Assessing the effectiveness of a patient-driven partner notification strategy among pregnant women infected with syphilis in Bolivia

Sex Transm Infect. 2011 Aug;87(5):415-9. doi: 10.1136/sti.2010.047985. Epub 2011 Apr 2.

Abstract

Objective: Assess the feasibility and acceptability of a patient-led syphilis partner notification strategy among pregnant women with syphilis, their male partners and treatment completion in Bolivia.

Methods: In four provinces, women who had tested positive for syphilis while attending antenatal care visits were recruited to receive a partner notification (PN) intervention on how to notify partners of their positive diagnosis and encourage them to get tested/treated. All women who completed PN counselling and notified their male partners completed self-administered questionnaires regarding PN experiences. Sociodemographic characteristics associated with notification and partner treatment completion were assessed using bivariate and multivariate analyses.

Results: 144 women and 137 male partners participated; 78% women notified their partners. No women characteristics were significantly associated with PN. Significantly more male partners (85%) who were notified by women completed syphilis treatment (p<0.05) compared to those notified by providers (66%). In multivariate analysis, men notified by female partners had a threefold greater odds of treatment completion compared to men who had not been notified by partners or by someone else (ie, healthcare worker) (OR 3.45, 95% CI 1.21 to 9.90). 86% of women and 80% of men completed syphilis treatment. Our results suggest that lack of time was considered a barrier to care among men who did not complete treatment.

Conclusion: A patient-led partner notification strategy for pregnant women and their male partners appears to be feasible and acceptable, providing evidence for larger-scale effectiveness studies to improve male partner treatment compliance.

Publication types

  • Evaluation Study
  • Multicenter Study

MeSH terms

  • Adult
  • Bolivia
  • Contact Tracing / methods*
  • Educational Status
  • Feasibility Studies
  • Female
  • Humans
  • Male
  • Patient Compliance
  • Patient Participation
  • Patient Satisfaction
  • Pregnancy
  • Pregnancy Complications, Infectious*
  • Prenatal Care / methods
  • Syphilis / prevention & control*
  • Syphilis / transmission
  • Young Adult