Provider-initiated HIV testing and counseling in TB clinical settings: tools for program implementation

Area of Science:

• Public Health
• Infectious Diseases
• Clinical Medicine

Background:

• High human immunodeficiency virus (HIV) prevalence significantly overlaps with tuberculosis (TB) globally, with up to 80% of TB patients coinfected.
• Accessible HIV testing and counseling is vital, particularly for individuals with symptoms of HIV-related diseases like TB, to facilitate timely care and treatment.

Purpose of the Study:

• To introduce a novel toolkit designed to support countries in planning and implementing provider-initiated and -delivered HIV testing and counseling (PITC) within TB clinical settings.
• To enhance the integration of HIV services into TB care pathways.

Main Methods:

• Development of a comprehensive toolkit including a template for national PITC guidance and procedures.
• Creation of a training curriculum for healthcare staff and job aids, such as clinician scripts for pre- and post-test counseling.

Main Results:

• The toolkit provides a structured approach for establishing PITC programs in TB clinics.
• It equips clinicians with resources to effectively communicate with TB patients about HIV testing, its benefits, and available care and treatment options.

Conclusions:

• Implementing PITC in TB settings is a priority for improving outcomes in coinfected individuals.
• The developed toolkit offers practical support for countries aiming to scale up HIV testing and counseling among TB patients, thereby improving access to HIV care and preventing further transmission.