| POSSIBLE POLICY CHANGES MAY INTENSIFY
HIV TESTING
By John Denny
Observer Reporter
(Charlestown, Nevis) In an effort to scale
up the numbers of people getting tested for HIV, health
care providers met for a workshop last week in Nevis
to discuss possible policy changes and approaches
to stemming the tide of infections. The providers
were introduced to a program called Provider Initiated
Counseling and Testing (PICT) where health care providers
offer HIV testing when a patient is seeking treatment
for other matters.
Permanent Secretary in the Ministry of Health on
Nevis Mrs. Joslyn Liburd addressed the providers,
saying the Ministry was behind this initiative which
has been endorsed by the Pan-American Health Organization.
By utilizing the strategy of routinely offering
an HIV test to a client regardless of the service
he or she is seeking at the hospital or health centre,
it is hoped that the number of HIV tests conducted
annually will increase significantly and individuals
would know their status early and seek treatment,
care and support and thus prevent the spread of the
disease, said Mrs. Liburd. It feeds into
our goal of increasing the number of HIV tests conducted
annually by 5 percent in 2009.
Out of the more than 1,200 tests conducted on the
island in 2008, three people were found to be positive
of HIV.
During the course of the workshop, there was a suggestion
of making HIV testing mandatory for the Island or
the Federation. The person making the suggestion said
it would simplify everything because there would no
longer be any stigma attached to getting tested. Everyone
would just have to do it and then the issue of treatment
could more aggressively be pursued.
Currently there are 15 people on Nevis that are being
treated for HIV/AIDS. The known infection rate for
the Federation is less than one percent. It is still
slightly higher than worldwide infection rates, but
low for the Caribbean region. The problem lies with
what the unknown infection rate is and until more
people in the higher risk groups are tested, an accurate
number cant be ascertained. The most at-risk
age group is 15 to 30 and they seldom get tested.
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