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Process and Flow of Client at ICTC

Process and Flow of Client at ICTC. The clients accessing ICTC may be:. Individuals with high risk profession (immigrant workers, truck drivers, CSW etc.) Pregnant women Individuals with STIs Adolescents and young adults staying away from home and practicing high risk behavior

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Process and Flow of Client at ICTC

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  1. Process and Flow of Client at ICTC

  2. The clients accessing ICTC may be: • Individuals with high risk profession (immigrant workers, truck drivers, CSW etc.) • Pregnant women • Individuals with STIs • Adolescents and young adults staying away from home and practicing high risk behavior • Multiply transfused cases • Symptomatic cases not responding to the usual treatments • IVD users • Rape cases • Partners and family members of HIV positive persons

  3. Process Flow for HIV Testing • Client accessing ICTC services • Register client • Pretest counseling • Informed consent where provider initiated testing is not offered • Collect blood sample • Perform HIV testing • Read and interpret the final result • Inform the client with post test counseling • Maintain confidentiality • Refer HIV positive clients to the designated ART site for assessment of clinical and immune status by clinical work-up and CD4 cell count. • Follow up counseling

  4. Client Flow Client accessing ICTC Pre-test counseling. Informed Consent (where provider initiated testing is not offered Collect Blood Samples Perform HIV Testing Read & Interpret Final Result

  5. Client Flow Cont. Inform Client with post Test Counseling • HIV Negative • HIV Positive Maintain Confidentiality Continuum of Counseling for Behavior Change Refer to ART for Clinical & Immunological Work-up and Pre-ART care. Follow-up Counseling

  6. Pre-test Counseling • Give knowledge about disease • Do not judge, do not criticize • Explain the test, the fallacies i.e. false positive and false negative • Emphasize need for possible retesting • Give hope, create positive feeling by explaining about ART • Empower the individuals to accept the result by creating hope and positive feeling • Explain the safe behaviors and motivate for behavior change

  7. PPTCT • ANC clinic-Group counseling of pregnant women. Inform in addition about the drug intervention through PPTCT. Counsel about breast feeding • Offer HIV testing • Collection of blood and HIV testing • HIV positive woman-explain the possibility of HIV positive baby, describe the options (abortion, PPTCT, breast feeding options, etc.) to enable to make informed decision.

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