HIV, AIDS and sexually transmitted infections - care, support and prevention - AIDS action  

HIV, AIDS and sexually transmitted infections - care, support and prevention - AIDS action

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 HIV, AIDS and sexually transmitted infections - care, support and prevention - AIDS action
 

Practical information for health
workers, educators and community
carers on HIV, AIDS and sexually
transmitted infections covering care,
support and prevention.

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HIV testing: a practical approach  >  Appendix 1: Considering HIV testing and testing strategies 
This section as pdf  592 kbThis section in pdf format


Appendix 1: Considering HIV testing and testing strategies

HIV testing: a practical approach

Acknowledgements
Definitions
Introduction
Why test for HIV?
Deciding which tests to use
Screening blood for transfusion
Implementing HIV testing for individuals
Screening for surveillance
Appendix 1
Appendix 2
Resources
Organisations
Questionnaire

 

 

 

HIV testing: a practical approach    36  Page 37  38  top of page

  Appendix 1: Considering HIV testing and testing strategies

 

Before planning or implementing a testing strategy, it can be useful to discuss some of the issues with people who will be affected. People might include: 
 

bullet

national and district health planners

bullet

people living with HIV

bullet

health workers

bullet

traditional healers

bullet

blood transfusion service staff

bullet

counselling services

bullet

care and prevention NGOs

bullet

local community and religious leaders

bullet

industry and workplace representatives

bullet

military, police and other sectors.


The following issues could be discussed: 
 

bullet

compulsory testing 

bullet

counselling before and after testing

bullet

disclosure of results without consent 

bullet

keeping information strictly confidential. 


The issues chosen will depend on local circumstances



ACTIVITY 1 
Planning a strategy 

The group should agree what issues to discuss, and why, and then discuss the following points in smaller groups. Having agreed on the main points in the small group, the larger group should agree on recommendations and action. Possible points to be discussed:
 

bullet

Why is this issue important? 

bullet

Should the recommended action be mandatory or simply advisable? 

bullet

Are there exceptions to the recommendation, and, if so, under what conditions? 

 

Issue: SHOULD PREGNANT WOMEN BE TESTES FOR HIV?

Pre-conditions before testing

__________________________________________________

Advantages of testing

__________________________________________________

Disadvantage of testing

__________________________________________________

If so, which HIV test?

__________________________________________________

It may be helpful to summarise the discussion in a table like this.
 
 
ACTIVITY 2 
Choosing an HIV testing strategy 

The same discussion method can be used for planning how to carry out the strategy. This sort of exercise may be useful if there are limited resources, in order to see what will be of most benefit.
 

Carrying out the testing strategy

BLOOD DONORS

STI PATIENTS

TB CLINICS

What is the recommendation?

 

 

 

Why is the recommendation 
important/advisable?

 

 

 

Who should carry it out?

 

 

 

Should the recommendation
 be mandatory or advisable?

 

 

 

Are the exceptions to the
 recommendation? If so, 
under what conditions?

 

 

 



    

 

 
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