Overview

In Cameroon, the highest prevalence of HIV is among men who have sex with men, sex workers, pregnant women and men in the military. The national programme has focused on HIV testing in health facilities and index testing. To enhance the efficiency of HIV testing services, there has been an increased focus on reaching partners of PLHIV diagnosed in facility settings.

Partner HIV testing services were routinely implemented at health facilities. Following initial diagnosis, trained health workers followed up and offered to assist with confidentially contacting partners and/or coming to their household to offer HIV testing services. Through counselling and discussion, PLHIV voluntarily provide contact information for partners they think should be contacted and how to contact them, whether by client referral, contract referral or provider referral. Trained health workers then followed up with these partners by telephone and/or a home visit to offer HIV testing and to schedule a time for them to come to the facility.

Mobilizing

WHAT

Index client notifies partner
Healthcare worker telephones
or carries out home visit

WHEN

Client or healthcare worker
contacts at agreed time

WHERE

Facility or home

WHO

Trained health workers
and index client

Testing

WHAT

Rapid HIV testing
at facility or in
the community

WHEN

At agreed time with partner

WHERE

Facility or home

WHO

Trained health workers

Linking

WHAT

SMS
Home-based tracing

WHEN

Follow-up tracing

WHERE

Linked to local prevention
or ART site

WHO

Trained health workers
Lay providers

Summary of evidence

Between January and June 2016, 1,407 people with HIV were diagnosed and 1,884 partners who may have been exposed to HIV were identified. In total, 94% (1,774/1,884) of partners were notified and of those notified, 93% (1,655/1,774) received HIV testing. Of those who received HIV testing, 32% (315) of adults and 6% (40) of children were HIV positive and, of those diagnosed, 93% linked to ART.

Location

Facility-based partner notification and index partner services
Cameroon