Integrating HIV screening into routine health care in resource-limited settings.

Integrating HIV screening into routine health care in resource-limited settings.
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DOI:
10.1086/651477
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发表时间:
2010-05-15
期刊:
Clinical infectious diseases : an official publication of the Infectious Diseases Society of America
影响因子:
--
通讯作者:
Walensky RP
Walensky RP
中科院分区:
其他
文献类型:
--
作者:
Bassett IV;Walensky RP

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The United Nations is committed to achieving universal access to HIV care, treatment, and prevention. Although the gateway to HIV care and secondary prevention is knowledge of serostatus, use of voluntary counseling and testing in resource-limited settings with the highest burden of HIV/AIDS has been limited. Based on evidence of increased patient uptake and the opportunity to avoid missed HIV testing opportunities in health care facilities, in 2007 the World Health Organization recommended provider-initiated HIV testing as a standard part of medical care in settings of generalized HIV epidemics. While provider-initiated testing has shown promise, optimal implementation strategies which ensure broad coverage, while preserving human rights, remain an active area of research. We review the benefits of knowledge of HIV serostatus and evidence from multiple countries surrounding the successes and pitfalls of provider-initiated testing in health care and home-based settings.
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