Provider Initiated HIV Counseling and Testing

1. Provider Initiated HIV Counseling and Testing Unit 5: Overview of PIHCT Protocol Structure

2. 5-1 Objectives Describe the way the PIHCT protocol is organized Discuss the purpose of each section of the PIHCT protocol. Describe the benefits of the HIV Rapid test and the testing process. Review the infection prevention steps required while performing testing.

3. 5-2

4. 5-3 Initial Provider Encounter Provider informs patient of the importance of HIV testing: - Many persons with TB or other illnesses related to HIV, also have HIV - Diagnosis of HIV is important for medical care Provider informs patient of routine testing policy: - clinic�s policy to test all patients for HIV - test will be performed unless patient objects Provider determines HIV test history and answers any questions

5. 5-4 Benefits of the HIV Rapid Tests Rapid tests require a blood sample, which can be collected by a finger-stick. They can be processed on site without laboratory equipment. They take less than 30 minutes to develop. Some take only 15 minutes. Clients can receive their result the same day as the testing procedure.

6. 5-5 HIV Rapid Testing Algorithm or �Testing Line-Up� 

7. 5-6 How to Interpret the Client�s HIV Test Result

8. 5-7 For Patients Who Test Negative Provider informs patient of negative test results Recommends repeat testing in 12 weeks. Gives patient brief message about prevention Advises patient that partner needs to be tested.

9. 5-8 For Patients Who Test Positive Provider informs patient of positive test result Supports patient in adjusting to results Informs patient of need for HIV care and treatment Gives patient information about HIV prevention Advises patient of need to get partner tested.