Routine HIV testing and counseling (DTC) in TB clinical settings protocol

"Patients in TB clinic.
Step 1. Patient education. Patient education provided while patient waits: group education; posters; brochures, etc.
Step 2. Initial patient provider encounter: Provider informs patient of the importance of HIV testing; many persons with TB also have HIV; diagnosis of HIV is important for medical care; the benefits of testing; access to comprehensive care; prevention of HIV infection and/or transmission; respond to patient's questions and concerns.
Step 3. Decliners: identify barriers to testing and try to solve them; repeat benefits of testing; encourage patient to think about returning for a test during course of TB treatment; at next visit, discuss benefits of testing.
Step 4. Patient accepts and gets HIV rapid test. Rapid testing is performed by provider, next room or lab.
Provider gives patient HIV test results.
Step 5. Provider gives negative HIV test result: provider informs patient of negative result; recommends testing after three months; gives patient brief message about prevention; informs patient on couple discordance and need for testing of partner; encourage patient to disclose HIV results to his/her partner.
Step 5 (cont.) Referal: refer patient for counseling (if needed); provider gives information on VCT sites for partner referral.
Step 6. Provider gives positive HIV test result: provider informs patient of positive result; supports patient to accept results; discuss with patient on available care; address disclosure and partner referral; address positive living; refer to post test clubs and other support groups for psychosocial support.
Step 6 (cont.) Referral: to comprehensive care center."

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"Patients in TB clinic.

Step 1. Patient education. Patient education provided while patient waits: group education; posters; brochures, etc.

Step 2. Initial patient provider encounter: Provider informs patient of the importance of HIV testing; many persons with TB also have HIV; diagnosis of HIV is important for medical care; the benefits of testing; access to comprehensive care; prevention of HIV infection and/or transmission; respond to patient's questions and concerns.

Step 3. Decliners: identify barriers to testing and try to solve them; repeat benefits of testing; encourage patient to think about returning for a test during course of TB treatment; at next visit, discuss benefits of testing.

Step 4. Patient accepts and gets HIV rapid test. Rapid testing is performed by provider, next room or lab.

Provider gives patient HIV test results.

Step 5. Provider gives negative HIV test result: provider informs patient of negative result; recommends testing after three months; gives patient brief message about prevention; informs patient on couple discordance and need for testing of partner; encourage patient to disclose HIV results to his/her partner.

Step 5 (cont.) Referal: refer patient for counseling (if needed); provider gives information on VCT sites for partner referral.

Step 6. Provider gives positive HIV test result: provider informs patient of positive result; supports patient to accept results; discuss with patient on available care; address disclosure and partner referral; address positive living; refer to post test clubs and other support groups for psychosocial support.

Step 6 (cont.) Referral: to comprehensive care center."

[summary] => [format] => 1 [safe_value] =>

"Patients in TB clinic.
Step 1. Patient education. Patient education provided while patient waits: group education; posters; brochures, etc.
Step 2. Initial patient provider encounter: Provider informs patient of the importance of HIV testing; many persons with TB also have HIV; diagnosis of HIV is important for medical care; the benefits of testing; access to comprehensive care; prevention of HIV infection and/or transmission; respond to patient's questions and concerns.
Step 3. Decliners: identify barriers to testing and try to solve them; repeat benefits of testing; encourage patient to think about returning for a test during course of TB treatment; at next visit, discuss benefits of testing.
Step 4. Patient accepts and gets HIV rapid test. Rapid testing is performed by provider, next room or lab.
Provider gives patient HIV test results.
Step 5. Provider gives negative HIV test result: provider informs patient of negative result; recommends testing after three months; gives patient brief message about prevention; informs patient on couple discordance and need for testing of partner; encourage patient to disclose HIV results to his/her partner.
Step 5 (cont.) Referal: refer patient for counseling (if needed); provider gives information on VCT sites for partner referral.
Step 6. Provider gives positive HIV test result: provider informs patient of positive result; supports patient to accept results; discuss with patient on available care; address disclosure and partner referral; address positive living; refer to post test clubs and other support groups for psychosocial support.
Step 6 (cont.) Referral: to comprehensive care center."

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"Patients in TB clinic.

Step 1. Patient education. Patient education provided while patient waits: group education; posters; brochures, etc.

Step 2. Initial patient provider encounter: Provider informs patient of the importance of HIV testing; many persons with TB also have HIV; diagnosis of HIV is important for medical care; the benefits of testing; access to comprehensive care; prevention of HIV infection and/or transmission; respond to patient's questions and concerns.

Step 3. Decliners: identify barriers to testing and try to solve them; repeat benefits of testing; encourage patient to think about returning for a test during course of TB treatment; at next visit, discuss benefits of testing.

Step 4. Patient accepts and gets HIV rapid test. Rapid testing is performed by provider, next room or lab.

Provider gives patient HIV test results.

Step 5. Provider gives negative HIV test result: provider informs patient of negative result; recommends testing after three months; gives patient brief message about prevention; informs patient on couple discordance and need for testing of partner; encourage patient to disclose HIV results to his/her partner.

Step 5 (cont.) Referal: refer patient for counseling (if needed); provider gives information on VCT sites for partner referral.

Step 6. Provider gives positive HIV test result: provider informs patient of positive result; supports patient to accept results; discuss with patient on available care; address disclosure and partner referral; address positive living; refer to post test clubs and other support groups for psychosocial support.

Step 6 (cont.) Referral: to comprehensive care center."

[summary] => [format] => 1 [safe_value] =>

"Patients in TB clinic.
Step 1. Patient education. Patient education provided while patient waits: group education; posters; brochures, etc.
Step 2. Initial patient provider encounter: Provider informs patient of the importance of HIV testing; many persons with TB also have HIV; diagnosis of HIV is important for medical care; the benefits of testing; access to comprehensive care; prevention of HIV infection and/or transmission; respond to patient's questions and concerns.
Step 3. Decliners: identify barriers to testing and try to solve them; repeat benefits of testing; encourage patient to think about returning for a test during course of TB treatment; at next visit, discuss benefits of testing.
Step 4. Patient accepts and gets HIV rapid test. Rapid testing is performed by provider, next room or lab.
Provider gives patient HIV test results.
Step 5. Provider gives negative HIV test result: provider informs patient of negative result; recommends testing after three months; gives patient brief message about prevention; informs patient on couple discordance and need for testing of partner; encourage patient to disclose HIV results to his/her partner.
Step 5 (cont.) Referal: refer patient for counseling (if needed); provider gives information on VCT sites for partner referral.
Step 6. Provider gives positive HIV test result: provider informs patient of positive result; supports patient to accept results; discuss with patient on available care; address disclosure and partner referral; address positive living; refer to post test clubs and other support groups for psychosocial support.
Step 6 (cont.) Referral: to comprehensive care center."

[safe_summary] => ) ) [#formatter] => text_default [0] => Array ( [#markup] =>

"Patients in TB clinic.
Step 1. Patient education. Patient education provided while patient waits: group education; posters; brochures, etc.
Step 2. Initial patient provider encounter: Provider informs patient of the importance of HIV testing; many persons with TB also have HIV; diagnosis of HIV is important for medical care; the benefits of testing; access to comprehensive care; prevention of HIV infection and/or transmission; respond to patient's questions and concerns.
Step 3. Decliners: identify barriers to testing and try to solve them; repeat benefits of testing; encourage patient to think about returning for a test during course of TB treatment; at next visit, discuss benefits of testing.
Step 4. Patient accepts and gets HIV rapid test. Rapid testing is performed by provider, next room or lab.
Provider gives patient HIV test results.
Step 5. Provider gives negative HIV test result: provider informs patient of negative result; recommends testing after three months; gives patient brief message about prevention; informs patient on couple discordance and need for testing of partner; encourage patient to disclose HIV results to his/her partner.
Step 5 (cont.) Referal: refer patient for counseling (if needed); provider gives information on VCT sites for partner referral.
Step 6. Provider gives positive HIV test result: provider informs patient of positive result; supports patient to accept results; discuss with patient on available care; address disclosure and partner referral; address positive living; refer to post test clubs and other support groups for psychosocial support.
Step 6 (cont.) Referral: to comprehensive care center."

) [#printed] => 1 [#children] =>

"Patients in TB clinic.
Step 1. Patient education. Patient education provided while patient waits: group education; posters; brochures, etc.
Step 2. Initial patient provider encounter: Provider informs patient of the importance of HIV testing; many persons with TB also have HIV; diagnosis of HIV is important for medical care; the benefits of testing; access to comprehensive care; prevention of HIV infection and/or transmission; respond to patient's questions and concerns.
Step 3. Decliners: identify barriers to testing and try to solve them; repeat benefits of testing; encourage patient to think about returning for a test during course of TB treatment; at next visit, discuss benefits of testing.
Step 4. Patient accepts and gets HIV rapid test. Rapid testing is performed by provider, next room or lab.
Provider gives patient HIV test results.
Step 5. Provider gives negative HIV test result: provider informs patient of negative result; recommends testing after three months; gives patient brief message about prevention; informs patient on couple discordance and need for testing of partner; encourage patient to disclose HIV results to his/her partner.
Step 5 (cont.) Referal: refer patient for counseling (if needed); provider gives information on VCT sites for partner referral.
Step 6. Provider gives positive HIV test result: provider informs patient of positive result; supports patient to accept results; discuss with patient on available care; address disclosure and partner referral; address positive living; refer to post test clubs and other support groups for psychosocial support.
Step 6 (cont.) Referral: to comprehensive care center."

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"Patients in TB clinic.

Step 1. Patient education. Patient education provided while patient waits: group education; posters; brochures, etc.

Step 2. Initial patient provider encounter: Provider informs patient of the importance of HIV testing; many persons with TB also have HIV; diagnosis of HIV is important for medical care; the benefits of testing; access to comprehensive care; prevention of HIV infection and/or transmission; respond to patient's questions and concerns.

Step 3. Decliners: identify barriers to testing and try to solve them; repeat benefits of testing; encourage patient to think about returning for a test during course of TB treatment; at next visit, discuss benefits of testing.

Step 4. Patient accepts and gets HIV rapid test. Rapid testing is performed by provider, next room or lab.

Provider gives patient HIV test results.

Step 5. Provider gives negative HIV test result: provider informs patient of negative result; recommends testing after three months; gives patient brief message about prevention; informs patient on couple discordance and need for testing of partner; encourage patient to disclose HIV results to his/her partner.

Step 5 (cont.) Referal: refer patient for counseling (if needed); provider gives information on VCT sites for partner referral.

Step 6. Provider gives positive HIV test result: provider informs patient of positive result; supports patient to accept results; discuss with patient on available care; address disclosure and partner referral; address positive living; refer to post test clubs and other support groups for psychosocial support.

Step 6 (cont.) Referral: to comprehensive care center."

[summary] => [format] => 1 [safe_value] =>

"Patients in TB clinic.
Step 1. Patient education. Patient education provided while patient waits: group education; posters; brochures, etc.
Step 2. Initial patient provider encounter: Provider informs patient of the importance of HIV testing; many persons with TB also have HIV; diagnosis of HIV is important for medical care; the benefits of testing; access to comprehensive care; prevention of HIV infection and/or transmission; respond to patient's questions and concerns.
Step 3. Decliners: identify barriers to testing and try to solve them; repeat benefits of testing; encourage patient to think about returning for a test during course of TB treatment; at next visit, discuss benefits of testing.
Step 4. Patient accepts and gets HIV rapid test. Rapid testing is performed by provider, next room or lab.
Provider gives patient HIV test results.
Step 5. Provider gives negative HIV test result: provider informs patient of negative result; recommends testing after three months; gives patient brief message about prevention; informs patient on couple discordance and need for testing of partner; encourage patient to disclose HIV results to his/her partner.
Step 5 (cont.) Referal: refer patient for counseling (if needed); provider gives information on VCT sites for partner referral.
Step 6. Provider gives positive HIV test result: provider informs patient of positive result; supports patient to accept results; discuss with patient on available care; address disclosure and partner referral; address positive living; refer to post test clubs and other support groups for psychosocial support.
Step 6 (cont.) Referral: to comprehensive care center."

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"Patients in TB clinic.

Step 1. Patient education. Patient education provided while patient waits: group education; posters; brochures, etc.

Step 2. Initial patient provider encounter: Provider informs patient of the importance of HIV testing; many persons with TB also have HIV; diagnosis of HIV is important for medical care; the benefits of testing; access to comprehensive care; prevention of HIV infection and/or transmission; respond to patient's questions and concerns.

Step 3. Decliners: identify barriers to testing and try to solve them; repeat benefits of testing; encourage patient to think about returning for a test during course of TB treatment; at next visit, discuss benefits of testing.

Step 4. Patient accepts and gets HIV rapid test. Rapid testing is performed by provider, next room or lab.

Provider gives patient HIV test results.

Step 5. Provider gives negative HIV test result: provider informs patient of negative result; recommends testing after three months; gives patient brief message about prevention; informs patient on couple discordance and need for testing of partner; encourage patient to disclose HIV results to his/her partner.

Step 5 (cont.) Referal: refer patient for counseling (if needed); provider gives information on VCT sites for partner referral.

Step 6. Provider gives positive HIV test result: provider informs patient of positive result; supports patient to accept results; discuss with patient on available care; address disclosure and partner referral; address positive living; refer to post test clubs and other support groups for psychosocial support.

Step 6 (cont.) Referral: to comprehensive care center."

[summary] => [format] => 1 [safe_value] =>

"Patients in TB clinic.
Step 1. Patient education. Patient education provided while patient waits: group education; posters; brochures, etc.
Step 2. Initial patient provider encounter: Provider informs patient of the importance of HIV testing; many persons with TB also have HIV; diagnosis of HIV is important for medical care; the benefits of testing; access to comprehensive care; prevention of HIV infection and/or transmission; respond to patient's questions and concerns.
Step 3. Decliners: identify barriers to testing and try to solve them; repeat benefits of testing; encourage patient to think about returning for a test during course of TB treatment; at next visit, discuss benefits of testing.
Step 4. Patient accepts and gets HIV rapid test. Rapid testing is performed by provider, next room or lab.
Provider gives patient HIV test results.
Step 5. Provider gives negative HIV test result: provider informs patient of negative result; recommends testing after three months; gives patient brief message about prevention; informs patient on couple discordance and need for testing of partner; encourage patient to disclose HIV results to his/her partner.
Step 5 (cont.) Referal: refer patient for counseling (if needed); provider gives information on VCT sites for partner referral.
Step 6. Provider gives positive HIV test result: provider informs patient of positive result; supports patient to accept results; discuss with patient on available care; address disclosure and partner referral; address positive living; refer to post test clubs and other support groups for psychosocial support.
Step 6 (cont.) Referral: to comprehensive care center."

[safe_summary] => ) ) ) [field_language] => Array ( [und] => Array ( [0] => Array ( [value] => English [format] => [safe_value] => English ) ) ) [field_date] => Array ( ) [field_otherholdings] => Array ( ) [field_latitude] => Array ( ) [field_longitude] => Array ( ) [field_alpha_title] => Array ( ) [field_series] => Array ( ) [field_artist] => Array ( ) [field_creators_group] => Array ( [und] => Array ( [0] => Array ( [value] => Kenya. Ministry of Public Health and Sanitation [format] => [safe_value] => Kenya. Ministry of Public Health and Sanitation ) ) ) [field_width] => Array ( ) [field_height] => Array ( ) [field_poster_1] => Array ( [und] => Array ( [0] => Array ( [value] => AP10768_01.jpg [format] => [safe_value] => AP10768_01.jpg ) ) ) [field_poster_2] => Array ( ) [field_mature_flag] => Array ( ) [field_copyright] => Array ( ) [field_aep_description] => Array ( [und] => Array ( [0] => Array ( [value] => Flow chart aimed at medical professionals. [format] => [safe_value] => Flow chart aimed at medical professionals. ) ) ) [field_staffnote] => Array ( ) [field_aep_translation] => Array ( ) [field_trans_title] => Array ( ) [field_poster_image] => Array ( [und] => Array ( [0] => Array ( [fid] => 9170 [uid] => 0 [filename] => AP10768_01_0.jpg [uri] => public://aep_posters/AP10768_01_0.jpg [filemime] => image/jpeg [filesize] => 1370673 [status] => 1 [timestamp] => 1421881821 [alt] => [title] => [width] => [height] => ) ) ) [field_timeline_date] => Array ( ) [field_location] => Array ( [und] => Array ( [0] => Array ( [value] => Kenya [format] => [safe_value] => Kenya ) ) ) [field_seealso] => Array ( ) [taxonomy_vocabulary_7] => Array ( [und] => Array ( [0] => Array ( [target_id] => 268 [entity] => stdClass Object ( [tid] => 268 [vid] => 7 [name] => AIDS (Disease)--Patients--Care [description] => fst00793866 [format] => [weight] => 0 [vocabulary_machine_name] => vocabulary_7 ) [access] => 1 ) [1] => Array ( [target_id] => 289 [entity] => stdClass Object ( [tid] => 289 [vid] => 7 [name] => Community health services [description] => fst00870958 [format] => [weight] => 0 [vocabulary_machine_name] => vocabulary_7 ) [access] => 1 ) [2] => Array ( [target_id] => 459 [entity] => stdClass Object ( [tid] => 459 [vid] => 7 [name] => Medical personnel [description] => fst01014407 [format] => [weight] => 0 [vocabulary_machine_name] => vocabulary_7 ) [access] => 1 ) [3] => Array ( [target_id] => 721 [entity] => stdClass Object ( [tid] => 721 [vid] => 7 [name] => AIDS (Disease)--Testing [description] => fst00793967 [format] => [weight] => 0 [vocabulary_machine_name] => vocabulary_7 ) [access] => 1 ) [4] => Array ( [target_id] => 739 [entity] => stdClass Object ( [tid] => 739 [vid] => 7 [name] => HIV-positive persons [description] => fst00949912 [format] => [weight] => 0 [vocabulary_machine_name] => vocabulary_7 ) [access] => 1 ) [5] => Array ( [target_id] => 864 [entity] => stdClass Object ( [tid] => 864 [vid] => 7 [name] => Tuberculosis [description] => fst01158499 [format] => [weight] => 0 [vocabulary_machine_name] => vocabulary_7 ) [access] => 1 ) ) ) [locations] => Array ( ) [location] => Array ( ) [name] => [picture] => 0 [data] => [entity_view_prepared] => 1 ) [#items] => Array ( [0] => Array ( [value] => Kenya. Ministry of Public Health and Sanitation [format] => [safe_value] => Kenya. Ministry of Public Health and Sanitation ) ) [#formatter] => text_default [0] => Array ( [#markup] => Kenya. Ministry of Public Health and Sanitation ) ) [field_width] => [field_height] => [field_aep_description] => Array ( [#theme] => field [#weight] => 19 [#title] => Description [#access] => 1 [#label_display] => inline [#view_mode] => full [#language] => und [#field_name] => field_aep_description [#field_type] => text_long [#field_translatable] => 0 [#entity_type] => node [#bundle] => aids_poster [#object] => stdClass Object ( [vid] => 75452 [uid] => 0 [title] => Routine HIV testing and counseling (DTC) in TB clinical settings protocol [log] => [status] => 1 [comment] => 0 [promote] => 1 [sticky] => 0 [nid] => 48662 [type] => aids_poster [language] => en [created] => 1421881821 [changed] => 1424456344 [tnid] => 0 [translate] => 0 [revision_timestamp] => 1424456344 [revision_uid] => 129 [body] => Array ( [und] => Array ( [0] => Array ( [value] =>

"Patients in TB clinic.

Step 1. Patient education. Patient education provided while patient waits: group education; posters; brochures, etc.

Step 2. Initial patient provider encounter: Provider informs patient of the importance of HIV testing; many persons with TB also have HIV; diagnosis of HIV is important for medical care; the benefits of testing; access to comprehensive care; prevention of HIV infection and/or transmission; respond to patient's questions and concerns.

Step 3. Decliners: identify barriers to testing and try to solve them; repeat benefits of testing; encourage patient to think about returning for a test during course of TB treatment; at next visit, discuss benefits of testing.

Step 4. Patient accepts and gets HIV rapid test. Rapid testing is performed by provider, next room or lab.

Provider gives patient HIV test results.

Step 5. Provider gives negative HIV test result: provider informs patient of negative result; recommends testing after three months; gives patient brief message about prevention; informs patient on couple discordance and need for testing of partner; encourage patient to disclose HIV results to his/her partner.

Step 5 (cont.) Referal: refer patient for counseling (if needed); provider gives information on VCT sites for partner referral.

Step 6. Provider gives positive HIV test result: provider informs patient of positive result; supports patient to accept results; discuss with patient on available care; address disclosure and partner referral; address positive living; refer to post test clubs and other support groups for psychosocial support.

Step 6 (cont.) Referral: to comprehensive care center."

[summary] => [format] => 1 [safe_value] =>

"Patients in TB clinic.
Step 1. Patient education. Patient education provided while patient waits: group education; posters; brochures, etc.
Step 2. Initial patient provider encounter: Provider informs patient of the importance of HIV testing; many persons with TB also have HIV; diagnosis of HIV is important for medical care; the benefits of testing; access to comprehensive care; prevention of HIV infection and/or transmission; respond to patient's questions and concerns.
Step 3. Decliners: identify barriers to testing and try to solve them; repeat benefits of testing; encourage patient to think about returning for a test during course of TB treatment; at next visit, discuss benefits of testing.
Step 4. Patient accepts and gets HIV rapid test. Rapid testing is performed by provider, next room or lab.
Provider gives patient HIV test results.
Step 5. Provider gives negative HIV test result: provider informs patient of negative result; recommends testing after three months; gives patient brief message about prevention; informs patient on couple discordance and need for testing of partner; encourage patient to disclose HIV results to his/her partner.
Step 5 (cont.) Referal: refer patient for counseling (if needed); provider gives information on VCT sites for partner referral.
Step 6. Provider gives positive HIV test result: provider informs patient of positive result; supports patient to accept results; discuss with patient on available care; address disclosure and partner referral; address positive living; refer to post test clubs and other support groups for psychosocial support.
Step 6 (cont.) Referral: to comprehensive care center."

[safe_summary] => ) ) ) [field_language] => Array ( [und] => Array ( [0] => Array ( [value] => English [format] => [safe_value] => English ) ) ) [field_date] => Array ( ) [field_otherholdings] => Array ( ) [field_latitude] => Array ( ) [field_longitude] => Array ( ) [field_alpha_title] => Array ( ) [field_series] => Array ( ) [field_artist] => Array ( ) [field_creators_group] => Array ( [und] => Array ( [0] => Array ( [value] => Kenya. Ministry of Public Health and Sanitation [format] => [safe_value] => Kenya. Ministry of Public Health and Sanitation ) ) ) [field_width] => Array ( ) [field_height] => Array ( ) [field_poster_1] => Array ( [und] => Array ( [0] => Array ( [value] => AP10768_01.jpg [format] => [safe_value] => AP10768_01.jpg ) ) ) [field_poster_2] => Array ( ) [field_mature_flag] => Array ( ) [field_copyright] => Array ( ) [field_aep_description] => Array ( [und] => Array ( [0] => Array ( [value] => Flow chart aimed at medical professionals. [format] => [safe_value] => Flow chart aimed at medical professionals. ) ) ) [field_staffnote] => Array ( ) [field_aep_translation] => Array ( ) [field_trans_title] => Array ( ) [field_poster_image] => Array ( [und] => Array ( [0] => Array ( [fid] => 9170 [uid] => 0 [filename] => AP10768_01_0.jpg [uri] => public://aep_posters/AP10768_01_0.jpg [filemime] => image/jpeg [filesize] => 1370673 [status] => 1 [timestamp] => 1421881821 [alt] => [title] => [width] => [height] => ) ) ) [field_timeline_date] => Array ( ) [field_location] => Array ( [und] => Array ( [0] => Array ( [value] => Kenya [format] => [safe_value] => Kenya ) ) ) [field_seealso] => Array ( ) [taxonomy_vocabulary_7] => Array ( [und] => Array ( [0] => Array ( [target_id] => 268 [entity] => stdClass Object ( [tid] => 268 [vid] => 7 [name] => AIDS (Disease)--Patients--Care [description] => fst00793866 [format] => [weight] => 0 [vocabulary_machine_name] => vocabulary_7 ) [access] => 1 ) [1] => Array ( [target_id] => 289 [entity] => stdClass Object ( [tid] => 289 [vid] => 7 [name] => Community health services [description] => fst00870958 [format] => [weight] => 0 [vocabulary_machine_name] => vocabulary_7 ) [access] => 1 ) [2] => Array ( [target_id] => 459 [entity] => stdClass Object ( [tid] => 459 [vid] => 7 [name] => Medical personnel [description] => fst01014407 [format] => [weight] => 0 [vocabulary_machine_name] => vocabulary_7 ) [access] => 1 ) [3] => Array ( [target_id] => 721 [entity] => stdClass Object ( [tid] => 721 [vid] => 7 [name] => AIDS (Disease)--Testing [description] => fst00793967 [format] => [weight] => 0 [vocabulary_machine_name] => vocabulary_7 ) [access] => 1 ) [4] => Array ( [target_id] => 739 [entity] => stdClass Object ( [tid] => 739 [vid] => 7 [name] => HIV-positive persons [description] => fst00949912 [format] => [weight] => 0 [vocabulary_machine_name] => vocabulary_7 ) [access] => 1 ) [5] => Array ( [target_id] => 864 [entity] => stdClass Object ( [tid] => 864 [vid] => 7 [name] => Tuberculosis [description] => fst01158499 [format] => [weight] => 0 [vocabulary_machine_name] => vocabulary_7 ) [access] => 1 ) ) ) [locations] => Array ( ) [location] => Array ( ) [name] => [picture] => 0 [data] => [entity_view_prepared] => 1 ) [#items] => Array ( [0] => Array ( [value] => Flow chart aimed at medical professionals. [format] => [safe_value] => Flow chart aimed at medical professionals. ) ) [#formatter] => text_default [0] => Array ( [#markup] => Flow chart aimed at medical professionals. ) ) [field_aep_translation] => [field_trans_title] => [field_timeline_date] => [field_location] => Array ( [#theme] => field [#weight] => 25 [#title] => Locale [#access] => 1 [#label_display] => inline [#view_mode] => full [#language] => und [#field_name] => field_location [#field_type] => text [#field_translatable] => 0 [#entity_type] => node [#bundle] => aids_poster [#object] => stdClass Object ( [vid] => 75452 [uid] => 0 [title] => Routine HIV testing and counseling (DTC) in TB clinical settings protocol [log] => [status] => 1 [comment] => 0 [promote] => 1 [sticky] => 0 [nid] => 48662 [type] => aids_poster [language] => en [created] => 1421881821 [changed] => 1424456344 [tnid] => 0 [translate] => 0 [revision_timestamp] => 1424456344 [revision_uid] => 129 [body] => Array ( [und] => Array ( [0] => Array ( [value] =>

"Patients in TB clinic.

Step 1. Patient education. Patient education provided while patient waits: group education; posters; brochures, etc.

Step 2. Initial patient provider encounter: Provider informs patient of the importance of HIV testing; many persons with TB also have HIV; diagnosis of HIV is important for medical care; the benefits of testing; access to comprehensive care; prevention of HIV infection and/or transmission; respond to patient's questions and concerns.

Step 3. Decliners: identify barriers to testing and try to solve them; repeat benefits of testing; encourage patient to think about returning for a test during course of TB treatment; at next visit, discuss benefits of testing.

Step 4. Patient accepts and gets HIV rapid test. Rapid testing is performed by provider, next room or lab.

Provider gives patient HIV test results.

Step 5. Provider gives negative HIV test result: provider informs patient of negative result; recommends testing after three months; gives patient brief message about prevention; informs patient on couple discordance and need for testing of partner; encourage patient to disclose HIV results to his/her partner.

Step 5 (cont.) Referal: refer patient for counseling (if needed); provider gives information on VCT sites for partner referral.

Step 6. Provider gives positive HIV test result: provider informs patient of positive result; supports patient to accept results; discuss with patient on available care; address disclosure and partner referral; address positive living; refer to post test clubs and other support groups for psychosocial support.

Step 6 (cont.) Referral: to comprehensive care center."

[summary] => [format] => 1 [safe_value] =>

"Patients in TB clinic.
Step 1. Patient education. Patient education provided while patient waits: group education; posters; brochures, etc.
Step 2. Initial patient provider encounter: Provider informs patient of the importance of HIV testing; many persons with TB also have HIV; diagnosis of HIV is important for medical care; the benefits of testing; access to comprehensive care; prevention of HIV infection and/or transmission; respond to patient's questions and concerns.
Step 3. Decliners: identify barriers to testing and try to solve them; repeat benefits of testing; encourage patient to think about returning for a test during course of TB treatment; at next visit, discuss benefits of testing.
Step 4. Patient accepts and gets HIV rapid test. Rapid testing is performed by provider, next room or lab.
Provider gives patient HIV test results.
Step 5. Provider gives negative HIV test result: provider informs patient of negative result; recommends testing after three months; gives patient brief message about prevention; informs patient on couple discordance and need for testing of partner; encourage patient to disclose HIV results to his/her partner.
Step 5 (cont.) Referal: refer patient for counseling (if needed); provider gives information on VCT sites for partner referral.
Step 6. Provider gives positive HIV test result: provider informs patient of positive result; supports patient to accept results; discuss with patient on available care; address disclosure and partner referral; address positive living; refer to post test clubs and other support groups for psychosocial support.
Step 6 (cont.) Referral: to comprehensive care center."

[safe_summary] => ) ) ) [field_language] => Array ( [und] => Array ( [0] => Array ( [value] => English [format] => [safe_value] => English ) ) ) [field_date] => Array ( ) [field_otherholdings] => Array ( ) [field_latitude] => Array ( ) [field_longitude] => Array ( ) [field_alpha_title] => Array ( ) [field_series] => Array ( ) [field_artist] => Array ( ) [field_creators_group] => Array ( [und] => Array ( [0] => Array ( [value] => Kenya. Ministry of Public Health and Sanitation [format] => [safe_value] => Kenya. Ministry of Public Health and Sanitation ) ) ) [field_width] => Array ( ) [field_height] => Array ( ) [field_poster_1] => Array ( [und] => Array ( [0] => Array ( [value] => AP10768_01.jpg [format] => [safe_value] => AP10768_01.jpg ) ) ) [field_poster_2] => Array ( ) [field_mature_flag] => Array ( ) [field_copyright] => Array ( ) [field_aep_description] => Array ( [und] => Array ( [0] => Array ( [value] => Flow chart aimed at medical professionals. [format] => [safe_value] => Flow chart aimed at medical professionals. ) ) ) [field_staffnote] => Array ( ) [field_aep_translation] => Array ( ) [field_trans_title] => Array ( ) [field_poster_image] => Array ( [und] => Array ( [0] => Array ( [fid] => 9170 [uid] => 0 [filename] => AP10768_01_0.jpg [uri] => public://aep_posters/AP10768_01_0.jpg [filemime] => image/jpeg [filesize] => 1370673 [status] => 1 [timestamp] => 1421881821 [alt] => [title] => [width] => [height] => ) ) ) [field_timeline_date] => Array ( ) [field_location] => Array ( [und] => Array ( [0] => Array ( [value] => Kenya [format] => [safe_value] => Kenya ) ) ) [field_seealso] => Array ( ) [taxonomy_vocabulary_7] => Array ( [und] => Array ( [0] => Array ( [target_id] => 268 [entity] => stdClass Object ( [tid] => 268 [vid] => 7 [name] => AIDS (Disease)--Patients--Care [description] => fst00793866 [format] => [weight] => 0 [vocabulary_machine_name] => vocabulary_7 ) [access] => 1 ) [1] => Array ( [target_id] => 289 [entity] => stdClass Object ( [tid] => 289 [vid] => 7 [name] => Community health services [description] => fst00870958 [format] => [weight] => 0 [vocabulary_machine_name] => vocabulary_7 ) [access] => 1 ) [2] => Array ( [target_id] => 459 [entity] => stdClass Object ( [tid] => 459 [vid] => 7 [name] => Medical personnel [description] => fst01014407 [format] => [weight] => 0 [vocabulary_machine_name] => vocabulary_7 ) [access] => 1 ) [3] => Array ( [target_id] => 721 [entity] => stdClass Object ( [tid] => 721 [vid] => 7 [name] => AIDS (Disease)--Testing [description] => fst00793967 [format] => [weight] => 0 [vocabulary_machine_name] => vocabulary_7 ) [access] => 1 ) [4] => Array ( [target_id] => 739 [entity] => stdClass Object ( [tid] => 739 [vid] => 7 [name] => HIV-positive persons [description] => fst00949912 [format] => [weight] => 0 [vocabulary_machine_name] => vocabulary_7 ) [access] => 1 ) [5] => Array ( [target_id] => 864 [entity] => stdClass Object ( [tid] => 864 [vid] => 7 [name] => Tuberculosis [description] => fst01158499 [format] => [weight] => 0 [vocabulary_machine_name] => vocabulary_7 ) [access] => 1 ) ) ) [locations] => Array ( ) [location] => Array ( ) [name] => [picture] => 0 [data] => [entity_view_prepared] => 1 ) [#items] => Array ( [0] => Array ( [value] => Kenya [format] => [safe_value] => Kenya ) ) [#formatter] => text_default [0] => Array ( [#markup] => Kenya ) ) [field_seealso] => [taxonomy_vocabulary_7] => Array ( [#theme] => field [#weight] => 33 [#title] => AEP Keywords [#access] => 1 [#label_display] => inline [#view_mode] => full [#language] => und [#field_name] => taxonomy_vocabulary_7 [#field_type] => entityreference [#field_translatable] => 0 [#entity_type] => node [#bundle] => aids_poster [#object] => stdClass Object ( [vid] => 75452 [uid] => 0 [title] => Routine HIV testing and counseling (DTC) in TB clinical settings protocol [log] => [status] => 1 [comment] => 0 [promote] => 1 [sticky] => 0 [nid] => 48662 [type] => aids_poster [language] => en [created] => 1421881821 [changed] => 1424456344 [tnid] => 0 [translate] => 0 [revision_timestamp] => 1424456344 [revision_uid] => 129 [body] => Array ( [und] => Array ( [0] => Array ( [value] =>

"Patients in TB clinic.

Step 1. Patient education. Patient education provided while patient waits: group education; posters; brochures, etc.

Step 2. Initial patient provider encounter: Provider informs patient of the importance of HIV testing; many persons with TB also have HIV; diagnosis of HIV is important for medical care; the benefits of testing; access to comprehensive care; prevention of HIV infection and/or transmission; respond to patient's questions and concerns.

Step 3. Decliners: identify barriers to testing and try to solve them; repeat benefits of testing; encourage patient to think about returning for a test during course of TB treatment; at next visit, discuss benefits of testing.

Step 4. Patient accepts and gets HIV rapid test. Rapid testing is performed by provider, next room or lab.

Provider gives patient HIV test results.

Step 5. Provider gives negative HIV test result: provider informs patient of negative result; recommends testing after three months; gives patient brief message about prevention; informs patient on couple discordance and need for testing of partner; encourage patient to disclose HIV results to his/her partner.

Step 5 (cont.) Referal: refer patient for counseling (if needed); provider gives information on VCT sites for partner referral.

Step 6. Provider gives positive HIV test result: provider informs patient of positive result; supports patient to accept results; discuss with patient on available care; address disclosure and partner referral; address positive living; refer to post test clubs and other support groups for psychosocial support.

Step 6 (cont.) Referral: to comprehensive care center."

[summary] => [format] => 1 [safe_value] =>

"Patients in TB clinic.
Step 1. Patient education. Patient education provided while patient waits: group education; posters; brochures, etc.
Step 2. Initial patient provider encounter: Provider informs patient of the importance of HIV testing; many persons with TB also have HIV; diagnosis of HIV is important for medical care; the benefits of testing; access to comprehensive care; prevention of HIV infection and/or transmission; respond to patient's questions and concerns.
Step 3. Decliners: identify barriers to testing and try to solve them; repeat benefits of testing; encourage patient to think about returning for a test during course of TB treatment; at next visit, discuss benefits of testing.
Step 4. Patient accepts and gets HIV rapid test. Rapid testing is performed by provider, next room or lab.
Provider gives patient HIV test results.
Step 5. Provider gives negative HIV test result: provider informs patient of negative result; recommends testing after three months; gives patient brief message about prevention; informs patient on couple discordance and need for testing of partner; encourage patient to disclose HIV results to his/her partner.
Step 5 (cont.) Referal: refer patient for counseling (if needed); provider gives information on VCT sites for partner referral.
Step 6. Provider gives positive HIV test result: provider informs patient of positive result; supports patient to accept results; discuss with patient on available care; address disclosure and partner referral; address positive living; refer to post test clubs and other support groups for psychosocial support.
Step 6 (cont.) Referral: to comprehensive care center."

[safe_summary] => ) ) ) [field_language] => Array ( [und] => Array ( [0] => Array ( [value] => English [format] => [safe_value] => English ) ) ) [field_date] => Array ( ) [field_otherholdings] => Array ( ) [field_latitude] => Array ( ) [field_longitude] => Array ( ) [field_alpha_title] => Array ( ) [field_series] => Array ( ) [field_artist] => Array ( ) [field_creators_group] => Array ( [und] => Array ( [0] => Array ( [value] => Kenya. Ministry of Public Health and Sanitation [format] => [safe_value] => Kenya. Ministry of Public Health and Sanitation ) ) ) [field_width] => Array ( ) [field_height] => Array ( ) [field_poster_1] => Array ( [und] => Array ( [0] => Array ( [value] => AP10768_01.jpg [format] => [safe_value] => AP10768_01.jpg ) ) ) [field_poster_2] => Array ( ) [field_mature_flag] => Array ( ) [field_copyright] => Array ( ) [field_aep_description] => Array ( [und] => Array ( [0] => Array ( [value] => Flow chart aimed at medical professionals. [format] => [safe_value] => Flow chart aimed at medical professionals. ) ) ) [field_staffnote] => Array ( ) [field_aep_translation] => Array ( ) [field_trans_title] => Array ( ) [field_poster_image] => Array ( [und] => Array ( [0] => Array ( [fid] => 9170 [uid] => 0 [filename] => AP10768_01_0.jpg [uri] => public://aep_posters/AP10768_01_0.jpg [filemime] => image/jpeg [filesize] => 1370673 [status] => 1 [timestamp] => 1421881821 [alt] => [title] => [width] => [height] => ) ) ) [field_timeline_date] => Array ( ) [field_location] => Array ( [und] => Array ( [0] => Array ( [value] => Kenya [format] => [safe_value] => Kenya ) ) ) [field_seealso] => Array ( ) [taxonomy_vocabulary_7] => Array ( [und] => Array ( [0] => Array ( [target_id] => 268 [entity] => stdClass Object ( [tid] => 268 [vid] => 7 [name] => AIDS (Disease)--Patients--Care [description] => fst00793866 [format] => [weight] => 0 [vocabulary_machine_name] => vocabulary_7 ) [access] => 1 ) [1] => Array ( [target_id] => 289 [entity] => stdClass Object ( [tid] => 289 [vid] => 7 [name] => Community health services [description] => fst00870958 [format] => [weight] => 0 [vocabulary_machine_name] => vocabulary_7 ) [access] => 1 ) [2] => Array ( [target_id] => 459 [entity] => stdClass Object ( [tid] => 459 [vid] => 7 [name] => Medical personnel [description] => fst01014407 [format] => [weight] => 0 [vocabulary_machine_name] => vocabulary_7 ) [access] => 1 ) [3] => Array ( [target_id] => 721 [entity] => stdClass Object ( [tid] => 721 [vid] => 7 [name] => AIDS (Disease)--Testing [description] => fst00793967 [format] => [weight] => 0 [vocabulary_machine_name] => vocabulary_7 ) [access] => 1 ) [4] => Array ( [target_id] => 739 [entity] => stdClass Object ( [tid] => 739 [vid] => 7 [name] => HIV-positive persons [description] => fst00949912 [format] => [weight] => 0 [vocabulary_machine_name] => vocabulary_7 ) [access] => 1 ) [5] => Array ( [target_id] => 864 [entity] => stdClass Object ( [tid] => 864 [vid] => 7 [name] => Tuberculosis [description] => fst01158499 [format] => [weight] => 0 [vocabulary_machine_name] => vocabulary_7 ) [access] => 1 ) ) ) [locations] => Array ( ) [location] => Array ( ) [name] => [picture] => 0 [data] => [entity_view_prepared] => 1 ) [#items] => Array ( [0] => Array ( [target_id] => 268 [entity] => stdClass Object ( [tid] => 268 [vid] => 7 [name] => AIDS (Disease)--Patients--Care [description] => fst00793866 [format] => [weight] => 0 [vocabulary_machine_name] => vocabulary_7 ) [access] => 1 ) [1] => Array ( [target_id] => 289 [entity] => stdClass Object ( [tid] => 289 [vid] => 7 [name] => Community health services [description] => fst00870958 [format] => [weight] => 0 [vocabulary_machine_name] => vocabulary_7 ) [access] => 1 ) [2] => Array ( [target_id] => 459 [entity] => stdClass Object ( [tid] => 459 [vid] => 7 [name] => Medical personnel [description] => fst01014407 [format] => [weight] => 0 [vocabulary_machine_name] => vocabulary_7 ) [access] => 1 ) [3] => Array ( [target_id] => 721 [entity] => stdClass Object ( [tid] => 721 [vid] => 7 [name] => AIDS (Disease)--Testing [description] => fst00793967 [format] => [weight] => 0 [vocabulary_machine_name] => vocabulary_7 ) [access] => 1 ) [4] => Array ( [target_id] => 739 [entity] => stdClass Object ( [tid] => 739 [vid] => 7 [name] => HIV-positive persons [description] => fst00949912 [format] => [weight] => 0 [vocabulary_machine_name] => vocabulary_7 ) [access] => 1 ) [5] => Array ( [target_id] => 864 [entity] => stdClass Object ( [tid] => 864 [vid] => 7 [name] => Tuberculosis [description] => fst01158499 [format] => [weight] => 0 [vocabulary_machine_name] => vocabulary_7 ) [access] => 1 ) ) [#formatter] => entityreference_label [0] => Array ( [#theme] => entityreference_label [#label] => AIDS (Disease)--Patients--Care [#item] => Array ( [target_id] => 268 [entity] => stdClass Object ( [tid] => 268 [vid] => 7 [name] => AIDS (Disease)--Patients--Care [description] => fst00793866 [format] => [weight] => 0 [vocabulary_machine_name] => vocabulary_7 ) [access] => 1 ) [#uri] => Array ( [path] => taxonomy/term/268 [options] => Array ( [entity_type] => taxonomy_term [entity] => stdClass Object ( [tid] => 268 [vid] => 7 [name] => AIDS (Disease)--Patients--Care [description] => fst00793866 [format] => [weight] => 0 [vocabulary_machine_name] => vocabulary_7 ) ) ) [#settings] => Array ( [display] => Array ( [link] => 1 [bypass_access] => ) [field] => Array ( [handler] => base [handler_settings] => Array ( [target_bundles] => Array ( [vocabulary_7] => vocabulary_7 ) ) [handler_submit] => Change handler [target_type] => taxonomy_term ) ) ) [1] => Array ( [#theme] => entityreference_label [#label] => Community health services [#item] => Array ( [target_id] => 289 [entity] => stdClass Object ( [tid] => 289 [vid] => 7 [name] => Community health services [description] => fst00870958 [format] => [weight] => 0 [vocabulary_machine_name] => vocabulary_7 ) [access] => 1 ) [#uri] => Array ( [path] => taxonomy/term/289 [options] => Array ( [entity_type] => taxonomy_term [entity] => stdClass Object ( [tid] => 289 [vid] => 7 [name] => Community health services [description] => fst00870958 [format] => [weight] => 0 [vocabulary_machine_name] => vocabulary_7 ) ) ) [#settings] => Array ( [display] => Array ( [link] => 1 [bypass_access] => ) [field] => Array ( [handler] => base [handler_settings] => Array ( [target_bundles] => Array ( [vocabulary_7] => vocabulary_7 ) ) [handler_submit] => Change handler [target_type] => taxonomy_term ) ) ) [2] => Array ( [#theme] => entityreference_label [#label] => Medical personnel [#item] => Array ( [target_id] => 459 [entity] => stdClass Object ( [tid] => 459 [vid] => 7 [name] => Medical personnel [description] => fst01014407 [format] => [weight] => 0 [vocabulary_machine_name] => vocabulary_7 ) [access] => 1 ) [#uri] => Array ( [path] => taxonomy/term/459 [options] => Array ( [entity_type] => taxonomy_term [entity] => stdClass Object ( [tid] => 459 [vid] => 7 [name] => Medical personnel [description] => fst01014407 [format] => [weight] => 0 [vocabulary_machine_name] => vocabulary_7 ) ) ) [#settings] => Array ( [display] => Array ( [link] => 1 [bypass_access] => ) [field] => Array ( [handler] => base [handler_settings] => Array ( [target_bundles] => Array ( [vocabulary_7] => vocabulary_7 ) ) [handler_submit] => Change handler [target_type] => taxonomy_term ) ) ) [3] => Array ( [#theme] => entityreference_label [#label] => AIDS (Disease)--Testing [#item] => Array ( [target_id] => 721 [entity] => stdClass Object ( [tid] => 721 [vid] => 7 [name] => AIDS (Disease)--Testing [description] => fst00793967 [format] => [weight] => 0 [vocabulary_machine_name] => vocabulary_7 ) [access] => 1 ) [#uri] => Array ( [path] => taxonomy/term/721 [options] => Array ( [entity_type] => taxonomy_term [entity] => stdClass Object ( [tid] => 721 [vid] => 7 [name] => AIDS (Disease)--Testing [description] => fst00793967 [format] => [weight] => 0 [vocabulary_machine_name] => vocabulary_7 ) ) ) [#settings] => Array ( [display] => Array ( [link] => 1 [bypass_access] => ) [field] => Array ( [handler] => base [handler_settings] => Array ( [target_bundles] => Array ( [vocabulary_7] => vocabulary_7 ) ) [handler_submit] => Change handler [target_type] => taxonomy_term ) ) ) [4] => Array ( [#theme] => entityreference_label [#label] => HIV-positive persons [#item] => Array ( [target_id] => 739 [entity] => stdClass Object ( [tid] => 739 [vid] => 7 [name] => HIV-positive persons [description] => fst00949912 [format] => [weight] => 0 [vocabulary_machine_name] => vocabulary_7 ) [access] => 1 ) [#uri] => Array ( [path] => taxonomy/term/739 [options] => Array ( [entity_type] => taxonomy_term [entity] => stdClass Object ( [tid] => 739 [vid] => 7 [name] => HIV-positive persons [description] => fst00949912 [format] => [weight] => 0 [vocabulary_machine_name] => vocabulary_7 ) ) ) [#settings] => Array ( [display] => Array ( [link] => 1 [bypass_access] => ) [field] => Array ( [handler] => base [handler_settings] => Array ( [target_bundles] => Array ( [vocabulary_7] => vocabulary_7 ) ) [handler_submit] => Change handler [target_type] => taxonomy_term ) ) ) [5] => Array ( [#theme] => entityreference_label [#label] => Tuberculosis [#item] => Array ( [target_id] => 864 [entity] => stdClass Object ( [tid] => 864 [vid] => 7 [name] => Tuberculosis [description] => fst01158499 [format] => [weight] => 0 [vocabulary_machine_name] => vocabulary_7 ) [access] => 1 ) [#uri] => Array ( [path] => taxonomy/term/864 [options] => Array ( [entity_type] => taxonomy_term [entity] => stdClass Object ( [tid] => 864 [vid] => 7 [name] => Tuberculosis [description] => fst01158499 [format] => [weight] => 0 [vocabulary_machine_name] => vocabulary_7 ) ) ) [#settings] => Array ( [display] => Array ( [link] => 1 [bypass_access] => ) [field] => Array ( [handler] => base [handler_settings] => Array ( [target_bundles] => Array ( [vocabulary_7] => vocabulary_7 ) ) [handler_submit] => Change handler [target_type] => taxonomy_term ) ) ) ) [#weight] => 0 [#prefix] =>
[#suffix] =>
) [group_images] => Array ( [#array_parents] => Array ( [0] => group_images ) [#field_parents] => Array ( ) [field_poster_1] => Array ( [#theme] => field [#weight] => 35 [#title] => Poster 1 [#access] => 1 [#label_display] => inline [#view_mode] => full [#language] => und [#field_name] => field_poster_1 [#field_type] => text [#field_translatable] => 0 [#entity_type] => node [#bundle] => aids_poster [#object] => stdClass Object ( [vid] => 75452 [uid] => 0 [title] => Routine HIV testing and counseling (DTC) in TB clinical settings protocol [log] => [status] => 1 [comment] => 0 [promote] => 1 [sticky] => 0 [nid] => 48662 [type] => aids_poster [language] => en [created] => 1421881821 [changed] => 1424456344 [tnid] => 0 [translate] => 0 [revision_timestamp] => 1424456344 [revision_uid] => 129 [body] => Array ( [und] => Array ( [0] => Array ( [value] =>

"Patients in TB clinic.

Step 1. Patient education. Patient education provided while patient waits: group education; posters; brochures, etc.

Step 2. Initial patient provider encounter: Provider informs patient of the importance of HIV testing; many persons with TB also have HIV; diagnosis of HIV is important for medical care; the benefits of testing; access to comprehensive care; prevention of HIV infection and/or transmission; respond to patient's questions and concerns.

Step 3. Decliners: identify barriers to testing and try to solve them; repeat benefits of testing; encourage patient to think about returning for a test during course of TB treatment; at next visit, discuss benefits of testing.

Step 4. Patient accepts and gets HIV rapid test. Rapid testing is performed by provider, next room or lab.

Provider gives patient HIV test results.

Step 5. Provider gives negative HIV test result: provider informs patient of negative result; recommends testing after three months; gives patient brief message about prevention; informs patient on couple discordance and need for testing of partner; encourage patient to disclose HIV results to his/her partner.

Step 5 (cont.) Referal: refer patient for counseling (if needed); provider gives information on VCT sites for partner referral.

Step 6. Provider gives positive HIV test result: provider informs patient of positive result; supports patient to accept results; discuss with patient on available care; address disclosure and partner referral; address positive living; refer to post test clubs and other support groups for psychosocial support.

Step 6 (cont.) Referral: to comprehensive care center."

[summary] => [format] => 1 [safe_value] =>

"Patients in TB clinic.
Step 1. Patient education. Patient education provided while patient waits: group education; posters; brochures, etc.
Step 2. Initial patient provider encounter: Provider informs patient of the importance of HIV testing; many persons with TB also have HIV; diagnosis of HIV is important for medical care; the benefits of testing; access to comprehensive care; prevention of HIV infection and/or transmission; respond to patient's questions and concerns.
Step 3. Decliners: identify barriers to testing and try to solve them; repeat benefits of testing; encourage patient to think about returning for a test during course of TB treatment; at next visit, discuss benefits of testing.
Step 4. Patient accepts and gets HIV rapid test. Rapid testing is performed by provider, next room or lab.
Provider gives patient HIV test results.
Step 5. Provider gives negative HIV test result: provider informs patient of negative result; recommends testing after three months; gives patient brief message about prevention; informs patient on couple discordance and need for testing of partner; encourage patient to disclose HIV results to his/her partner.
Step 5 (cont.) Referal: refer patient for counseling (if needed); provider gives information on VCT sites for partner referral.
Step 6. Provider gives positive HIV test result: provider informs patient of positive result; supports patient to accept results; discuss with patient on available care; address disclosure and partner referral; address positive living; refer to post test clubs and other support groups for psychosocial support.
Step 6 (cont.) Referral: to comprehensive care center."

[safe_summary] => ) ) ) [field_language] => Array ( [und] => Array ( [0] => Array ( [value] => English [format] => [safe_value] => English ) ) ) [field_date] => Array ( ) [field_otherholdings] => Array ( ) [field_latitude] => Array ( ) [field_longitude] => Array ( ) [field_alpha_title] => Array ( ) [field_series] => Array ( ) [field_artist] => Array ( ) [field_creators_group] => Array ( [und] => Array ( [0] => Array ( [value] => Kenya. Ministry of Public Health and Sanitation [format] => [safe_value] => Kenya. Ministry of Public Health and Sanitation ) ) ) [field_width] => Array ( ) [field_height] => Array ( ) [field_poster_1] => Array ( [und] => Array ( [0] => Array ( [value] => AP10768_01.jpg [format] => [safe_value] => AP10768_01.jpg ) ) ) [field_poster_2] => Array ( ) [field_mature_flag] => Array ( ) [field_copyright] => Array ( ) [field_aep_description] => Array ( [und] => Array ( [0] => Array ( [value] => Flow chart aimed at medical professionals. [format] => [safe_value] => Flow chart aimed at medical professionals. ) ) ) [field_staffnote] => Array ( ) [field_aep_translation] => Array ( ) [field_trans_title] => Array ( ) [field_poster_image] => Array ( [und] => Array ( [0] => Array ( [fid] => 9170 [uid] => 0 [filename] => AP10768_01_0.jpg [uri] => public://aep_posters/AP10768_01_0.jpg [filemime] => image/jpeg [filesize] => 1370673 [status] => 1 [timestamp] => 1421881821 [alt] => [title] => [width] => [height] => ) ) ) [field_timeline_date] => Array ( ) [field_location] => Array ( [und] => Array ( [0] => Array ( [value] => Kenya [format] => [safe_value] => Kenya ) ) ) [field_seealso] => Array ( ) [taxonomy_vocabulary_7] => Array ( [und] => Array ( [0] => Array ( [target_id] => 268 [entity] => stdClass Object ( [tid] => 268 [vid] => 7 [name] => AIDS (Disease)--Patients--Care [description] => fst00793866 [format] => [weight] => 0 [vocabulary_machine_name] => vocabulary_7 ) [access] => 1 ) [1] => Array ( [target_id] => 289 [entity] => stdClass Object ( [tid] => 289 [vid] => 7 [name] => Community health services [description] => fst00870958 [format] => [weight] => 0 [vocabulary_machine_name] => vocabulary_7 ) [access] => 1 ) [2] => Array ( [target_id] => 459 [entity] => stdClass Object ( [tid] => 459 [vid] => 7 [name] => Medical personnel [description] => fst01014407 [format] => [weight] => 0 [vocabulary_machine_name] => vocabulary_7 ) [access] => 1 ) [3] => Array ( [target_id] => 721 [entity] => stdClass Object ( [tid] => 721 [vid] => 7 [name] => AIDS (Disease)--Testing [description] => fst00793967 [format] => [weight] => 0 [vocabulary_machine_name] => vocabulary_7 ) [access] => 1 ) [4] => Array ( [target_id] => 739 [entity] => stdClass Object ( [tid] => 739 [vid] => 7 [name] => HIV-positive persons [description] => fst00949912 [format] => [weight] => 0 [vocabulary_machine_name] => vocabulary_7 ) [access] => 1 ) [5] => Array ( [target_id] => 864 [entity] => stdClass Object ( [tid] => 864 [vid] => 7 [name] => Tuberculosis [description] => fst01158499 [format] => [weight] => 0 [vocabulary_machine_name] => vocabulary_7 ) [access] => 1 ) ) ) [locations] => Array ( ) [location] => Array ( ) [name] => [picture] => 0 [data] => [entity_view_prepared] => 1 ) [#items] => Array ( [0] => Array ( [value] => AP10768_01.jpg [format] => [safe_value] => AP10768_01.jpg ) ) [#formatter] => text_default [0] => Array ( [#markup] => AP10768_01.jpg ) ) [field_poster_2] => [field_mature_flag] => [field_copyright] => [field_poster_image] => Array ( [#theme] => field [#weight] => 34 [#title] => Image [#access] => 1 [#label_display] => hidden [#view_mode] => full [#language] => und [#field_name] => field_poster_image [#field_type] => image [#field_translatable] => 0 [#entity_type] => node [#bundle] => aids_poster [#object] => stdClass Object ( [vid] => 75452 [uid] => 0 [title] => Routine HIV testing and counseling (DTC) in TB clinical settings protocol [log] => [status] => 1 [comment] => 0 [promote] => 1 [sticky] => 0 [nid] => 48662 [type] => aids_poster [language] => en [created] => 1421881821 [changed] => 1424456344 [tnid] => 0 [translate] => 0 [revision_timestamp] => 1424456344 [revision_uid] => 129 [body] => Array ( [und] => Array ( [0] => Array ( [value] =>

"Patients in TB clinic.

Step 1. Patient education. Patient education provided while patient waits: group education; posters; brochures, etc.

Step 2. Initial patient provider encounter: Provider informs patient of the importance of HIV testing; many persons with TB also have HIV; diagnosis of HIV is important for medical care; the benefits of testing; access to comprehensive care; prevention of HIV infection and/or transmission; respond to patient's questions and concerns.

Step 3. Decliners: identify barriers to testing and try to solve them; repeat benefits of testing; encourage patient to think about returning for a test during course of TB treatment; at next visit, discuss benefits of testing.

Step 4. Patient accepts and gets HIV rapid test. Rapid testing is performed by provider, next room or lab.

Provider gives patient HIV test results.

Step 5. Provider gives negative HIV test result: provider informs patient of negative result; recommends testing after three months; gives patient brief message about prevention; informs patient on couple discordance and need for testing of partner; encourage patient to disclose HIV results to his/her partner.

Step 5 (cont.) Referal: refer patient for counseling (if needed); provider gives information on VCT sites for partner referral.

Step 6. Provider gives positive HIV test result: provider informs patient of positive result; supports patient to accept results; discuss with patient on available care; address disclosure and partner referral; address positive living; refer to post test clubs and other support groups for psychosocial support.

Step 6 (cont.) Referral: to comprehensive care center."

[summary] => [format] => 1 [safe_value] =>

"Patients in TB clinic.
Step 1. Patient education. Patient education provided while patient waits: group education; posters; brochures, etc.
Step 2. Initial patient provider encounter: Provider informs patient of the importance of HIV testing; many persons with TB also have HIV; diagnosis of HIV is important for medical care; the benefits of testing; access to comprehensive care; prevention of HIV infection and/or transmission; respond to patient's questions and concerns.
Step 3. Decliners: identify barriers to testing and try to solve them; repeat benefits of testing; encourage patient to think about returning for a test during course of TB treatment; at next visit, discuss benefits of testing.
Step 4. Patient accepts and gets HIV rapid test. Rapid testing is performed by provider, next room or lab.
Provider gives patient HIV test results.
Step 5. Provider gives negative HIV test result: provider informs patient of negative result; recommends testing after three months; gives patient brief message about prevention; informs patient on couple discordance and need for testing of partner; encourage patient to disclose HIV results to his/her partner.
Step 5 (cont.) Referal: refer patient for counseling (if needed); provider gives information on VCT sites for partner referral.
Step 6. Provider gives positive HIV test result: provider informs patient of positive result; supports patient to accept results; discuss with patient on available care; address disclosure and partner referral; address positive living; refer to post test clubs and other support groups for psychosocial support.
Step 6 (cont.) Referral: to comprehensive care center."

[safe_summary] => ) ) ) [field_language] => Array ( [und] => Array ( [0] => Array ( [value] => English [format] => [safe_value] => English ) ) ) [field_date] => Array ( ) [field_otherholdings] => Array ( ) [field_latitude] => Array ( ) [field_longitude] => Array ( ) [field_alpha_title] => Array ( ) [field_series] => Array ( ) [field_artist] => Array ( ) [field_creators_group] => Array ( [und] => Array ( [0] => Array ( [value] => Kenya. Ministry of Public Health and Sanitation [format] => [safe_value] => Kenya. Ministry of Public Health and Sanitation ) ) ) [field_width] => Array ( ) [field_height] => Array ( ) [field_poster_1] => Array ( [und] => Array ( [0] => Array ( [value] => AP10768_01.jpg [format] => [safe_value] => AP10768_01.jpg ) ) ) [field_poster_2] => Array ( ) [field_mature_flag] => Array ( ) [field_copyright] => Array ( ) [field_aep_description] => Array ( [und] => Array ( [0] => Array ( [value] => Flow chart aimed at medical professionals. [format] => [safe_value] => Flow chart aimed at medical professionals. ) ) ) [field_staffnote] => Array ( ) [field_aep_translation] => Array ( ) [field_trans_title] => Array ( ) [field_poster_image] => Array ( [und] => Array ( [0] => Array ( [fid] => 9170 [uid] => 0 [filename] => AP10768_01_0.jpg [uri] => public://aep_posters/AP10768_01_0.jpg [filemime] => image/jpeg [filesize] => 1370673 [status] => 1 [timestamp] => 1421881821 [alt] => [title] => [width] => [height] => ) ) ) [field_timeline_date] => Array ( ) [field_location] => Array ( [und] => Array ( [0] => Array ( [value] => Kenya [format] => [safe_value] => Kenya ) ) ) [field_seealso] => Array ( ) [taxonomy_vocabulary_7] => Array ( [und] => Array ( [0] => Array ( [target_id] => 268 [entity] => stdClass Object ( [tid] => 268 [vid] => 7 [name] => AIDS (Disease)--Patients--Care [description] => fst00793866 [format] => [weight] => 0 [vocabulary_machine_name] => vocabulary_7 ) [access] => 1 ) [1] => Array ( [target_id] => 289 [entity] => stdClass Object ( [tid] => 289 [vid] => 7 [name] => Community health services [description] => fst00870958 [format] => [weight] => 0 [vocabulary_machine_name] => vocabulary_7 ) [access] => 1 ) [2] => Array ( [target_id] => 459 [entity] => stdClass Object ( [tid] => 459 [vid] => 7 [name] => Medical personnel [description] => fst01014407 [format] => [weight] => 0 [vocabulary_machine_name] => vocabulary_7 ) [access] => 1 ) [3] => Array ( [target_id] => 721 [entity] => stdClass Object ( [tid] => 721 [vid] => 7 [name] => AIDS (Disease)--Testing [description] => fst00793967 [format] => [weight] => 0 [vocabulary_machine_name] => vocabulary_7 ) [access] => 1 ) [4] => Array ( [target_id] => 739 [entity] => stdClass Object ( [tid] => 739 [vid] => 7 [name] => HIV-positive persons [description] => fst00949912 [format] => [weight] => 0 [vocabulary_machine_name] => vocabulary_7 ) [access] => 1 ) [5] => Array ( [target_id] => 864 [entity] => stdClass Object ( [tid] => 864 [vid] => 7 [name] => Tuberculosis [description] => fst01158499 [format] => [weight] => 0 [vocabulary_machine_name] => vocabulary_7 ) [access] => 1 ) ) ) [locations] => Array ( ) [location] => Array ( ) [name] => [picture] => 0 [data] => [entity_view_prepared] => 1 ) [#items] => Array ( [0] => Array ( [fid] => 9170 [uid] => 0 [filename] => AP10768_01_0.jpg [uri] => public://aep_posters/AP10768_01_0.jpg [filemime] => image/jpeg [filesize] => 1370673 [status] => 1 [timestamp] => 1421881821 [alt] => [title] => [width] => [height] => ) ) [#formatter] => cloud_zoom [0] => Array ( [#theme] => cloud_zoom_image [#item] => Array ( [fid] => 9170 [uid] => 0 [filename] => AP10768_01_0.jpg [uri] => public://aep_posters/AP10768_01_0.jpg [filemime] => image/jpeg [filesize] => 1370673 [status] => 1 [timestamp] => 1421881821 [alt] => [title] => [width] => [height] => ) [#slide_style] => poster_size [#zoom_style] => 0 [#gallery_filedset] => Array ( [gallery_mode] => 0 [thumb_style] => 0 ) [#gallery_mode] => 0 [#thumb_style] => 0 [#zoom_position_fieldset] => Array ( [zoom_width] => auto [zoom_height] => auto [position] => inside [adjust_x] => 0 [adjust_y] => 0 ) [#zoom_width] => auto [#zoom_height] => auto [#position] => inside [#adjust_x] => 0 [#adjust_y] => 0 [#zoom_style_fieldset] => Array ( [tint] => false [tint_opacity] => 0.5 [lens_opacity] => 0.5 [soft_focus] => 0 [smooth_move] => 3 [Show title] => 0 [title_opacity] => 0.5 ) [#tint] => false [#tint_opacity] => 0.5 [#lens_opacity] => 0.5 [#soft_focus] => 0 [#smooth_move] => 3 [#Show title] => 0 [#title_opacity] => 0.5 ) [#printed] => 1 [#children] =>
) [#weight] => 1 [#type] => fieldset [#title] => Images [#collapsible] => [#collapsed] => [#pre_render] => Array ( ) [#attributes] => Array ( [class] => Array ( [0] => ) ) [#description] => ) )
Description: 
Flow chart aimed at medical professionals.
Language: 
English
Locale: 
Kenya
Keywords: AIDS (Disease)--Patients--Care, Community health services, Medical personnel, AIDS (Disease)--Testing, HIV-positive persons, Tuberculosis

Identifier: 
AP10768_01.jpg


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