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Guidance on provider-initiated testing and counselling ( PITC) in health-care settings (2007)

INCREASING ACCESS TO HIV TESTING AND COUNSELLING FOR PEOPLE IN PRISONS AND OTHER CLOSED SETTINGS Ralf Jürgens, Fabienne Hariga , Donna Higgins, Ying-Ru Lo, Annette Verster The UNODC/WHO/UNAIDS Policy Brief on HIV Testing & Counselling in Prisons & Other Closed Settings VIENNA AIDS 2010. 1.

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Guidance on provider-initiated testing and counselling ( PITC) in health-care settings (2007)

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  1. INCREASING ACCESS TO HIV TESTING AND COUNSELLING FOR PEOPLE IN PRISONS AND OTHER CLOSED SETTINGSRalf Jürgens, Fabienne Hariga, Donna Higgins, Ying-Ru Lo, Annette VersterThe UNODC/WHO/UNAIDS Policy Brief on HIV Testing & Counselling in Prisons & Other Closed SettingsVIENNA AIDS 2010 1

  2. Guidance on provider-initiated testing and counselling (PITC)in health-care settings (2007) • Prisons are not health-care settings • Nevertheless, the guidance contains important principles that can be useful also for prisons • Fear that in the context of prison settings, the PITC guideline would become and excuse for compulsory HIV testing

  3. Methods Comprehensive review & analysis of the evidence Sometimes compulsory testing Sometimes no HIV testing at all Power balance sometimes segregation of PLWH No confidentiality Extensive consultation process, starting in Varna (Bulgaria) in 2007 & followed by peer review Production of technical paper & policy brief

  4. Recommendations Be part of a comprehensive programme Non discriminatory practices and policies Prohibit compulsory HIV testing Access to VCT at any time Offered (opt-in) or recommended HIV testing in specific cases (opt-out): TB, pregnancy Informed consent www.unodc.org/aids

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