Provider-initiated testing & counselling (PITC) : scaling up HIV counselling and testing in Indonesia
Document type: mthesis
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Abstract:
BACKGROUND: HIV counselling and testing (HCT) is an entry to know someone’s HIV sero-status that will enable him/her to access prevention, care, support, and treatment. In order to reach universal access, HCT needs to be scaled up as client-initiated counselling and testing approach (VCT) uptake is below expectation. WHO recommended provider-initiated testing and counselling (PITC). For its implementation in Indonesian setting, some considerations need to be taken particularly around Three C’s principles: consent, counselling, and confidentiality. OBJECTIVES: This thesis would like to see if HCT scaling up could be done in Indonesia. It tries to describe HCT approaches and discuss on scaling up HCT, particularly the PITC approach that was recommended by WHO. This thesis aims to look at factors that need to be considered if PITC is implemented in the Indonesian context. METHODOLOGY: Review of journal papers and reports was conducted. Literature was obtained from Pubmed database and KIT library as well. While Web based document was explored by using Google search engine. To complete the result of studies, my experiences during working in Sub Directorate AIDS & STI, Ministry of Health, Republic of Indonesia was used. RESULTS: Various models of HCT are conducted in Indonesia, according to its target groups. There have been discussions on the weakness and strength of PITC model worldwide. This discussion is divided between public health and human rights perspectives, around the Three C’s principles. CONCLUSION & RECOMMENDATIONS: PITC model could be adopted in Indonesia to complement VCT models that already exist. However, some requirements must be in position, which are access to prevention, care, support, and treatment; readiness of human resources in health facilities; and anti-discrimination law and human rights principle based on the Three C’s.
Authors:
Sutriani, V.
Country:
Indonesia
Category:
Research
Department:
Development Policy & Practice
Institute:
KIT (Royal Tropical Institute)
Keywords:
HIV and AIDS
,
health services
,
disease prevention and control
Language:
eng
Organization:
KIT - Royal Tropical Institute
PAGE:
v, 52
Year:
2009
Region:
Southeast Asia
Right:
© 2009 Sutriani
Subject:
Health and Nutrition
Title:
Provider-initiated testing & counselling (PITC) : scaling up HIV counselling and testing in Indonesia
Training:
Master of Public Health / International Course in Health Development (ICHD)