Partner-Delivered Therapy Viable in Resource-Poor Areas

Population Briefs, September 2006 | Go to article overview

Partner-Delivered Therapy Viable in Resource-Poor Areas


In South Africa and Brazil, the Population Council has recently studied alternative methods of notifying partners of women with sexually transmitted infections (STIs) that they need treatment. These studies have verified that offering women with STIs the option of bringing medicines to their partners, rather than requiring partners to come to the clinic, results in high treatment rates.

Notifying partners of infection

Notifying people that their sexual partners have an STI is an important means of reducing the transmission of infection. The practice of partner-delivered medicine has been shown to increase the number of partners contacted and to decrease the rate of re-infection in resource-rich settings, but little work has been done to demonstrate its effectiveness in resource-poor settings. It is in these places, however, where the strategy might be most useful; partner notification methods that rely upon outreach by health professionals are difficult to maintain in resource-poor settings, which often have shortages of providers.

Population Council researchers Heidi E. Jones, Juan Diaz, and Sheri A. Lippman collaborated with colleagues from Santa Casa Medical School and the University of Cape Town to study partner-delivered treatment programs in Sao Paulo, Brazil and Gugulethu, Cape Town, South Africa. These investigations were part of two larger studies of home-based STI testing. The studies tested for the presence of trichomoniasis, chlamydia, and gonorrhea among participating women. These infections may increase the risk of HIV infection and contribute to infertility,, pelvic inflammatory disease, obstetric complications, and illness in newborns. Further, they can all be treated with a single dose of medication.

Sao Paulo

In Brazil, women who had trichomoniasis were offered three options for partner notification: notifying their partners themselves, having a health professional notify their partners, or bringing medication and instructions on use to their partners. Women with chlamydia or gonorrhea were offered only the first two options because study clinicians felt that direct counseling of the partners was a priority. Of the 787 women in the larger study, 108 had at least one of the three infections.

Twenty--eight women had trichomoniasis. Four of them reported no sexual partners in the last three months, so partner notification was not conducted. Eighty-one percent of the partners of the remaining women were treated, 91 percent receiving partner-delivered medicine.

Eighty-five women had gonorrhea and/or chlamydia, four of whom reported having no sex partners in the last three months. Forty-four percent of the partners of the remaining women came to the clinic for treatment, and 31 percent received partner-delivered medication. …

The rest of this article is only available to active members of Questia

Sign up now for a free, 1-day trial and receive full access to:

  • Questia's entire collection
  • Automatic bibliography creation
  • More helpful research tools like notes, citations, and highlights
  • Ad-free environment

Already a member? Log in now.

Notes for this article

Add a new note
If you are trying to select text to create highlights or citations, remember that you must now click or tap on the first word, and then click or tap on the last word.
One moment ...
Default project is now your active project.
Project items

Items saved from this article

This article has been saved
Highlights (0)
Some of your highlights are legacy items.

Highlights saved before July 30, 2012 will not be displayed on their respective source pages.

You can easily re-create the highlights by opening the book page or article, selecting the text, and clicking “Highlight.”

Citations (0)
Some of your citations are legacy items.

Any citation created before July 30, 2012 will labeled as a “Cited page.” New citations will be saved as cited passages, pages or articles.

We also added the ability to view new citations from your projects or the book or article where you created them.

Notes (0)
Bookmarks (0)

You have no saved items from this article

Project items include:
  • Saved book/article
  • Highlights
  • Quotes/citations
  • Notes
  • Bookmarks
Notes
Cite this article

Cited article

Style
Citations are available only to our active members.
Sign up now to cite pages or passages in MLA, APA and Chicago citation styles.

(Einhorn, 1992, p. 25)

(Einhorn 25)

1

1. Lois J. Einhorn, Abraham Lincoln, the Orator: Penetrating the Lincoln Legend (Westport, CT: Greenwood Press, 1992), 25, http://www.questia.com/read/27419298.

Cited article

Partner-Delivered Therapy Viable in Resource-Poor Areas
Settings

Settings

Typeface
Text size Smaller Larger Reset View mode
Search within

Search within this article

Look up

Look up a word

  • Dictionary
  • Thesaurus
Please submit a word or phrase above.
Print this page

Print this page

Why can't I print more than one page at a time?

Full screen

matching results for page

Cited passage

Style
Citations are available only to our active members.
Sign up now to cite pages or passages in MLA, APA and Chicago citation styles.

"Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences." (Einhorn, 1992, p. 25).

"Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences." (Einhorn 25)

"Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences."1

1. Lois J. Einhorn, Abraham Lincoln, the Orator: Penetrating the Lincoln Legend (Westport, CT: Greenwood Press, 1992), 25, http://www.questia.com/read/27419298.

Cited passage

Thanks for trying Questia!

Please continue trying out our research tools, but please note, full functionality is available only to our active members.

Your work will be lost once you leave this Web page.

For full access in an ad-free environment, sign up now for a FREE, 1-day trial.

Already a member? Log in now.