Scaling up HIV testing in resource-constrained settings: Debates on the role of VCT and Routine ‘Opt-in or Opt-out’ HIV Testing

摘要: Scaling up of the numbers people voluntarily undergoing HIV testing has become vital, especially in resource-constrained settings, where need for knowledge status both prevention and care is critical. The reality that most people in Africa, access to voluntary counselling (VCT) been very limited, this human rights implications – missing opportunity be diagnosed with a disease now well understood, manageable treatable means certain death. key challenge our current context how scaling should done. In responding challenge, we are guided by Gruskin Loff,1 who state ‘A approach mandates any public strategy, whether or not rights restricted, informed evidence widely debated. This protects against unproved potentially counterproductive strategies, even those motivated genuine despair face overwhelming health challenges.\' This article describes arguments discussion raised during session on models increasing at 2nd National Conference HIV/AIDS held Durban June 2005. It legal framework South frames issues heart debate, discusses various testing, routine VCT mandatory compulsory within care. concludes recommendations. Southern African Journal Medicine Vol. 6 (3) 2005: pp. 45-48