About AIDSTAR-One's Provider Initiated HIV Testing and Counseling Resources

Provider Initiated HIV Testing and Counseling Resources
What resources will I find on provider-initiated HIV testing and counseling (PITC)?

AIDSTAR-One is actively involved in learning how PITC is implemented and how the three C’s of HTC – consent, counseling, and confidentiality – are being preserved in countries with limited resources. AIDSTAR-One provides PITC resources including study findings, review of country PITC policies, and assessment tools.

You will find a selection of literature under the “What We Know” section that highlights the growing evidence on PITC policies, development, and implementation. Links to open access articles or abstracts are provided with each article summary.

Who were these resources designed for?

The primary audience is PITC and HTC implementers, program planners, and policymakers. These resources can also inform a wide audience of public health and development researchers, implementers, and students.

How was the content developed?

The AIDSTAR-One HTC Technical Team identified research articles, reports, and tools for their relevance to PITC implementation and policies. Research articles were selected from a variety of databases, including PubMed/Medline, Google Scholar, and Cochrane Library, among other sources from 2007 onward, as the World Health Organization released guidelines on PITC, Guidance on Provider-Initiated HIV Testing and Counselling in Health Facilities (available under the Reports & Guidelines tab).

What will I find under PITC reports and guidelines?

AIDSTAR-One collected reports and guidelines on PITC to support programmatic efforts in the field. The documents include a variety of WHO, UNAIDS, and UNICEF resources, in addition to an AIDSTAR-One report.

What will I find under PITC tools?

AIDSTAR-One provides a variety of PITC tools, including tools AIDSTAR-One used to conduct PITC assessments in Cambodia. Related tools include those developed by The Centers for Disease Control and Prevention (CDC) and by other organizations from various countries.

What can I learn about PITC country policies?

AIDSTAR-One explored the status of PITC policies in several countries based on the 2007 WHO PITC guidelines, Guidance on Provider-Initiated HIV Testing and Counselling in Health Facilities (available under the "Reports & Guidelines” tab), which highlights the “Three Cs” of HIV testing and counseling (HTC): consent, counseling, and confidentiality. A PITC Country Policy review is available as well as a searchable database on PITC country policies by region.

How was the PITC country policy review developed?

AIDSTAR-One conducted a review of PITC policies in PEPFAR countries. For each country, AIDSTAR-One determined if a PITC policy was available or if a policy was included in the country’s national HTC guidelines.

What important information should I know before reading the PITC country policy review or search the country policy database?

Policy: Most countries that have adopted PITC treat it as an extension of existing HTC initiatives. Often, PITC is implemented through a directive rather than an explicit policy.

Terms: PITC can be described by various terms. Routine HIV testing is the most common way to refer to PITC, but this may vary. This review follows individual countries’ terms.

Implementation: This review solely considers the existence of PITC policies. Whether PITC is actually being implemented in each country is not addressed.