![]() ![]() ![]() PITC should be offered for clients (adults, adolescents and children) in clinical settings who present with symptoms or medical conditions that could indicate HIV infection, including presumed and confirmed TB cases. PITC should be offered for all clients and in all services (including services for sexually transmitted infections (STI), viral hepatitis, tuberculosis (TB), children under the age of 5 years, immunization, malnutrition, antenatal care and all services for key populations) as an efficient and effective way to identify people with HIV. Lay providers who are trained and supervised can independently conduct safe and effective HIV testing using rapid diagnostic tests (RDTs) (strong recommendation, moderate-quality evidence).įacility-based HIV testing services and provider-initiated testing and counselling (PITC) Geneva: World Health Organization 2007 ( ). ![]() Guidance on provider-initiated HIV testing and counselling in health facilities. Geneva: World Health Organization 2015 ( ) This can help create environments where disclosure of HIV status is easier (strong recommendation, low-quality evidence).Ģ.4 Principles and approaches for service deliveryĬonsolidated guidelines on HIV testing services. Initiatives should be put in place to enforce privacy protection and institute policy, laws and norms that prevent discrimination and promote the rights of people living with HIV. Geneva: World Health Organization 2011 ( ) Guideline on HIV disclosure counselling for children up to 12 years of age. Retesting people on ART is not recommended, as there are potential risks of incorrect diagnosis, particularly for in vitro diagnostics (IVDs) that use oral fluid specimens. Retest all clients diagnosed HIV-positive with a second specimen and a second operator using the same testing strategy and algorithm before enrolling the client in care and/or initiating ART, regardless of whether or not ART initiation depends on CD4 count. Geneva: World Health Organization 2014 ( ) WHO reminds national programmes to retest all newly diagnosed people with HIV. ![]() 2.2 Retesting prior to enrollment in care ![]()
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