This policy brief calls for increasing early HIV diagnosis by implementing Provider-initiated HIV testing when individuals with ICs present to health care settings and strengthening PITC in other health care settings for key populations. The policy brief first examines the policy context and then provides a summary of evidence on PITC.
Provider initiated HIV testing encompass the routine offer of HIV testing by health care providers to all persons who present with certain symptoms, infections and conditions that are frequently associated with underlying HIV infection (indicator conditions (ICs)). Furthermore, in countries with concentrated HIV epidemics, PITC is also recommended at certain health settings such as: STI clinics, hepatitis or TB services, drug dependency clinics, or other health services for key population (prison health settings, antenatal care settings for migrant women etc.).