IDEAS home Printed from https://ideas.repec.org/a/eee/socmed/v65y2007i6p1124-1135.html
   My bibliography  Save this article

Patient-led partner notification for syphilis: Strategies used by women accessing antenatal care in urban Bolivia

Author

Listed:
  • Klisch, Shannon A.
  • Mamary, Edward
  • Diaz Olavarrieta, Claudia
  • Garcia, Sandra G.

Abstract

Maternal syphilis adversely affects close to one million pregnancies worldwide every year with consequences that may include spontaneous abortion, stillbirth, neonatal death, premature birth, neurological impairment and bone deformities of the neonate. In Bolivia, the maternal syphilis rate has been estimated at 4.3% among women with live births and 26% among women with stillbirths. Partner notification is critical to the prevention of maternal re-infection and vertical transmission of syphilis. Patient-led partner notification, also known as patient referral, is the recommended starting point for partner notification programs in resource poor settings because it requires less infrastructure and provider involvement. Though patient referral requires a higher level of engagement on the part of individuals, few studies have examined, in depth, the process of patient-led notification. Further, we found no studies of this type conducted in Bolivia, a country where culturally acceptable and appropriate interventions are needed to control maternal syphilis. This study examined partner notification, for the first time, from the perspective of women accessing treatment for maternal syphilis in Bolivia. Semi-structured interviews were conducted with 18 women who had attempted or planned to attempt notifying their partner. The interview guide was designed to investigate the experience of patient-led partner notification for syphilis with particular emphasis on the strengths and capacities of the participants. Accordingly, we applied an existing theoretical model for individual empowerment in the analysis of the interviews with the participants. This emphasis on the positive, solution-finding capacities of the participants allowed us to investigate the ways in which participants took control over an aspect of concern to their health. More studies are needed which examine successful patient-led strategies for partner notification and their connections with long-term health outcomes.

Suggested Citation

  • Klisch, Shannon A. & Mamary, Edward & Diaz Olavarrieta, Claudia & Garcia, Sandra G., 2007. "Patient-led partner notification for syphilis: Strategies used by women accessing antenatal care in urban Bolivia," Social Science & Medicine, Elsevier, vol. 65(6), pages 1124-1135, September.
  • Handle: RePEc:eee:socmed:v:65:y:2007:i:6:p:1124-1135
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0277-9536(07)00227-4
    Download Restriction: Full text for ScienceDirect subscribers only
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Heise, Lori L. & Elias, Christopher, 1995. "Transforming AIDS prevention to meet women's needs: A focus on developing countries," Social Science & Medicine, Elsevier, vol. 40(7), pages 931-943, April.
    2. Mantell, Joanne E. & Dworkin, Shari L. & Exner, Theresa M. & Hoffman, Susie & Smit, Jenni A. & Susser, Ida, 2006. "The promises and limitations of female-initiated methods of HIV/STI protection," Social Science & Medicine, Elsevier, vol. 63(8), pages 1998-2009, October.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Sylvia Eyiah-Bediako & Frank Quansah & Joshua Adebisi Omotosho & John Elvis Hagan, 2021. "Assessment of Peer Pressure and Sexual Adventurism among Adolescents in Ghana: The Moderating Role of Child-Rearing Practices," Social Sciences, MDPI, vol. 10(11), pages 1-14, November.
    2. Tawfik, Linda & Watkins, Susan Cotts, 2007. "Sex in Geneva, sex in Lilongwe, and sex in Balaka," Social Science & Medicine, Elsevier, vol. 64(5), pages 1090-1101, March.
    3. Loubiere, Sandrine & Peretti-Watel, Patrick & Boyer, Sylvie & Blanche, Jérôme & Abega, Séverin-Cécile & Spire, Bruno, 2009. "HIV disclosure and unsafe sex among HIV-infected women in Cameroon: Results from the ANRS-EVAL study," Social Science & Medicine, Elsevier, vol. 69(6), pages 885-891, September.
    4. Choi, Susanne Y.P. & Cheung, Yuet Wah & Chen, Kanglin, 2006. "Gender and HIV risk behavior among intravenous drug users in Sichuan Province, China," Social Science & Medicine, Elsevier, vol. 62(7), pages 1672-1684, April.
    5. Orner, Phyllis & Harries, Jane & Cooper, Diane & Moodley, Jennifer & Hoffman, Margaret & Becker, Julie & McGrory, Elizabeth & Dabash, Rasha & Bracken, Hillary, 2006. "Challenges to microbicide introduction in South Africa," Social Science & Medicine, Elsevier, vol. 63(4), pages 968-978, August.
    6. Mags Beksinska & Phumla Nkosi & Zonke Mabude & Joanne E Mantell & Bongiwe Zulu & Cecilia Milford & Jennifer A Smit, 2020. "Lessons from the evaluation of the South African National Female Condom Programme," PLOS ONE, Public Library of Science, vol. 15(8), pages 1-21, August.
    7. Sahin-Hodoglugil, Nuriye Nalan & van der Straten, Ariane & Cheng, Helen & Montgomery, Elizabeth T. & Kacanek, Deborah & Mtetwa, Sibongile & Morar, Neetha & Munyoro, Jane & Padian, Nancy, 2009. "Degrees of disclosure: A study of women's covert use of the diaphragm in an HIV prevention trial in sub-Saharan Africa," Social Science & Medicine, Elsevier, vol. 69(10), pages 1547-1555, November.
    8. Mantell, Joanne E. & Dworkin, Shari L. & Exner, Theresa M. & Hoffman, Susie & Smit, Jenni A. & Susser, Ida, 2006. "The promises and limitations of female-initiated methods of HIV/STI protection," Social Science & Medicine, Elsevier, vol. 63(8), pages 1998-2009, October.
    9. Krishnan, Suneeta & Rocca, Corinne H. & Hubbard, Alan E. & Subbiah, Kalyani & Edmeades, Jeffrey & Padian, Nancy S., 2010. "Do changes in spousal employment status lead to domestic violence? Insights from a prospective study in Bangalore, India," Social Science & Medicine, Elsevier, vol. 70(1), pages 136-143, January.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:socmed:v:65:y:2007:i:6:p:1124-1135. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu (email available below). General contact details of provider: http://www.elsevier.com/wps/find/journaldescription.cws_home/315/description#description .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.