Provider-initiated HIV testing and counseling in TB clinical settings: tools for program implementation
Abstract:In countries with high HIV prevalence, up to 80% of tuberculosis (TB) patients also have human immunodeficiency virus (HIV) infection. HIV testing and counseling needs to be more feasible and accessible to all people in settings with a generalized HIV epidemic, but particularly to those likely to have HIV infection and who need care and treatment. Implementing provider-initiated and -delivered HIV testing and counseling (PITC) in clinical settings where patients have symptoms and signs consistent with HIV-related disease, including TB, is therefore a priority. We describe a new tool that has been developed to assist countries in planning and implementing PITC in TB clinical settings. The materials include a template for national guidance for the PITC program and procedures, a training curriculum for clinic staff and job aids including a script that assist clinicians in communicating appropriate pre- and post-test information to their TB patients, including the benefits to HIV-infected TB patients of knowing their status so they can obtain HIV care and treatment and prevent the spread of HIV.
Document Type: Regular Paper
Publication date: 2008-03-01
The International Journal of Tuberculosis and Lung Disease publishes articles on all aspects of lung health, including public health-related issues such as training programmes, cost-benefit analysis, legislation, epidemiology, intervention studies and health systems research. The IJTLD is dedicated to the continuing education of physicians and health personnel and the dissemination of information on tuberculosis and lung health world-wide.
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