HIV testing and counselling checklist

Determine HIV risk

Determine when exposure to risk occurred

Rationale for testing (early detection can improve long-term prognosis and reduce risk of transmission)

HIV antibody and antigen test

Difference between HIV and AIDS

3-month "window period" from exposure to development of antibodies

Advise if repeat test will be necessary

Confidentiality issues around HIV testing include appropriate policies within the surgery to protect the patient. Patients should be advised about protecting their own confidentiality by carefully considering and limiting whom they tell

Obtain informed consent from patient

It is recommended that all HIV results are given in person by medical practitioners

Provides reassurance

Provides opportunity to discuss prevention through safe sex

If exposure to risk was less than 3 months ago, a repeat test may be indicated

Discuss the difference between HIV and AIDS

Check if there is a trusted support person available

Discuss medical follow-up and treatments

Support lifestyle changes, eg diet, smoking, rest, safe sex

Contact tracing of past sexual partners

Arrange another appointment for further counselling or refer to another agency.