 | | Counselling and Voluntary HIV Testing for Pregnant Women in High HIV Prevalence Countries - Elements and Issues (UNAIDS, 1999, 24 p.) |
 |  | | 4. Counselling and voluntary HIV testing: a prerequisite for action |
 |
 | | (introduction...) |
 | | 4.1 Pre-test information and counselling |
 | | 4.2 Post-test information and counselling for HIV-negative women |
 | | 4.3 Post-test information and counselling for HIV-positive women |
 | | 4.4 The benefits of information, counselling and voluntary HIV testing for different clients in reproductive health settings: a summary |
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4.4 The benefits of information, counselling and voluntary HIV testing for different clients in reproductive health settings: a summary
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Potential mothers and fathers
Counselling and voluntary HIV testing can help women and men who
may be considering forming or expanding their families to:
· weigh up the risks
and advantages of a pregnancy · make choices
about contraception · make choices about
preventing future HIV infection including condom use
Pregnant women who test HIV-negative
Counselling a woman following a negative test can help a woman
· understand and
maintain safe behaviour to avoid future infection · breastfeed for the greatest health of the
infant
Pregnant women who test HIV-positive
Counselling a women following a positive test can help a woman
· decide whether to
share her HIV status with anyone, and if so with whom · choose to terminate her pregnancy where safe, legal
and available · choose antiretroviral therapy
where available · understand infant feeding
options and choose that which is best in her circumstances · learn more about HIV infection and its implications
for her health · access support groups and
health services that promote positive living · make choices about sexual behaviour and future
fertility
Partners of pregnant women
Counselling and voluntary testing of partners of pregnant women
helps couples
· support one
another in decisions about care and infant feeding · make decisions about future fertility · choose behaviours which reduce the risk of
contracting or spreading HIV
The wider community
Widespread availability and use of counselling and voluntary
testing for HIV in a community can
· reduce fear,
ignorance and stigma surrounding HIV ·
stimulate a community response in support of those needing care · contribute to an environment supportive of safer
sexual behaviour · reduce
spillover of artificial feeding to HIV-negative mothers |