Nothing about us without us: considerations for ensuring rights‐affirming index case testing for young people

ICT may also optimize linkage to and uptake of HIV prevention services, including pre‐exposure prophylaxis and voluntary medical male circumcision, among contacts who do not regularly access health services and who test HIV‐negative. PNS can be particularly risky in circumstances where young people report concurrent sexual partners, each of whom will be traced and informed of a potential exposure to HIV from a sexual partner, which may disclose to a contact that their partner has been unfaithful and increase risk of IPV. [...]each concurrent sexual partner presents individual IPV risk for the index patient. Partner elicitation can also disclose the HIV status and/or sexual activities of sexual contacts to providers/counsellors, individuals who may also be contacts’ community members, without their consent. [...]perceived or actual breaches of patient–provider confidentiality may further disincentivize or alienate youth from accessing HIV services in their communities.