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AIDS contact notification: initial program results in New Jersey.

S Crystal1, L Dengelegi, P Beck

  • 1AIDS Research Group, Institute for Health, Health Care Policy, and Aging Research, Rutgers University, New Brunswick, NJ 08903.

AIDS Education and Prevention : Official Publication of the International Society for AIDS Education
|January 1, 1990
PubMed
Summary
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New Jersey's HIV Notification Assistance Program (NAP) saw increased counselor acceptance over time, though client referrals remained low. Initial resistance from counselors and clients was overcome as the program established credibility.

Area of Science:

  • Public Health
  • Epidemiology
  • Health Services Research

Background:

  • The early stages of the HIV epidemic necessitated innovative public health interventions.
  • Establishing effective partner notification programs is crucial for controlling HIV transmission.

Purpose of the Study:

  • To evaluate the initial implementation and effectiveness of New Jersey's HIV Notification Assistance Program (NAP).
  • To assess counselor and client acceptance, contact characteristics, and program costs.

Main Methods:

  • Data collection on HIV+ individuals providing contact names, contact demographics, and program costs.
  • Surveys and feedback from HIV counselors, clients, and notified contacts regarding program reactions.
  • Analysis of program costs per notified contact and per high-risk, unaware contact.

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Main Results:

  • Initial resistance from HIV counselors and clients decreased over time, with increased acceptance by mid-1989.
  • The proportion of HIV+ clients referring contacts increased to 10%.
  • 160 contacts were notified (72% sexual, 28% needle-sharing), with demographic data collected. 31% of contacts had been tested for HIV, 7% positive.

Conclusions:

  • Persuading HIV counselors of the program's value is essential for successful implementation, especially when notification is handled by a separate agency.
  • Program credibility, built over time, can overcome initial resistance from stakeholders.
  • The program identified a significant proportion of contacts at moderate/high risk, with some already HIV positive.