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July 21, 2010

Progress in Providing HIV Testing and Counseling in Health FacilitiesWHO/UNAIDS Guidance

Author Affiliations

Author Affiliations: HIV Department, World Health Organization, Geneva, Switzerland.

JAMA. 2010;304(3):342-343. doi:10.1001/jama.2010.995

In 2007, the Guidance on Provider-Initiated Testing and Counseling in Health Facilities1 was launched by the World Health Organization and the United Nations Joint Programme on HIV/AIDS (UNAIDS) to help ensure that human immunodeficiency virus (HIV) is systematically diagnosed to improve treatment outcomes and increase access to prevention services. Since then, many HIV programs have adopted the global guidance. This has been associated with earlier diagnosis and treatment compared with other HIV testing and counseling approaches in health facilities.2 According to the 2009 Universal Access progress report, among 110 countries reporting on provider-initiated testing and counseling (PITC), 95 countries indicated their policies promoted it and 89 countries reported that their guidelines ensure confidentiality and informed consent.3

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