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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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This image may be protected by the U.S. Copyright Law (Title 17, U.S.C.). It is displayed here only for the purposes of research. The written permission of the copyright owners may be required for distribution or reproduction beyond that allowed by fair use. All responsibility for obtaining permissions, and for any use rests exclusively with the user.