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Scoping review of partner notification barriers and facilitators for youth with STIs in sub-Saharan Africa

Scoping review of partner notification barriers and facilitators for youth with STIs in sub-Saharan …
Photo by Meg Jenson / Unsplash
Key Takeaway
Note that partner notification for youth in sub-Saharan Africa faces significant barriers related to health, infection, and social dynamics.

This scoping review examines partner notification for sexually transmitted infections among youth (ages 15–24 years) in sub-Saharan Africa, specifically Southern Africa (Zimbabwe and South Africa). Ten studies were included in full-text screening, with three meeting eligibility criteria. The review does not report specific study-level data such as p-values, confidence intervals, or absolute numbers, as these are not reported in the abstract of this scoping review.

The synthesized findings indicate that barriers to partner notification center around factors relating to health, infection, and social dynamics. The authors note that little is known about how youth in sub-Saharan Africa experience and practice partner notification. Consequently, the review highlights significant gaps in understanding the specific contextual challenges faced by this population.

The authors acknowledge limitations regarding the lack of detailed outcome data and the observational nature of the included studies. Practice relevance is tempered by the observation that partner notification remains difficult among youth, despite being a critical strategy for STI control. The review suggests that further research is needed to better understand these complex social and health dynamics.

Study Details

Study typeCohort
EvidenceLevel 3
PublishedApr 2026
View Original Abstract ↓
IntroductionPartner notification (PN) involves informing current and past sexual partners of their potential exposure to sexually transmitted infections (STIs) and encouraging them to seek testing and treatment. Effective PN is critical for STI control, yet little is known about how youth in sub-Saharan Africa experience and practice PN. This paper reports on a mapping of evidence on youth-related PN experiences, practices, barriers, and facilitators in sub-Saharan Africa.MethodsA scoping review was conducted using the Arksey and O'Malley framework, complemented by the Joanna Briggs Institute methodology for scoping reviews. Evidence published between January 2016 and January 2026 was searched on PubMed, SCOPUS, Medline, CINHAL and OVID. The database search took place in February 2026. The terms used for review included (“youth” OR “adolescent” OR “young people” AND “partner notification” OR “contact tracing” AND “sexually transmitted infection” OR “STI” AND “sub Saharan africa” OR “sub-Saharan countries”). Screening of titles and abstracts, and data extraction were conducted independently; discrepancies were resolved by the third reviewer.ResultsA total of 117 articles were identified with 59 duplicates records removed. Eighty-two records titles and abstracts were screened, and 69 articles were excluded. Ten studies proceeded to full-text screening, of which three of them met eligibility criteria for inclusion and were retained for analysis. The three articles were from Southern Africa and were youth focused, covering the ages 15–24 years. Two of the studies were conducted in Zimbabwe, followed by South Africa (n = 1). The study designs included cohort study (n = 1), mixed method (n = 1) and qualitative intervention design (n = 1). The barriers to PN were identified as centering around factors relating to health, infection, and social dynamics.ConclusionPartner notification remains a critical strategy for STI control. However, the review reflected that PN remains difficult among youth. Youth's partner notification is affected by patient related factors, sociocultural factors and health system factors.Scoping Review Registrationhttps://doi.org/10.17605/OSF.IO/8972W.
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