India’s policy on HIV testing Voluntary, Informed, Confidential and Free HIV testing Mandatory HIV testing of Blood and blood products and organ donation HIV positive test result is given to an individual only if the person’s blood test positive on three separate HIV tests. Test results are always disclosed with post-test counseling irrespective of test result HIV testing can be availed free of cost at ICTC centers
Voluntary Counseling An individual undergoes counselling enabling him or her to make an informed choice about being tested for HIV It is the individual’s choice based on the appropriate information and support provided by the Counsellor. The Counsellor keeps all the information confidential. All efforts must be made to counsel the person for voluntary disclosure of HIV status to the spouse or sexual partner
Counselling processPre-Test Post-Test Follow upCounselling Counselling Counselling • Done before • Offered • Immediately HIV test. irrespective of after post test • The counsellor test results counselling or prepares the • For clients to anytime later client for the understand • Client should test corrects their test be offered myths and results and care and misinformation initiate support • An informed adaptation to services as consent is their status per need required • Collaboration and cross referral
Know the Stage of HIV and CD4Count The diagnosis of AIDS is made based on the occurrence of opportunistic infections or a CD4 count less than 200 It is possible to improve the stage of HIV by reducing the amount of HIV in the body This is done best by ART Counsellors need to advise their clients to get their CD4 test every 6 months If PLHAs properly monitor Stage of HIV and CD4 count, they can stay healthy and love positively for a long time
Control of AIDSPreventiona. Educationb. Prevention of Blood borne-HIV transmissionAntiretroviral Treatment
Starting ART Before beginning ART treatment, counsellors should make their clients understand that: Medicines must be taken for the rest of their lives Non-adherence may result in further illness Medicines should not be shared with others Disclosure may aid in treatment adherence Regular appointments with the doctor must be maintained
Continuing to Work, Save, & UseMoney Wisely Working and earning help clients continue to live a satisfying life If the client is healthy, the counsellor may encourage them to continue working and being productive Counsellors should advise clients to save some of their monthly income to pay for treatment pay for care and education of their children
Plan for the Family Counsellors need to discuss the importance of family planning for couples Contraception Preventing Parent to Child Transmission (if a female client is pregnant) Options for Having children are a personal issue for the mother/couple. A counsellorshould talk through all the pros and cons and options and allow the client to make a well informed, personal decision.