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HCET Home > On-line Training > HIV Risk Assessment in Women > 6. Title X Guidelines & HIV Activities Perinatal
6. Title X Guidelines & HIV ActivitiesThe following is a summary of the 2001 Title X Program Guidelines for Family Planning Clinics with regard to HIV. Providers who receive this funding must implement these activities in order to continue funding. If you are not a Title X provider, these guidelines may serve as an excellent model by which to address HIV within any family planning clinic.
2001 Title X HIV Counseling and Testing Requirements
Before HIV counseling and testing can begin, the provider must obtain the client’s written informed voluntary consent prior to the client receiving any clinical services.
- Sexually Transmitted Disease and HIV Education and Counseling
- At a minimum, education about HIV infection and AIDS, information on risks and infection prevention, and referral services.
- On an optional basis, clinics may also provide HIV risk assessment, counseling and testing by specially trained staff.
- If a clinic does not provide the aforementioned services, the clinic must provide the client with a list of providers who can provide the services.
- Clinics must comply with state and local reporting requirements
2001 Title X HIV Program Guidelines
The following services are optional services for clinics:
- History Taking (must include the following components):
- Partner history
- Injectable drug use,
- Multiple partners,
- Risk history for STDs and HIV, and
- Bisexuality
- Female history
- Sexual history,
- STD history, and
- HIV history
- Female Physical Assessments
- Clinics must provide and stress the importance of STD and HIV screening, as indicated, to all clients.
- If a client declines or defers screening, it must be documented in her file.
- Counseling must include information about health risks associated with declining or delaying preventative screening tests or procedures.
- Miscellaneous Guidelines
- HIV testing must be provided to clients either on-site or by referral.
- Consistent or correct use of condoms should be encouraged for all persons at risk for STDs and/or HIV.
- Safer sex practice options to reduce risks for STD/HIV must be discussed with all adolescents.
- Partner history
Client Records
- HIV information should be handled according to law, and kept separate whenever possible.
- Consult your state health department (HIV Division) to learn about your state’s laws.
- Confidential testing information does not have to be kept separate, but all HIV testing requires special releases.
