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Effective Interventions

Core Elements & Fact Sheet

About HIV Testing in Nonclinical Settings

Key influences on this curriculum have been shifts in HIV prevention, care, and treatment that have occurred since the Fundamentals of HIV Prevention Counseling training was released and the policies that followed, in particular, the National HIV/AIDS Strategy for the United States: Updated to 2020 (NHAS).

Nonclinical HIV testing programs should reach priority populations in environments acceptable and accessible to them, in order to identify persons testing negative and properly link them to HIV prevention and support services, including PrEP and PEP; and preliminary HIV-positive individuals and link them to confirmatory testing, HIV treatment and support services.

The training has streamlined a Six-Step Protocol for testing individuals with greater emphasis on sero-status specific referrals and active linkage. A person’s current circumstances are explored, with less extensive pre- and post-test counseling.

Intervention/Strategy Goals:

  • Utilize communication techniques to successfully build rapport with clients
  • Understand window period and communicate re-testing messages
  • Deliver the HIV rapid testing Six-Step Protocol to individuals in nonclinical settings
  • Improve ability to link clients who are HIV, or at high risk for HIV, into care and prevention services


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