HIV Partner Notification Program in Iran: Policy Brief

Document Type : Policy Brief

Authors

1 HIV/STI Surveillance Research Center, and WHO Collaborating Center for HIV Surveillance, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran

2 Modeling in Health Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran

3 Institute for Global Health Sciences, University of California, San Francisco, CA, USA

4 Nursing Research Center, Kerman University of Medical Sciences, Kerman, Iran

5 Department of Infectious Diseases and Tropical Medicine, School of Medicine, Iran University of Medical Sciences, Tehran, Iran

6 Pathology and Stem Cell Research Center, Kerman University of Medical Sciences, Kerman, Iran

10.34172/ahj.1709

Abstract

Background: HIV partner notification is known as one of the methods to increase HIV testing. Evaluating the barriers, facilitators, and recommendations to improve it can lead to the increased uptake of HIV testing, as well as achieving the 95-95-95 UNAIDS targets. Therefore, the present study aimed to evaluate the approaches, barriers, and facilitators of HIV partner notification from different aspects.
Methods: The barriers and facilitators of HIV partner notification were evaluated. Also, some recommendations were presented to improve the HIV partner notification program in Iran.
Results: Based on the results, HIV stigma and discrimination were identified as the most important barriers, and the main facilitator was the support from the spouse or sexual/injection partner and family. Also, the results showed that the HIV partner notification program in Iran was in line with the international guidelines introduced by the World Health Organization. However, it had weaknesses and challenges in various aspects such as the content, the method of implementation, monitoring, and evaluation.
Conclusion: Overall, this study has shown a critical need to strengthen the HIV partner notification program in Iran. HIV partner notification program can be strengthened by considering the introduced facilitators, from different aspects including content, implementation, monitoring, and evaluation. These measures will ultimately increase HIV testing and thus achieve UNAIDS targets.

Keywords


  1. Joint United Nations Programme on HIV/AIDS (UNAIDS). Prevailing Against Pandemics by Putting People at the Centre: World AIDS Day Report 2020. UNAIDS; 2020.
  2. UNAIDS.Country Factsheets. Islamic Republic of Iran. 2019. Available from: https://www.unaids.org/en/regionscountries/ countries/islamicrepublicofiran.
  3. Ghalehkhani N, Farhoudi B, Gouya MM, Sharifi H, Seyed Alinaghi S, Kamali K, et al. The HIV treatment cascade in people living with HIV in Iran in 2014: mixed-method study to measure losses and reasons. Int J STD AIDS. 2019;30(13):1257- 64. doi: 10.1177/0956462419867573.
  4. World Health Organization (WHO). Guidelines on HIV Self- Testing and Partner Notification: Supplement to Consolidated Guidelines on HIV Testing Services. WHO; 2016 .
  5. Smith R, Rossetto K, Peterson BL. A meta-analysis of disclosure of one’s HIV-positive status, stigma and social support. AIDS Care. 2008;20(10):1266-75. doi: 10.1080/09540120801926977.
  6. Pashaei Z, Oskouie F, Moradi-Lakeh M, Jahanfar S, Haghani S. HIV serostatus disclosure to sexual partner: a survey among women in Tehran, Iran. Eur J Med Res. 2022;27(1):56. doi: 10.1186/s40001-022-00663-6.
  7. Alam N, Chamot E, Vermund SH, Streatfield K, Kristensen S. Partner notification for sexually transmitted infections in developing countries: a systematic review. BMC Public Health. 2010;10:19. doi: 10.1186/1471-2458-10-19.