Tool 1. Tables for HIV testing and counselling managers

Use the following tables 1 and 2 to determine which persons should be recommended to return for re-testing in your setting. The tables are structured to reflect the different settings in which HIV testing and counselling may occur.

Table 1

Re-testing for HIV-negative individuals in the context of a low-level or concentrated epidemic.

Table 2

Re-testing for HIV-negative individuals in the context of a generalized epidemic.

How to use these tables

1. Select the table that corresponds to the type of epidemic in the geographical location or facility in which you are working (Table 1: Low-level or concentrated epidemic; Table 2: Generalized epidemic). Definitions of each type of epidemic are provided in the Terminology section of this document.
   Please recall that HIV prevalence can vary widely between geographical locations and facilities within the same country. For example, one province's HIV prevalence may be much lower than the country's national HIV prevalence. Or, the HIV prevalence in an STI clinic may be much higher than that in the general population.
2. Select the relevant setting or situation.
   • PITC settings (i.e. any medical setting: e.g. antenatal clinic, labour and delivery room, maternal and child health clinic, TB clinic, STI clinic, inpatient ward and, outpatient clinics.
   • Other situations (i.e. individual has known HIV-positive partner, individual is at higher risk for acquiring and transmitting HIV presenting in any setting, e.g. is a sex worker, persons who inject drugs, MSM, is a pregnant woman in a generalized epidemic).
   • Note that if the individual is in a high-risk category, regardless of the setting in which she or he may present, the re-testing recommendations corresponding to that individual's high-risk category should be recommended.
3. Look across the row to find out if re-testing is required, and when.
4. Advise your HIV testing and counselling service providers about which groups need re-testing, and when.