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Int J Tuberc Lung Dis. 2008 Mar;12(3 Suppl 1):69-72.

Provider-initiated HIV testing and counseling in TB clinical settings: tools for program implementation.

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Global AIDS Program, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.


In countries with high HIV prevalence, up to 80% of tuberculosis (TB) patients also have human immunodeficiency virus (HIV) infection. HIV testing and counseling needs to be more feasible and accessible to all people in settings with a generalized HIV epidemic, but particularly to those likely to have HIV infection and who need care and treatment. Implementing provider-initiated and -delivered HIV testing and counseling (PITC) in clinical settings where patients have symptoms and signs consistent with HIV-related disease, including TB, is therefore a priority. We describe a new tool that has been developed to assist countries in planning and implementing PITC in TB clinical settings. The materials include a template for national guidance for the PITC program and procedures, a training curriculum for clinic staff and job aids including a script that assist clinicians in communicating appropriate pre- and post-test information to their TB patients, including the benefits to HIV-infected TB patients of knowing their status so they can obtain HIV care and treatment and prevent the spread of HIV.

[Indexed for MEDLINE]

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