Guidance on provider-initiated testing and counselling ( PITC) in health-care settings (2007)
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Transcript of Guidance on provider-initiated testing and counselling ( PITC) in health-care settings (2007)
INCREASING ACCESS TO HIV TESTING AND COUNSELLING FOR PEOPLE IN PRISONS AND OTHER
CLOSED SETTINGS
Ralf Jürgens, Fabienne Hariga, Donna Higgins, Ying-Ru Lo, Annette Verster
The UNODC/WHO/UNAIDS Policy Brief on HIV Testing &
Counselling in Prisons & Other Closed Settings
VIENNA AIDS 2010
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Guidance on provider-initiated testing and counselling (PITC) in health-care settings (2007)
• Prisons are not health-care settings
• Nevertheless, the guidance contains important principles that can be useful also for prisons
• Fear that in the context of prison settings, the PITC guideline would become and excuse for compulsory HIV testing
Methods
• Comprehensive review & analysis of the evidence– Sometimes compulsory testing
– Sometimes no HIV testing at all
– Power balance
– sometimes segregation of PLWH
– No confidentiality
• Extensive consultation process, starting in Varna
(Bulgaria) in 2007 & followed by peer review
• Production of technical paper & policy brief
Recommendations1. Be part of a comprehensive programme
2. Non discriminatory practices and policies
3. Prohibit compulsory HIV testing
4. Access to VCT at any time
5. Offered (opt-in) or recommended HIV testing in specific cases (opt-out): TB, pregnancy
6. Informed consent
www.unodc.org/aids