# Evaluating the Scale-up of HIV Partner Services in Mozambique

> **NIH NIH R03** · UNIVERSITY OF WASHINGTON · 2021 · $77,750

## Abstract

Project Summary/Abstract
New World Health Organization guidelines recommend that all persons diagnosed with HIV receive partner
notification services (PNS) and the President’s Emergency Program for AIDS Relief (PEPFAR) now requires
all PEPFAR supported countries to implement PNS programs. How to implement PNS and whether PNS
programs will prove safe and effective as they go to scale is uncertain. The University of Washington
International Training and Education Center for Health (I-TECH) has worked with the Mozambican Ministry of
Health and PEPFAR since 2016 to implement PNS programs in 29 clinics in Mozambique, providing PNS to
over 16,000 persons newly diagnosed with HIV infection. The team implemented PNS using two models, a
high-intensity support model that included new, dedicated PNS staff and supervisors in 3 facilities, and a low
intensity support model that provided training and quarterly supervision to existing staff in 26 sites. This
application proposes secondary analyses of data collected through PNS scale-up in Mozambique. Specific aim
1 will assess the reach and effectiveness of PNS programs in 29 clinics in Mozambique, comparing outcomes
in high and low intensity clinics. Analyses will assess the proportion of persons diagnosed with HIV who
received PNS (reach) and will evaluate conventional PNS indices related to partner notification, testing and
HIV case-finding. Aim 2 will assess the impact of PNS on the total number of HIV cases identified in 29 clinics
in Mozambique, an approach that will overcome many of the biases inherent in more traditional PNS
evaluations. This aim will include a stepped-wedge analysis to assess the impact of PNS program
implementation on the total number of HIV cases identified in each clinic, comparing high and low-intensity
clinics and evaluating reach as a mediator of PNS effectiveness. Finally, aim 3 will evaluate how often
disclosure of HIV status to a sex partner was associated with intimate partner violence or loss of financial
support from a partner, and will identify factors associated with these adverse outcomes. The results of the
proposed analyses will inform how PNS programs are implemented and evaluated in Mozambique and
elsewhere around the world.

## Key facts

- **NIH application ID:** 10126064
- **Project number:** 5R03MH123285-02
- **Recipient organization:** UNIVERSITY OF WASHINGTON
- **Principal Investigator:** Matthew R Golden
- **Activity code:** R03 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2021
- **Award amount:** $77,750
- **Award type:** 5
- **Project period:** 2020-03-11 → 2023-02-28

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10126064

## Citation

> US National Institutes of Health, RePORTER application 10126064, Evaluating the Scale-up of HIV Partner Services in Mozambique (5R03MH123285-02). Retrieved via AI Analytics 2026-05-22 from https://api.ai-analytics.org/grant/nih/10126064. Licensed CC0.

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