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Pitc

Provider-initiated testing and counseling (PITC) refers to HIV testing and counseling recommended by healthcare providers to all patients as a standard part of care. PITC aims to enable clinical decisions and services that require knowledge of a patient's HIV status. It involves opt-out confidential testing accompanied by pre-test information, testing, and post-test counseling, including referral to HIV services. PITC should be implemented across various health facilities and priorities like antenatal care, TB and STI clinics, and adolescent services. Proper monitoring of PITC assesses its effectiveness, impact on access to HIV services, and social and clinical outcomes.

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8 views12 pages

Pitc

Provider-initiated testing and counseling (PITC) refers to HIV testing and counseling recommended by healthcare providers to all patients as a standard part of care. PITC aims to enable clinical decisions and services that require knowledge of a patient's HIV status. It involves opt-out confidential testing accompanied by pre-test information, testing, and post-test counseling, including referral to HIV services. PITC should be implemented across various health facilities and priorities like antenatal care, TB and STI clinics, and adolescent services. Proper monitoring of PITC assesses its effectiveness, impact on access to HIV services, and social and clinical outcomes.

Uploaded by

jaish8904
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPT, PDF, TXT or read online on Scribd

PROVIDER

INITIATED
TESTING AND
COUNSELING
(PITC)
THEANMULLLAI
PALANISAMY
O9O2OO5196

INTRODUCTION
PITC

- Refers to HIV testing and


counselling which is recommended by
health care providers to persons
attending health care facilities as a
standard component of medical care.

3 Cs
confidential
accompanied

by counseling
only with informed consent, i.e. both
informed and voluntary

PURPOSE
The

main purpose is to enable specific


clinical decisions to be made and/or
specific medical services to be offered
that would not be possible without
knowledge of the persons HIV status

health care center should provide PITC


to all adults and adolescents seen in all
health facilities, regardless of whether
symptoms of underlying HIV infection
are present or the reason for presenting
to the facility.

Priorities

Medical in- and out-patient facilities, incl. TB


clinics
Antenatal, childbirth and postpartum services
STI services
Health services for more at risk populations
Pediatric health services for younger children
(<10 years of age)
Surgical services
Adolescent health services
Reproductive health services, including family
planning

Process and Elements


Pre-test

information and informed

consent
Testing
Post-test counseling
Referral to other HIV services

Pre-test information and


informed consent

Why HTC is recommended


Clinical and prevention benefits; risks:
discrimination, abandonment, violence
Services available for + and -, including ART
That results will be confidential
The right to decline, but that test will be done unless
declined
That, if testing is declined, access to services that do
not require knowing one's serostatus will not be
affected
That, in case of positive test, disclosure is
encouraged
Opportunity to ask questions

Post test Counseling

If HIV negative: Explain test result - Give basic


advice on how to prevent getting HIV; Provide
condoms
If HIV positive: Explain test result/give time to
consider; Ensure understands result; Allow
questions; Help cope with emotions; Discuss
immediate concerns map support network;
Describe health and social services available and
refer/provide; Give information on how to prevent
HIV, safer sex, condoms; Advice on nutrition,
cotrimoxazole; Encourage HIV testing & counseling
(HTC) for partners and children; Assess risk of
suicide and violence and discuss steps to ensure
safety; Arrange time and date for follow up.

HIV Related Services


Recommended for
Implementation of PITC in
Health Facilities
Pre-test

information individual or in

group
Basic prevention services
Basic care and support services

Monitoring

Progress in implementation
Assess effectiveness and impact (+ and -):
Access to testing and counselling, knowledge of
serostatus
Uptake of prevention, treatment, care and
support services
Mortality and morbidity
HIV awareness and treatment literacy
Social impact (e.g. rates of disclosure,
discrimination, adverse outcomes)
Cost effectiveness, Quality of lab services

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