Couples HIV Testing and Counselling and Antiretroviral Therapy for Treatment and Prevention in Serodiscordant Couples

Published: August 1, 2011

ANNEXES 3
ACKNOWLEDGEMENTS 4
DECLARATIONS OF INTEREST 6
ABBREVIATIONS AND ACRONYMS 7
EXECUTIVE SUMMARY 8

1. OVERVIEW 12
1.1 Background 12
1.2 Key definitions for couples HTC 15
1.3 Objectives 17
1.4 Target audiences 18
1.5 Scope 18
1.6 Process of formulating guidelines 19
1.7 Strength of the recommendations 23

2. DISCUSSION OF RECOMMENDATIONS 24
2.1 Couples HIV testing and counselling 24
2.2 ART for prevention in serodiscordant couples 27

3. GUIDING PRINCIPLES FOR IMPLEMENTATION 32
3.1 Voluntary utilization of testing services 32
3.2 Four Cs—consent, confidentiality, counselling, correct test results 32
3.3 Access to justice 33
3.4 Human rights 33

4. OPERATIONAL ISSUES FOR IMPLEMENTATION OF CHTC 34
4.1 Overarching issues 35
4.2 Antenatal, perinatal and postnatal care 42
4.3 Other clinical settings 46
4.4 Community programmes and settings 49

5. ADAPTING THE GUIDELINES 52

6. RESEARCH GAPS 53
6.1 Epidemiology of serodiscordance 53
6.2 Impact of couples HTC 53

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