From stigma to support: exploring youth views on STI partner notification in Maseru, Lesotho.

BACKGROUND: The prevalence of sexually transmitted infections (STIs) varies by region and gender, with the most significant impact observed in low-income countries where STI testing is infrequent, and treatment is primarily symptom-based. Partner notification is a vital strategy for STI control; however, its implementation is hindered by sociocultural, structural, and systemic factors. METHODS: This study forms part of a sequential exploratory mixed-methods investigation that assessed youth perceptions and social dynamics affect the partner notification strategies to control curable STIs in Maseru, Lesotho. The present article reports findings from the qualitative phase of the study. Data were collected through four focus groups, each comprising six to ten purposively sampled participants aged 18–24 years, and were conducted between June and July 2025. The data were collected in two 24-hour facilities in Maseru. RESULTS: Thematic analysis was employed to interpret the data. The study identified four major themes: (1) perceptions on partner notification, (2) social and relational dynamics influencing partner notification, (3) perceived barriers to STI partner notification, and (4) preferred partner notification methods before and during the relationship. CONCLUSION: The youth in Maseru demonstrate an understanding of STI transmission and generally maintain positive attitudes toward partner notification services. However, the process of disclosure is influenced by factors such as stigma, fear of relationship dissolution, anticipated violence, and confidentiality concerns. They also expressed preference for specific methods of partner notification, both before and during relationships. Key recommendations underscore the importance of prioritizing confidentiality and adopting gender-sensitive approaches within youth-responsive partner notification services in Lesotho. Health systems are advised to incorporate digital platforms and integrate risk screening processes. The establishment of sexuality education and community stigma reduction initiatives is essential for enhancing disclosure among young individuals. Further research into alternative notification strategies is warranted.