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<title xml:lang="en">Integrating HIV Screening into Routine Health Care in Resource-Limited Settings</title>
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<name sortKey="Bassett, Ingrid V" sort="Bassett, Ingrid V" uniqKey="Bassett I" first="Ingrid V." last="Bassett">Ingrid V. Bassett</name>
<affiliation>
<nlm:aff id="A1">Division of Infectious Disease, Massachusetts General Hospital, Boston, MA, USA</nlm:aff>
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<affiliation>
<nlm:aff id="A2">Division of General Medicine, Massachusetts General Hospital, Boston, MA, USA</nlm:aff>
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<name sortKey="Walensky, Rochelle P" sort="Walensky, Rochelle P" uniqKey="Walensky R" first="Rochelle P." last="Walensky">Rochelle P. Walensky</name>
<affiliation>
<nlm:aff id="A1">Division of Infectious Disease, Massachusetts General Hospital, Boston, MA, USA</nlm:aff>
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<nlm:aff id="A2">Division of General Medicine, Massachusetts General Hospital, Boston, MA, USA</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A3">Division of Infectious Disease, Brigham and Women’s Hospital, Boston, MA, USA</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A4">Harvard Center for AIDS Research (CFAR), Boston, MA, USA</nlm:aff>
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<title xml:lang="en" level="a" type="main">Integrating HIV Screening into Routine Health Care in Resource-Limited Settings</title>
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<name sortKey="Bassett, Ingrid V" sort="Bassett, Ingrid V" uniqKey="Bassett I" first="Ingrid V." last="Bassett">Ingrid V. Bassett</name>
<affiliation>
<nlm:aff id="A1">Division of Infectious Disease, Massachusetts General Hospital, Boston, MA, USA</nlm:aff>
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<affiliation>
<nlm:aff id="A2">Division of General Medicine, Massachusetts General Hospital, Boston, MA, USA</nlm:aff>
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<author>
<name sortKey="Walensky, Rochelle P" sort="Walensky, Rochelle P" uniqKey="Walensky R" first="Rochelle P." last="Walensky">Rochelle P. Walensky</name>
<affiliation>
<nlm:aff id="A1">Division of Infectious Disease, Massachusetts General Hospital, Boston, MA, USA</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A2">Division of General Medicine, Massachusetts General Hospital, Boston, MA, USA</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A3">Division of Infectious Disease, Brigham and Women’s Hospital, Boston, MA, USA</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A4">Harvard Center for AIDS Research (CFAR), Boston, MA, USA</nlm:aff>
</affiliation>
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<series>
<title level="j">Clinical infectious diseases : an official publication of the Infectious Diseases Society of America</title>
<idno type="ISSN">1058-4838</idno>
<idno type="eISSN">1537-6591</idno>
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<date when="2010">2010</date>
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<p id="P1">The United Nations is committed to achieving universal access to HIV care, treatment, and prevention. Although the gateway to HIV care and secondary prevention is knowledge of serostatus, use of voluntary counseling and testing in resource-limited settings with the highest burden of HIV/AIDS has been limited. Based on evidence of increased patient uptake and the opportunity to avoid missed HIV testing opportunities in health care facilities, in 2007 the World Health Organization recommended provider-initiated HIV testing as a standard part of medical care in settings of generalized HIV epidemics. While provider-initiated testing has shown promise, optimal implementation strategies which ensure broad coverage, while preserving human rights, remain an active area of research. We review the benefits of knowledge of HIV serostatus and evidence from multiple countries surrounding the successes and pitfalls of provider-initiated testing in health care and home-based settings.</p>
</div>
</front>
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<journal-id journal-id-type="nlm-journal-id">9203213</journal-id>
<journal-id journal-id-type="pubmed-jr-id">1135</journal-id>
<journal-id journal-id-type="nlm-ta">Clin Infect Dis</journal-id>
<journal-id journal-id-type="iso-abbrev">Clin. Infect. Dis.</journal-id>
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<journal-title>Clinical infectious diseases : an official publication of the Infectious Diseases Society of America</journal-title>
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<issn pub-type="epub">1537-6591</issn>
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<subject>Article</subject>
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<article-title>Integrating HIV Screening into Routine Health Care in Resource-Limited Settings</article-title>
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<name>
<surname>Bassett</surname>
<given-names>Ingrid V.</given-names>
</name>
<degrees>MD, MPH</degrees>
<xref ref-type="aff" rid="A1">1</xref>
<xref ref-type="aff" rid="A2">2</xref>
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<contrib contrib-type="author">
<name>
<surname>Walensky</surname>
<given-names>Rochelle P.</given-names>
</name>
<degrees>MD, MPH</degrees>
<xref ref-type="aff" rid="A1">1</xref>
<xref ref-type="aff" rid="A2">2</xref>
<xref ref-type="aff" rid="A3">3</xref>
<xref ref-type="aff" rid="A4">4</xref>
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<aff id="A1">
<label>1</label>
Division of Infectious Disease, Massachusetts General Hospital, Boston, MA, USA</aff>
<aff id="A2">
<label>2</label>
Division of General Medicine, Massachusetts General Hospital, Boston, MA, USA</aff>
<aff id="A3">
<label>3</label>
Division of Infectious Disease, Brigham and Women’s Hospital, Boston, MA, USA</aff>
<aff id="A4">
<label>4</label>
Harvard Center for AIDS Research (CFAR), Boston, MA, USA</aff>
<author-notes>
<corresp id="FN1">Corresponding Author: Ingrid V. Bassett, MD, MPH, Massachusetts General Hospital, 50 Staniford Street, 9
<sup>th</sup>
Floor, Boston, MA 02114, Phone: 617-726-0637, Fax: 617-726-2691,
<email>ibassett@partners.org</email>
</corresp>
</author-notes>
<pub-date pub-type="nihms-submitted">
<day>27</day>
<month>11</month>
<year>2012</year>
</pub-date>
<pub-date pub-type="ppub">
<day>15</day>
<month>5</month>
<year>2010</year>
</pub-date>
<pub-date pub-type="pmc-release">
<day>06</day>
<month>12</month>
<year>2012</year>
</pub-date>
<volume>50</volume>
<issue>Suppl 3</issue>
<fpage>S77</fpage>
<lpage>S84</lpage>
<abstract>
<p id="P1">The United Nations is committed to achieving universal access to HIV care, treatment, and prevention. Although the gateway to HIV care and secondary prevention is knowledge of serostatus, use of voluntary counseling and testing in resource-limited settings with the highest burden of HIV/AIDS has been limited. Based on evidence of increased patient uptake and the opportunity to avoid missed HIV testing opportunities in health care facilities, in 2007 the World Health Organization recommended provider-initiated HIV testing as a standard part of medical care in settings of generalized HIV epidemics. While provider-initiated testing has shown promise, optimal implementation strategies which ensure broad coverage, while preserving human rights, remain an active area of research. We review the benefits of knowledge of HIV serostatus and evidence from multiple countries surrounding the successes and pitfalls of provider-initiated testing in health care and home-based settings.</p>
</abstract>
<kwd-group>
<kwd>HIV</kwd>
<kwd>routine HIV testing</kwd>
<kwd>resource-limited settings</kwd>
<kwd>review</kwd>
</kwd-group>
<funding-group>
<award-group>
<funding-source country="United States">National Institute of Mental Health : NIMH</funding-source>
<award-id>R01 MH073445 || MH</award-id>
</award-group>
<award-group>
<funding-source country="United States">National Institute of Allergy and Infectious Diseases Extramural Activities : NIAID</funding-source>
<award-id>K23 AI068458 || AI</award-id>
</award-group>
</funding-group>
</article-meta>
</front>
</pmc>
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