Why Should Your Site Be Testing

Increasing access to HIV testing and implementing routine HIV screening in clinical settings has been deemed a highly effective strategy for identifying individuals living with HIV and linking them to HIV prevention services and medical care. The Centers for Disease Control and Prevention reports that an estimated 20% of the nearly 1.2 million Americans living with HIV are unaware of their status and as such, unaware of their need to seek medical care and implement HIV prevention strategies in their personal life. Making HIV screening a routine part of medical care is a critical step in increasing the number of people who know their status and stemming the spread of HIV. This section contains resources that discuss the rationale for implementing HIV testing programs in various settings.

In Illinois:

  • 1 of 4 people is diagnosed late in their infection
  • 2 of 4 people who are diagnosed are not in care
  • 3 of 4 diagnosed people do not have suppressed viral loads
  • Only 33% of adults have ever tested for HIV compared to the national average of 40
  • (From Kaiser report 2010)

Downloadable Resources
(Please right-click to download each resource.)

  1. Revised Recommendations (MMWR, 2006)
    The objective of these recommendations is to increase HIV screening of patients, including pregnant women, in health-care settings; foster earlier detection of HIV infection; identify and counsel persons with unrecognized HIV infection and link them to clinical and prevention services; and further reduce transmission of HIV in the United States.
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  2. Revised Recommendations Q&A(CDC, 2007)
    This document provides general background and recommendations about HIV Testing. “In summary, implementing these recommendations will allow people to know their HIV status, get into treatment earlier, and prevent new infections.”
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  3. Implementing HIV Screening (CDC, 2007)
    This article discusses how effective implementation of HIV testing guidelines will require a substantial reorientation among clinicians, health care institutions, third-party payers, and other stakeholders in public health policy.
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  4. Rationale for Changing Recommendations (IAS-USA, 2007)
    This article summarizes a presentation on revisions to Centers for Disease Control and Prevention HIV screening recommendations made by Robert S. Janssen, MD, at the 9th Annual Ryan White CARE Act Clinical Update in Washington, DC, in August 2006.
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  5. Late HIV Testing (UCSF – AIDS Health Project, 2011)
    This article discusses the importance of HIV testing and why it is important that a person learns his or her HIV status as early as possible in the infection. Early medical treatment can improve health outcomes in HIV-positive people, and HIV counseling and testing interventions can reduce the spread of the virus.
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  6. HIV Testing in Health-Care Setting (AETC-NRC, 2006)
    These slides were developed using the September 2006 HIV Testing Guidelines. The intended audience is clinicians involved in the care of patients with HIV, but it also contains information helpful for any person involved with HIV testing.
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  7. Revised Recommendations for HIV Testing (Dr. Branson, CDC)
    This presentation discusses the urgent need to increase the proportion of persons that are aware of their HIV status and the role of HIV screening in this effort. It also gives an overview of some of the rapid tests on the market and how these will help to expand screening.
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  8. Implementing HIV testing in the Emergency Department (Dr. Couture, MATEC, 2008)
    This presentation discusses the rationale, concerns and opportunities for HIV testing in the Emergency Department. It also discusses why not performing HIV testing in the ED can be a missed opportunity.
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  9. Without Exception (Gilead, 2011)
    This presentation by Gilead is part of the “WITHOUT EXCEPTION: When HIV Testing is Routine, We All Win” campaign and includes case studies, statistics, examples of sustainable HIV screening initiatives, and suggestions on breaking down barriers to HIV testing.
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  10. Pros and Cons of HIV Testing (MATEC, 2011)
    This list can be used to start a discussion and to better understand the many reasons a person might want or not want to get tested for HIV. Being able to discuss the pros and cons of HIV testing is important for all participants of a testing program.
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  11. 2010 National HIV/AIDS Strategy for the United States (NHAS, 2010)
    The Strategy is intended to be a concise plan that identifies a set of priorities and strategic action steps tied to measurable outcomes. According to the Executive Summary, “Success will require the commitment of governments at all levels, businesses, faith communities, philanthropy, the scientific and medical communities, educational institutions, people living with HIV, and others.” HIV Testing Programs to help identify people living with HIV and to help access care access to care are important to the Strategy.
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  12. Top Ten Reasons to Know Your HIV Status (SEATEC, 2011)
    This presentation was given by the Southeast AIDS Training and Education Center (SEATEC) and has some statistics specific to Georgia, but ones that also to apply to all locations. It also contains testing information and facts that can be shared with your clients.
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Routine HIV Testing is widely recommended by the CDC and other major provider networks. In Chicago, Mt. Sinai Hospital, along with many medical settings, offers quick and easy HIV testing for all clients.


Routine HIV Testing is widely recommended by the CDC and other major provider networks. In Chicago, the Austin Health Center, along with many medical settings, offers quick and easy HIV testing for all clients.