This calls for proper training of health workers on HIV testing and counselling guidelines and procedures.
The provider initiated testing and counselling guidelines, recommend that post test counselling is performed after an HIV test [ 15].
Proper counselling guidelines addressing the legal and ethical challenges in HIV/AIDS should be made available to counsellors and within the treatment centres to facilitate the counselling process.
It is anticipated that, if proven cost-effective, AIMS can contribute to improved evidence-based counselling guidelines for HIV-nurses and other health care professionals.
Risk reduction counselling guidelines do not include clear and specific messages about the increased risk for acquiring HIV infection associated with nitrite use [ 11, 12].
More research is needed on this aspect, and the necessity of development of screening and counselling guidelines deserves more attention and effort.
One advantage is that the care is similar to and consistent with the counselling guidelines that signal that vaginal birth is the primary and safest way to give birth.
The 2012 WHO Couple Counselling Guidelines highlights that couple counselling has not received programmatic attention especially in situations of HIV sero-discordance (WHO, 2012), and studies have shown that couple counselling support has an important role in facilitating long-term ART adherence (Anglemyer, Horvath, & Rutherford, 2013; Brown et al., 2011).
Taking into consideration that genetic counselling guidelines recommended genetic testing for breast cancer patients if a risk prediction model estimates a probability to detect a mutation ranges from 10%to20%0% [ 35], we calculate sensitivity and specificity for all models at 5%, 10%, 20% and 30%.
These limitations notwithstanding, the results of this study are strongly suggestive of the larger benefit of including strict standardized counselling guidelines and establishing a multi-faceted paradigm of medical care that is prevalent in the public and public-private HIV care facilities established under the National AIDS Control Program in India.
