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pubmed:otherAbstract |
PIP: The conferences, statements, guidelines and recommendations of PPFA and other family planning providers all reflect growing concern about heterosexual and perinatal transmission of human immune deficiency virus (HIV). Most agree that information about acquired immunodeficiency syndrome (AIDS) and the behavior that places women at risk of infection should be part of patient education in all clinics. Condom use should be encouraged, but, preferably, without the sacrifice of the higher level of protection from unplanned pregnancy offered by other birth control methods. Clinics in areas with high rates of HIV infection should consider initiating in-depth counseling and testing programs. Providers in low-incidence areas may decide to initiate testing at the request of their local governments or because of large numbers of requests from their clients. Confidentiality is a very important issue in testing, and providers must familiarize themselves with applicable state laws on disclosure and reporting and decide if they can comfortably operate within those laws. Also, the decision whether to offer HIV testing may hinge on the availability of public funds, and, though the situation may change in the near future, there is currently very little such money available.
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