Partner notification and STI patient experiences in Ekurhuleni East, Gauteng, South Africa.

Abstract

Background:  Sexually transmitted infections (STIs) are a widespread public health concern, disproportionately impacting young adults. This group is at higher risk due to factors like limited knowledge, misconceptions about sexual health, inconsistent condom use, multiple sexual partners, and barriers to youth-friendly sexual and reproductive health services. Partner notification (PN) strategies are critical in STI control. Effective notification and communication with sexual partners can help break the infection chain and encourage early diagnosis and treatment. However, the dynamics of PN in young individuals remain unclear.

Aim:  To explore PN practices and experiences of STI-diagnosed patients with their sexual partners in the Ekurhuleni East sub-district, Gauteng, South Africa.

Setting:  The study was conducted in five healthcare facilities in Ekurhuleni East.

Methods:  Thirty participants were selected purposively, using an exploratory design. A semi-structured interview guide and in-depth face-to-face interviews were used. Data were analysed using thematic content analysis, following Braun and Clarke's six-phase approach: familiarisation, coding, theme identification, theme review, theme definition, and report production.

Results:  The study identifies key areas for improving STI prevention and PN. Low understanding and cultural attitudes around STIs highlight the need for culturally relevant health education. PN presents emotional and relational issues, including intimate partner abuse and casual relationships, indicating the need for supportive and adaptable notification methods.

Conclusion:  The study highlights the importance of addressing knowledge gaps and cultural beliefs about STIs and promoting open communication in relationships.Contribution: This study contributes insights to healthcare policymakers and practitioners to improve STI management and safer sexual practices among young people.