HOME BASED HIV COUNSELING AND

TESTING (HBHCT)

BY LWASAMPIJJA BAKER
bubakes2000@gmail.com
 Definition of HBHCT
It is a new evidence-based approach that
supports home delivery of counseling and
testing for:-
• Households of PHAs already accessing
care and treatment through an AIDS
service organization.
• The general population through door-to-
door services.
 MODELS OF HBHCT
1.Target population.
2. General population.

Target population (main focus):

Here the client is used as the entry point for
the family members and close relatives
for the services of HCT.
 BENEFITS OF HBHCT
Increases access to HIV testing.
Promotes early knowledge of HIV sero-status.
Fosters prevention counseling.
Help in identification of discordant couples.
Facilitates early care of HIV in infected
individuals and couples.
Supports change of risky behavior to prevent
new infections.
Supports family centered care and prevention.
Lays a foundation for adherence.
 COMMUNITY MOBILISATION
IN HBHCT
Mobilisation is through:-
2. Drama
3. Mass media
4. Established community structures like
L.Cs, religious leaders & cultural leaders
5. Door to door
6. One on one
7. CASAs, ACWs
8. Social events, e.t.c.
 WHY MOBILISE IN HBHCT?
 Programme acceptance.
 Good response.
 Assess need.
 Reduce stigma.
 Mobilise resources.
 STEPS IN HBHCT
1. Household education
2. Voluntary HIV counseling for house hold
members.
3. Conducting rapid HIV testing in the home.
4. Supporting client disclosure of HIV status
to household members.
 1. HOUSEHOLD EDUCATION
This is intended to increase awareness
about HBHCT programme among members
and to encourage voluntary participation in
counseling and testing and to identify all
eligible household members.
• Introduction & orientation
Key steps:
-Complete household the registration form.
-Ensure confidentiality.
-Explain the HIV and AIDS care program
-Share benefits of knowing one’s HIV status.
 HOUSEHOLD EDUCATION cnt’d
b) Group pre-test counseling
-Review test process.
-Discuss the meaning of test results.
-Clarify misconceptions about HIV,AIDS and
HBHCT programme.
-Review risk factors for HIV infection.
-Review options for risk reduction.
-Identify eligible adult household members for
counseling and testing.
 2.VOLUNTARY HIV COUNSELING
AND TESTING (VCT).
This is offered to adult household members who
have consented to counseling and testing. For
children (under 18 years of age), information
is given to a consenting guardian of an infant
or child being tested.
b) Pre-test counseling
-Discuss the meaning of test results.
-Consent to test.
-Explain HIV testing procedure.
 VCT …
b) Conduct HIV test. (to be reviewed later)
c) Assess risk for HIV infection
-Clarify HIV risk concerns.
-Assess individual risk.
d) HIV negative results counseling
-Provide test results and discuss implications.
-Provide prevention messages.
-Discuss risk reduction and identify safer goal
behaviors.
-Refer to available prevention services.
 VCT…
e) HIV positive result counseling
-Provide test results and discuss implications.
-Discuss risk reduction and identify safer goal
behaviors.
-Discuss supported disclosure and partner
testing.
-Refer to available care and treatment services.

The end, thank you for listening!