds (64%) (p<0.001). Contact recruitment did not vary with socioeconomic status.</p>
</sec>
<sec id="S4">
<title>Conclusions</title>
<p id="P4">Most seeds distributed all coupons and reported describing all aspects of the programme to most contacts. STI patients are able to act as health promoters within their social networks and may be a critical link to increasing STI and HIV status awareness among high risk groups.</p>
</sec>
</div>
</front>
</TEI>
<pmc article-type="research-article">
<pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<pmc-dir>properties manuscript</pmc-dir>
<front>
<journal-meta>
<journal-id journal-id-type="nlm-journal-id">9805554</journal-id>
<journal-id journal-id-type="pubmed-jr-id">21009</journal-id>
<journal-id journal-id-type="nlm-ta">Sex Transm Infect</journal-id>
<journal-id journal-id-type="iso-abbrev">Sex Transm Infect</journal-id>
<journal-title-group>
<journal-title>Sexually transmitted infections</journal-title>
</journal-title-group>
<issn pub-type="ppub">1368-4973</issn>
<issn pub-type="epub">1472-3263</issn>
</journal-meta>
<article-meta>
<article-id pub-id-type="pmid">27177775</article-id>
<article-id pub-id-type="pmc">5290540</article-id>
<article-id pub-id-type="doi">10.1136/sextrans-2015-052496</article-id>
<article-id pub-id-type="manuscript">NIHMS845995</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Article</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Recruiting the Social Contacts of STI Patients for HIV Screening in Lilongwe, Malawi: Process Evaluation and Assessment of Acceptability</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Rosenberg</surname>
<given-names>Nora E.</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
<xref ref-type="aff" rid="A3">3</xref>
<xref ref-type="aff" rid="A4">4</xref>
<xref rid="FN1" ref-type="author-notes">§</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Stanley</surname>
<given-names>Christopher</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Rutstein</surname>
<given-names>Sarah E.</given-names>
</name>
<xref ref-type="aff" rid="A2">2</xref>
<xref ref-type="aff" rid="A4">4</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Bonongwe</surname>
<given-names>Naomi</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Kamanga</surname>
<given-names>Gift</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
<xref ref-type="aff" rid="A2">2</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Pettifor</surname>
<given-names>Audrey</given-names>
</name>
<xref ref-type="aff" rid="A3">3</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Mpanje</surname>
<given-names>Clement</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Martinson</surname>
<given-names>Francis</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
<xref ref-type="aff" rid="A4">4</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Hoffman</surname>
<given-names>Irving F.</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
<xref ref-type="aff" rid="A4">4</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Miller</surname>
<given-names>William C.</given-names>
</name>
<xref ref-type="aff" rid="A3">3</xref>
<xref ref-type="aff" rid="A4">4</xref>
</contrib>
</contrib-group>
<aff id="A1">
<label>1</label>
UNC Project, UNC Chapel Hill, Lilongwe, Malawi</aff>
<aff id="A2">
<label>2</label>
Department of Health Policy and Management, UNC Chapel Hill, Chapel Hill, USA</aff>
<aff id="A3">
<label>3</label>
Department of Epidemiology, UNC Chapel Hill, Chapel Hill, USA</aff>
<aff id="A4">
<label>4</label>
Department of Medicine, UNC Chapel Hill, Chapel Hill, USA</aff>
<author-notes>
<corresp id="FN1">
<label>§</label>
Corresponding Author: Nora E. Rosenberg, University of North Carolina Project, Tidziwe Centre, Private Bag A-104, Lilongwe, Malawi, +265 (0)99 109 0676,
<email>Nora_Rosenberg@unc.edu</email>
</corresp>
</author-notes>
<pub-date pub-type="nihms-submitted">
<day>27</day>
<month>1</month>
<year>2017</year>
</pub-date>
<pub-date pub-type="epub">
<day>13</day>
<month>5</month>
<year>2016</year>
</pub-date>
<pub-date pub-type="ppub">
<month>12</month>
<year>2016</year>
</pub-date>
<pub-date pub-type="pmc-release">
<day>03</day>
<month>2</month>
<year>2017</year>
</pub-date>
<volume>92</volume>
<issue>8</issue>
<fpage>587</fpage>
<lpage>592</lpage>
<pmc-comment>elocation-id from pubmed: 10.1136/sextrans-2015-052496</pmc-comment>
<abstract>
<sec id="S1">
<title>Objectives</title>
<p id="P1">To explore acceptability of recruiting social contacts for HIV and STI screening in Lilongwe, Malawi.</p>
</sec>
<sec id="S2">
<title>Methods</title>
<p id="P2">In this observational study, three groups of “seed” patients were enrolled: 45 HIV-infected STI patients, 45 HIV-uninfected STI patients, and 45 community controls, who were also tested for HIV as part of the study. Each seed was given five coupons and asked to recruit up to five social contacts to the STI clinic. Seeds were told the programme for contacts would include HIV testing, STI screening, and general health promotion. Seeds were asked to return after one month to report on the contact recruitment process. Seeds received $2 for each successfully recruited contact.</p>
</sec>
<sec id="S3">
<title>Results</title>
<p id="P3">Eighty-nine seeds (66%) returned for one-month follow-up with no difference between the three seed groups (p=0.9). Returning seeds reported distributing most of their coupons (mean=4.1) and discussing each feature of the programme with most contacts—HIV testing (90%), STI screening (87%), and health promotion (91%). Seeds reported discussing their own HIV status with most contacts (52%), with a lower proportion of HIV-infected seeds discussing their HIV status (22%) than HIV-uninfected seeds (81%) or community seeds (64%) (p<0.001). Contact recruitment did not vary with socioeconomic status.</p>
</sec>
<sec id="S4">
<title>Conclusions</title>
<p id="P4">Most seeds distributed all coupons and reported describing all aspects of the programme to most contacts. STI patients are able to act as health promoters within their social networks and may be a critical link to increasing STI and HIV status awareness among high risk groups.</p>
</sec>
</abstract>
<kwd-group>
<kwd>HIV</kwd>
<kwd>social network</kwd>
<kwd>sexually transmitted infection</kwd>
<kwd>HIV counseling and testing</kwd>
</kwd-group>
</article-meta>
</front>
</pmc>
</record>

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