Provider-initiated hiv testing and counseling in health facilities – what does this mean for the health and human rights of pregnant women?
Developing World Bioethics 8 (1):23–32 (2008)
AbstractSince the introduction of drugs to prevent vertical transmission of HIV, the purpose of and approach to HIV testing of pregnant women has increasingly become an area of major controversy. In recent years, many strategies to increase the uptake of HIV testing have focused on offering HIV tests to women in pregnancy-related services. New global guidance issued by the World Health Organization (WHO) and the Joint United Nations Programme on HIV/AIDS (UNAIDS) specifically notes these services as an entry point for provider-initiated HIV testing and counseling (PITC). The guidance constitutes a useful first step towards a framework within which PITC sensitive to health, human rights and ethical concerns can be provided to pregnant women in health facilities. However, a number of issues will require further attention as implementation moves forward. It is incumbent on all those involved in the scale up of PITC to ensure that it promotes long-term connection with relevant health services and does not result simply in increased testing with no concrete benefits being accrued by the women being tested. Within health services, this will require significant attention to informed consent, pre- and post-test counseling, patient confidentiality, referrals and access to appropriate services, as well as reduction of stigma and discrimination. Beyond health services, efforts will be needed to address larger societal, legal, policy and contextual issues. The health and human rights of pregnant women must be a primary consideration in how HIV testing is implemented; they can benefit greatly from PITC but only if it is carried out appropriately.
Added to PP
Historical graph of downloads
References found in this work
Routine Antenatal HIV Testing and Informed Consent: An Unworkable Marriage?R. Bennett - 2007 - Journal of Medical Ethics 33 (8):446-448.
Routine Antenatal HIV Testing: The Responses and Perceptions of Pregnant Women and the Viability of Informed Consent. A Qualitative Study.P. de Zulueta & M. Boulton - 2007 - Journal of Medical Ethics 33 (6):329-336.
Should Rapid Tests for Hiv Infection Now Be Mandatory During Pregnancy? Global Differences in Scarcity and a Dilemma of Technological Advance.Charles B. Smith, Margaret P. Battin, Leslie P. Francis & Jay A. Jacobson - 2007 - Developing World Bioethics 7 (2):86–103.
Citations of this work
Living Apart Together: Reflections on Bioethics, Global Inequality and Social Justice.Stuart Rennie & Bavon Mupenda - 2008 - Philosophy, Ethics, and Humanities in Medicine 3:25-.
HIV/AIDS Clients, Privacy and Confidentiality; the Case of Two Health Centres in the Ashanti Region of Ghana.Jonathan Mensah Dapaah & Kodjo A. Senah - 2016 - BMC Medical Ethics 17 (1):41.
Similar books and articles
Mandatory Hiv Testing in Pregnancy: Is There Ever a Time?Russell Armstrong - 2008 - Developing World Bioethics 8 (1):1–10.
Ethics of Mandatory Premarital Hiv Testing in Africa: The Case of Goma, Democratic Republic of Congo.Stuart Rennie & Bavon Mupenda - 2008 - Developing World Bioethics 8 (2):126-137.
‘Even If You're Positive, You Still Have Rights Because You Are a Person’: Human Rights and the Reproductive Choice of Hiv-Positive Persons.Leslie London, Phyllis J. Orner & Landon Myer - 2008 - Developing World Bioethics 8 (1):11-22.
Routine Screening: Informed Consent, Stigma and the Waning of HIV Exceptionalism.Matthew K. Wynia - 2006 - American Journal of Bioethics 6 (4):5 – 8.
From Pmtct to a More Comprehensive Aids Response for Women: A Much-Needed Shift.Cynthia Eyakuze, Debra A. Jones, Ann M. Starrs & Naomi Sorkin - 2008 - Developing World Bioethics 8 (1):33–42.
Increasing Knowledge of Hiv Infection Status Through Opt-Out Testing.Harold W. Jaffe - 2009 - Journal of Bioethical Inquiry 6 (2):229-233.
Hiv Testing of Pregnant Women: An Ethical Analysis.Kjell Arne Johansson, Kirsten Bjerkreim Pedersen & Anna-Karin Andersson - 2011 - Developing World Bioethics 11 (3):109-119.