Intentions to use patient-initiated partner notification and acceptability of provider-initiated partner notification for Sexually Transmitted Infections - A cross-sectional survey among minibus taxi drivers in Gauteng Province, South Africa

Background In South Africa, utilization of patient-initiated partner-notification (PN) using referral-slip in the management of sexually transmitted infections (STIs) is limited and only a limited number of sexual partners are ever notified. The study assessed the use of patient-initiated PN method using notification and referral slips and measured the level of acceptability of provider-initiated PN using short-message-service (SMS) to personal mobile phones of sexual partners. Methods A quantitative survey using anonymous structured self-administered and researcher assisted questionnaires was conducted among minibus taxi drivers in the nine major taxi ranks in Gauteng province, South Africa. Results The sample consisted of 722 minibus taxi drivers with a mean age of 37.2 years old, 284 (59.5%) had multiple sexual partners, 368 (52.2%) did not use a condom during last sexual act, 286 (42.8%) reported inconsistent use of condoms, and 459 (65%) tested for HIV in the past 12 months. Majority (n=709, 98.2%) understood the importance of PN once diagnosed with STI, but would prefer delivering PN referral slip (n=670, 93.2%) over telling a partner face to face if they themselves were diagnosed with STI. Acceptability of provider-initiated PN using SMS was 452 (62.7%) and associated with history of HIV testing in the past year (OR=1.72, p=0.002, CI: 1.21-2.45). The perceived use of PN referral-slip from sexual partner to seek treatment was 91.8% (n=659). About a third (n=234, 32.5%) were not in favor of provider-initiated PN by SMS and preferred telling partners face to face. Conclusion There were contrasting findings on the acceptability and utilization of existing patient-initiated PN and the proposed PN using SMS from health providers. The preference of delivering PN referral slip to sexual partner over face-to-face PN renders communicating about STIs the responsibility of health providers. Therefore, they have an opportunity to provide patients with options to choose a PN method that is best suited to their relationships and circumstances and modify PN messages to encourage partners to use the different PN to prevent STIs.