Steps for Index Testing Services Step 1 Introduce

Steps for Index Testing Services Step 1: Introduce Index Testing Services to the Index Client during pre-test session or PMTCT/ART visit Use Index Testing Talking Points to introduce partner/family testing to the index client and complete Index Client Information Form Step 2: Obtain a list of sex and needlesharing partners and biological children < 15 with unknown HIV status Use the Partner/Children Elicitation Forms to record partner(s)’/child(ren)’s names and contact information Use the Partner Information Form to document results of IPV screening and preferred partner notification and/or child testing method. Complete one form for each named partner Step 3: Screen all named partners for intimate partner violence (IPV) Step 4: Determine the preferred method of partner notification or child testing for each named partner/child and record on Partner Information Form and/or Biological Children Form Step 5: Contact all named partners and test all biological children <15 with unknown status using the preferred approach Step 6: Record partner notification and family testing outcomes on the Outcome of Testing Forms Step 7: Provide appropriate services for children and seroconcordant/discordant partners based on HIV status Client Referral: Coach client on disclosure; Provide “Tips for Telling Your Partner about HIV” and referral slip Facility Based: Confirm an appointment to test biologic children <15. Exclude partners posing a high risk of IPV; refer index client to IPV/OVC services where available and discuss other options for disclosure. Provider Referral: Initiate partner contact attempts using telephone and home visit scripts Community Based: Confirm a day/time the provider will test the child(ren) in the home. Contract Referral: Provide referral card and disclosure script; agree that client will refer partner or bring the child for HTS within 30 days. Dual Referral: Coach client on joint disclosure; Make a plan for when and where joint disclosure will take place; Offer HTS to partner. Was partner successfully contacted? Was the child tested? s Ye Record successful partner contact or child test (including HIV status) on Outcome of Partner/Children Testing Form No If Contract Referral, initiate provider referral for partners or home testing for children after 30 days; otherwise record unsuccessful contact on Outcome of Partner/Children Testing Form

Options for Notifying Your Partner about HIV Testing Client Referral = You tell your partner about your HIV and encourage him or her to come to the health facility for an HIV test. Provider Referral = A counsellor or other health care provider will call or visit your partner and inform them that they need to test for HIV. Contract Referral = You and the counsellor will work together to notify your partner. You will have 30 days to tell your partner. After which, the counsellor will contact your partner. Dual Referral = The counsellor/provider will sit with you and your partner and support you as you tell your partner about your HIV.

Options for HIV Testing for Biological Children Contract Referral = You and the counsellor will work together to test your child. You will have 30 days to bring your child(ren) to the facility for testing. After which, the counsellor will trace your child(ren) and refer them to a facility or test them in the community. Community Based = A counsellor or other health care provider will visit you and your child(ren) at home, explain the need for HIV testing, and test the child(ren) for HIV. Facility Based = You bring your child(ren) to the facility for HIV testing. The counsellor/provider will sit with you and your child(ren) tell your child(ren) about the need to know their status, and test the child(ren) for HIV.