Partner Notification for HIV-Infected Pregnant Women: Intervention Procedures from a Randomized Controlled Trial in Lilongwe, Malawi

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Rosenberg, Nora E. N.D. Department of Health Behavior/UNC Project–Malawi, University of North Carolina at Chapel Hill (June 2017).

This document includes intervention procedures, scripts, invitation letters, and visit checklists from a 2014 randomized controlled trial of passive versus contract referral among HIV-positive pregnant women enrolled in Malawi’s Option B+ program. In the passive referral arm, each woman brought her partner a written invitation to visit the antenatal clinic with her to receive family-focused health information. In the contract arm, the woman received the same invitation and signed a contract permitting the clinic to contact one male partner if he did not present at the clinic within a week. Just over half (52%) of men whose partners received the invitation only came to the clinic and received couples HIV testing and counseling, compared to 74 percent of those whose partners received the invitation plus the tracing contract. The document outlines the main elements, including: (1) an initial visit at which index clients are counseled regarding disclosure to partners, how to invite partners to clinic for couples counseling and testing, and contact tracing; (2) contact tracing and partner notification by providers, and (3) the couples counseling and testing visit. The trial was conducted by investigators at the University of North Carolina.