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HIV: DIAGNOSISEncourage your patient and partner and children to test for HIV.Obtain informed consent• Educate patient about HIV and AIDS, methods of HIV transmission, risk factors and benefits of knowing one’s HIV status.• Explain test procedure and that it is completely voluntary.• Children < 12 years need parental/guardian consent. If consent is granted, proceed to testing immediately.TestDo first rapid HIV test on finger-prick blood.PositiveNegativeDo a second rapid HIV test on finger-prick blood.PositiveNegativeDiscordant results: do an ELISA test.PositiveNegativePatient has HIV.• Give routine HIV care at this visit 61.HIV test result negative• A rapid test detects HIV antibodies which may take up to 3 months to be formed.• Was patient at risk of HIV infection in the past 3 months?YesRepeat HIV test after the 3month window period.No• Patient does not have HIV.• Encourage patient to remainnegative.• Offer to refer for malecircumcision to diminish riskof HIV infection.SupportEnsure patient understands test result and knows where and when to access further care.60HIV