SlideShare una empresa de Scribd logo

Routine HIV Testing in the Community Health Center

•Descargar como PPT, PDF•
•
M
MPCA

Clinical presentation at the 2009 MPCA Annual Conference.

Salud y medicina
1 de 23
Routine HIV Screening in the Primary Care Setting Michigan Primary Care Association Annual Meeting September 28, 2009 Grand Rapids, MI
Why Are We Doing This? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Awareness of Serostatus Among People with HIV and Estimates of Transmission ~75% Aware of Infection ~ 25% Unaware of Infection ~54% of New Infections ~46% of New Infections People Living with HIV/AIDS New Sexual Infections Each Year Marks G, et al AIDS 2006; 20:1447-1450. Accounting for:
Revised CDC Recommendations Adults and Adolescents - I ,[object Object],[object Object],[object Object]
Revised Recommendations Adults and Adolescents - II ,[object Object],[object Object],[object Object],[object Object]
Revised Recommendations Adults and Adolescents - III ,[object Object],[object Object],[object Object]
Revised Recommendations Adults and Adolescents - IV ,[object Object],[object Object],[object Object]
Approaches to HIV Testing ,[object Object],[object Object],[object Object]
Approaches to HIV Testing ,[object Object],[object Object],[object Object]
What makes Routine Screening a good idea? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Health Center Routine HIV Screening Model Developed by NACHC ,[object Object],[object Object],[object Object],Pilot States Objective: To develop a model for the integration of HIV testing into routine primary care at Non-Ryan White funded health centers along with a model for post test counseling and referral to specialty care
Guiding Principles ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
Redesign Principles ,[object Object],[object Object]
Redesign Principles ,[object Object],[object Object]
Redesign Principles ,[object Object],[object Object],[object Object]
Health Center Patient Care Model with Integrated Rapid HIV Testing Patient signs in. Encounter form printed and, together with ROUTINE SCREENING FLOW SHEET, placed in bin for pick-up by nurse/MA. If blood work necessary, provider writes an order. Patient directed to laboratory for blood draw. Front Desk ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Waiting Room Exam Room Laboratory Check Out Patient takes encounter form and proceeds to check out area for scheduling of next visit.
Health Center HIV Screening Algorithm Rapid HIV Test Negative Reactive Inform patient Give “Negative” handout, if desired Review risks, if appropriate Discuss “window period” No further testing ,[object Object],[object Object],[object Object],[object Object],Negative Positive Western Blot Patient likely negative unless recent risk Review risks & prevention Schedule 3 mo repeat Western Blot ,[object Object],[object Object],[object Object],Repeat Western Blot at 5 day follow-up visit Indeterminate
Post Test Counseling & Referral Rapid HIV Test Reactive Negative Positive Western Blot Indeterminate CHC* Notifies DIS of Reactive result *CHC=Community Health Center DIS may come to CHC to counsel pt regarding results, window period, risk reduction; if not CHC does counseling DIS comes to CHC to counsel pt and Western Blot redrawn ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Pilot Results ,[object Object],[object Object],[object Object],[object Object],[object Object]
Results ,[object Object],[object Object],[object Object],[object Object],[object Object]
The Initiative is spreading around the country ,[object Object],[object Object],[object Object]
For more Information contact ,[object Object],[object Object],[object Object],[object Object],[object Object]

Recomendados

Implementing an mHealth triage intervention for health care workers at primar...
Implementing an mHealth triage intervention for health care workers at primar...Implementing an mHealth triage intervention for health care workers at primar...
Implementing an mHealth triage intervention for health care workers at primar...Meningitis Research Foundation
 
HIV Testing and Counselling (HTC)
HIV Testing and Counselling (HTC)HIV Testing and Counselling (HTC)
HIV Testing and Counselling (HTC)Dr Ajith Karawita
 
Patient Activation: Where Do I Start?
Patient Activation: Where Do I Start? Patient Activation: Where Do I Start?
Patient Activation: Where Do I Start? EngagingPatients
 
Final_Analytics_111315_v3
Final_Analytics_111315_v3Final_Analytics_111315_v3
Final_Analytics_111315_v3Jack Rivetti
 
Chronic Disease Management Programs - Wellpoint/CareMore
Chronic Disease Management Programs - Wellpoint/CareMoreChronic Disease Management Programs - Wellpoint/CareMore
Chronic Disease Management Programs - Wellpoint/CareMoreMid-Atlantic Telehealth Resource Center
 
Getting to Zero: Implementing PrEP and PEP in School-Based Health Centers
Getting to Zero: Implementing PrEP and PEP in School-Based Health CentersGetting to Zero: Implementing PrEP and PEP in School-Based Health Centers
Getting to Zero: Implementing PrEP and PEP in School-Based Health CentersCalifornia School-Based Health Alliance
 
Hi52Hlth: Using Mobile Technology to Access Healthcare for Teens
Hi52Hlth: Using Mobile Technology to Access Healthcare for TeensHi52Hlth: Using Mobile Technology to Access Healthcare for Teens
Hi52Hlth: Using Mobile Technology to Access Healthcare for TeensYTH
 
APS and Measurement (ICAP Annual Meeting 2007)
APS and Measurement (ICAP Annual Meeting 2007)APS and Measurement (ICAP Annual Meeting 2007)
APS and Measurement (ICAP Annual Meeting 2007)icapclinical
 

Recomendados

Implementing an mHealth triage intervention for health care workers at primar...
Implementing an mHealth triage intervention for health care workers at primar...Implementing an mHealth triage intervention for health care workers at primar...
Implementing an mHealth triage intervention for health care workers at primar...Meningitis Research Foundation
 
HIV Testing and Counselling (HTC)
HIV Testing and Counselling (HTC)HIV Testing and Counselling (HTC)
HIV Testing and Counselling (HTC)Dr Ajith Karawita
 
Patient Activation: Where Do I Start?
Patient Activation: Where Do I Start? Patient Activation: Where Do I Start?
Patient Activation: Where Do I Start? EngagingPatients
 
Final_Analytics_111315_v3
Final_Analytics_111315_v3Final_Analytics_111315_v3
Final_Analytics_111315_v3Jack Rivetti
 
Chronic Disease Management Programs - Wellpoint/CareMore
Chronic Disease Management Programs - Wellpoint/CareMoreChronic Disease Management Programs - Wellpoint/CareMore
Chronic Disease Management Programs - Wellpoint/CareMoreMid-Atlantic Telehealth Resource Center
 
Getting to Zero: Implementing PrEP and PEP in School-Based Health Centers
Getting to Zero: Implementing PrEP and PEP in School-Based Health CentersGetting to Zero: Implementing PrEP and PEP in School-Based Health Centers
Getting to Zero: Implementing PrEP and PEP in School-Based Health CentersCalifornia School-Based Health Alliance
 
Hi52Hlth: Using Mobile Technology to Access Healthcare for Teens
Hi52Hlth: Using Mobile Technology to Access Healthcare for TeensHi52Hlth: Using Mobile Technology to Access Healthcare for Teens
Hi52Hlth: Using Mobile Technology to Access Healthcare for TeensYTH
 
APS and Measurement (ICAP Annual Meeting 2007)
APS and Measurement (ICAP Annual Meeting 2007)APS and Measurement (ICAP Annual Meeting 2007)
APS and Measurement (ICAP Annual Meeting 2007)icapclinical
 
Nursing training
Nursing trainingNursing training
Nursing trainingNursing Hi Nursing
 
Diabetes care and patient understanding of type 2 diabetes in remote, rural A...
Diabetes care and patient understanding of type 2 diabetes in remote, rural A...Diabetes care and patient understanding of type 2 diabetes in remote, rural A...
Diabetes care and patient understanding of type 2 diabetes in remote, rural A...Kelli Buckreus
 
Operational research to increase the efficiency of ART initiation in Africa
Operational research to increase the efficiency of ART initiation in AfricaOperational research to increase the efficiency of ART initiation in Africa
Operational research to increase the efficiency of ART initiation in AfricaSydney Rosen
 
Global Medical Cures™ | HIV TESTING IN USA
Global Medical Cures™ | HIV TESTING IN USAGlobal Medical Cures™ | HIV TESTING IN USA
Global Medical Cures™ | HIV TESTING IN USAGlobal Medical Cures™
 
Rx15 treat wed_300_1_wilson-jarvis_2mendenhall
Rx15 treat wed_300_1_wilson-jarvis_2mendenhallRx15 treat wed_300_1_wilson-jarvis_2mendenhall
Rx15 treat wed_300_1_wilson-jarvis_2mendenhallOPUNITE
 
Benefits of using NHS Choices in conjunction with GP consultations
Benefits of using NHS Choices in conjunction with GP consultationsBenefits of using NHS Choices in conjunction with GP consultations
Benefits of using NHS Choices in conjunction with GP consultationsNHSChoices
 
September 2015 - How do hospitalists perceive effectiveness of QI strategies
September 2015 - How do hospitalists perceive effectiveness of QI strategiesSeptember 2015 - How do hospitalists perceive effectiveness of QI strategies
September 2015 - How do hospitalists perceive effectiveness of QI strategiesVandad Yousefi MD, CCFP, FHM
 
Using the Patient Activation Measure to improve quality of care for patients ...
Using the Patient Activation Measure to improve quality of care for patients ...Using the Patient Activation Measure to improve quality of care for patients ...
Using the Patient Activation Measure to improve quality of care for patients ...Ben Harris-Roxas
 
Dr. Judith Hibbard presents The Case for Patient Activation - Activate 2017 b...
Dr. Judith Hibbard presents The Case for Patient Activation - Activate 2017 b...Dr. Judith Hibbard presents The Case for Patient Activation - Activate 2017 b...
Dr. Judith Hibbard presents The Case for Patient Activation - Activate 2017 b...mPulse Mobile
 
AETC Testing for HIV Infection Bittenbender
AETC Testing for HIV Infection BittenbenderAETC Testing for HIV Infection Bittenbender
AETC Testing for HIV Infection BittenbenderHIV_STD_Partners_Meeting
 
Man vs. Machine -- A new approach to hand hygiene auditing
Man vs. Machine -- A new approach to hand hygiene auditingMan vs. Machine -- A new approach to hand hygiene auditing
Man vs. Machine -- A new approach to hand hygiene auditingCanadian Patient Safety Institute
 
Patient Centered IT meets APPS4HEALTH @ Cebit 2011
Patient Centered IT meets APPS4HEALTH @ Cebit 2011Patient Centered IT meets APPS4HEALTH @ Cebit 2011
Patient Centered IT meets APPS4HEALTH @ Cebit 2011Patient Centered IT
 
Week 1-sbirt-attc-workwise-series (1)
Week 1-sbirt-attc-workwise-series (1)Week 1-sbirt-attc-workwise-series (1)
Week 1-sbirt-attc-workwise-series (1)brittneyleanngraves
 
Spina Bifida Association of Kentucky research presentation- Kristen Ray
Spina Bifida Association of Kentucky research presentation- Kristen RaySpina Bifida Association of Kentucky research presentation- Kristen Ray
Spina Bifida Association of Kentucky research presentation- Kristen RayKristen Ray
 
Learning from Leadership: how to champion the Hospital Harm Measure and Never...
Learning from Leadership: how to champion the Hospital Harm Measure and Never...Learning from Leadership: how to champion the Hospital Harm Measure and Never...
Learning from Leadership: how to champion the Hospital Harm Measure and Never...Canadian Patient Safety Institute
 
MedicalResearch.com: Medical Research Exclusive Interviews December 31 2014
MedicalResearch.com: Medical Research Exclusive Interviews December 31 2014MedicalResearch.com: Medical Research Exclusive Interviews December 31 2014
MedicalResearch.com: Medical Research Exclusive Interviews December 31 2014Marie Benz MD FAAD
 
Why, when, and how to use pre exposure prophylaxis for hiv acquisition. 2014
Why, when, and how to use pre exposure prophylaxis for hiv acquisition. 2014Why, when, and how to use pre exposure prophylaxis for hiv acquisition. 2014
Why, when, and how to use pre exposure prophylaxis for hiv acquisition. 2014Hivlife Info
 
Clinicians Satisfaction Before and After Transition from a Basic to a Compreh...
Clinicians Satisfaction Before and After Transition from a Basic to a Compreh...Clinicians Satisfaction Before and After Transition from a Basic to a Compreh...
Clinicians Satisfaction Before and After Transition from a Basic to a Compreh...Allison McCoy
 
Wellness Presentation
Wellness PresentationWellness Presentation
Wellness PresentationJenniferHavlin
 
e-Patient Dave AF4Q South Central PA 01-11-2019
e-Patient Dave AF4Q South Central PA 01-11-2019e-Patient Dave AF4Q South Central PA 01-11-2019
e-Patient Dave AF4Q South Central PA 01-11-2019e-Patient Dave deBronkart
 
The HIV Engagement in Care Cascade by Dr. Kathleen Brady
The HIV Engagement in Care Cascade by Dr. Kathleen BradyThe HIV Engagement in Care Cascade by Dr. Kathleen Brady
The HIV Engagement in Care Cascade by Dr. Kathleen BradyOffice of HIV Planning
 
Screening and Treatment Related Issues in HIV
Screening and Treatment Related Issues in HIVScreening and Treatment Related Issues in HIV
Screening and Treatment Related Issues in HIVLeonard Sowah, MBChB, MPH, AAHIVS, FACP
 

Más contenido relacionado

La actualidad más candente

Diabetes care and patient understanding of type 2 diabetes in remote, rural A...
Diabetes care and patient understanding of type 2 diabetes in remote, rural A...Diabetes care and patient understanding of type 2 diabetes in remote, rural A...
Diabetes care and patient understanding of type 2 diabetes in remote, rural A...Kelli Buckreus
 
Operational research to increase the efficiency of ART initiation in Africa
Operational research to increase the efficiency of ART initiation in AfricaOperational research to increase the efficiency of ART initiation in Africa
Operational research to increase the efficiency of ART initiation in AfricaSydney Rosen
 
Global Medical Cures™ | HIV TESTING IN USA
Global Medical Cures™ | HIV TESTING IN USAGlobal Medical Cures™ | HIV TESTING IN USA
Global Medical Cures™ | HIV TESTING IN USAGlobal Medical Cures™
 
Rx15 treat wed_300_1_wilson-jarvis_2mendenhall
Rx15 treat wed_300_1_wilson-jarvis_2mendenhallRx15 treat wed_300_1_wilson-jarvis_2mendenhall
Rx15 treat wed_300_1_wilson-jarvis_2mendenhallOPUNITE
 
Benefits of using NHS Choices in conjunction with GP consultations
Benefits of using NHS Choices in conjunction with GP consultationsBenefits of using NHS Choices in conjunction with GP consultations
Benefits of using NHS Choices in conjunction with GP consultationsNHSChoices
 
September 2015 - How do hospitalists perceive effectiveness of QI strategies
September 2015 - How do hospitalists perceive effectiveness of QI strategiesSeptember 2015 - How do hospitalists perceive effectiveness of QI strategies
September 2015 - How do hospitalists perceive effectiveness of QI strategiesVandad Yousefi MD, CCFP, FHM
 
Using the Patient Activation Measure to improve quality of care for patients ...
Using the Patient Activation Measure to improve quality of care for patients ...Using the Patient Activation Measure to improve quality of care for patients ...
Using the Patient Activation Measure to improve quality of care for patients ...Ben Harris-Roxas
 
Dr. Judith Hibbard presents The Case for Patient Activation - Activate 2017 b...
Dr. Judith Hibbard presents The Case for Patient Activation - Activate 2017 b...Dr. Judith Hibbard presents The Case for Patient Activation - Activate 2017 b...
Dr. Judith Hibbard presents The Case for Patient Activation - Activate 2017 b...mPulse Mobile
 
AETC Testing for HIV Infection Bittenbender
AETC Testing for HIV Infection BittenbenderAETC Testing for HIV Infection Bittenbender
AETC Testing for HIV Infection BittenbenderHIV_STD_Partners_Meeting
 
Patient Centered IT meets APPS4HEALTH @ Cebit 2011
Patient Centered IT meets APPS4HEALTH @ Cebit 2011Patient Centered IT meets APPS4HEALTH @ Cebit 2011
Patient Centered IT meets APPS4HEALTH @ Cebit 2011Patient Centered IT
 
Week 1-sbirt-attc-workwise-series (1)
Week 1-sbirt-attc-workwise-series (1)Week 1-sbirt-attc-workwise-series (1)
Week 1-sbirt-attc-workwise-series (1)brittneyleanngraves
 
Spina Bifida Association of Kentucky research presentation- Kristen Ray
Spina Bifida Association of Kentucky research presentation- Kristen RaySpina Bifida Association of Kentucky research presentation- Kristen Ray
Spina Bifida Association of Kentucky research presentation- Kristen RayKristen Ray
 
Learning from Leadership: how to champion the Hospital Harm Measure and Never...
Learning from Leadership: how to champion the Hospital Harm Measure and Never...Learning from Leadership: how to champion the Hospital Harm Measure and Never...
Learning from Leadership: how to champion the Hospital Harm Measure and Never...Canadian Patient Safety Institute
 
MedicalResearch.com: Medical Research Exclusive Interviews December 31 2014
MedicalResearch.com: Medical Research Exclusive Interviews December 31 2014MedicalResearch.com: Medical Research Exclusive Interviews December 31 2014
MedicalResearch.com: Medical Research Exclusive Interviews December 31 2014Marie Benz MD FAAD
 
Why, when, and how to use pre exposure prophylaxis for hiv acquisition. 2014
Why, when, and how to use pre exposure prophylaxis for hiv acquisition. 2014Why, when, and how to use pre exposure prophylaxis for hiv acquisition. 2014
Why, when, and how to use pre exposure prophylaxis for hiv acquisition. 2014Hivlife Info
 
Clinicians Satisfaction Before and After Transition from a Basic to a Compreh...
Clinicians Satisfaction Before and After Transition from a Basic to a Compreh...Clinicians Satisfaction Before and After Transition from a Basic to a Compreh...
Clinicians Satisfaction Before and After Transition from a Basic to a Compreh...Allison McCoy
 
e-Patient Dave AF4Q South Central PA 01-11-2019
e-Patient Dave AF4Q South Central PA 01-11-2019e-Patient Dave AF4Q South Central PA 01-11-2019
e-Patient Dave AF4Q South Central PA 01-11-2019e-Patient Dave deBronkart
 

La actualidad más candente (20)

Nursing training
Nursing trainingNursing training
Nursing training
 
Diabetes care and patient understanding of type 2 diabetes in remote, rural A...
Diabetes care and patient understanding of type 2 diabetes in remote, rural A...Diabetes care and patient understanding of type 2 diabetes in remote, rural A...
Diabetes care and patient understanding of type 2 diabetes in remote, rural A...
 
Operational research to increase the efficiency of ART initiation in Africa
Operational research to increase the efficiency of ART initiation in AfricaOperational research to increase the efficiency of ART initiation in Africa
Operational research to increase the efficiency of ART initiation in Africa
 
Global Medical Cures™ | HIV TESTING IN USA
Global Medical Cures™ | HIV TESTING IN USAGlobal Medical Cures™ | HIV TESTING IN USA
Global Medical Cures™ | HIV TESTING IN USA
 
Rx15 treat wed_300_1_wilson-jarvis_2mendenhall
Rx15 treat wed_300_1_wilson-jarvis_2mendenhallRx15 treat wed_300_1_wilson-jarvis_2mendenhall
Rx15 treat wed_300_1_wilson-jarvis_2mendenhall
 
Benefits of using NHS Choices in conjunction with GP consultations
Benefits of using NHS Choices in conjunction with GP consultationsBenefits of using NHS Choices in conjunction with GP consultations
Benefits of using NHS Choices in conjunction with GP consultations
 
September 2015 - How do hospitalists perceive effectiveness of QI strategies
September 2015 - How do hospitalists perceive effectiveness of QI strategiesSeptember 2015 - How do hospitalists perceive effectiveness of QI strategies
September 2015 - How do hospitalists perceive effectiveness of QI strategies
 
Using the Patient Activation Measure to improve quality of care for patients ...
Using the Patient Activation Measure to improve quality of care for patients ...Using the Patient Activation Measure to improve quality of care for patients ...
Using the Patient Activation Measure to improve quality of care for patients ...
 
Dr. Judith Hibbard presents The Case for Patient Activation - Activate 2017 b...
Dr. Judith Hibbard presents The Case for Patient Activation - Activate 2017 b...Dr. Judith Hibbard presents The Case for Patient Activation - Activate 2017 b...
Dr. Judith Hibbard presents The Case for Patient Activation - Activate 2017 b...
 
AETC Testing for HIV Infection Bittenbender
AETC Testing for HIV Infection BittenbenderAETC Testing for HIV Infection Bittenbender
AETC Testing for HIV Infection Bittenbender
 
Man vs. Machine -- A new approach to hand hygiene auditing
Man vs. Machine -- A new approach to hand hygiene auditingMan vs. Machine -- A new approach to hand hygiene auditing
Man vs. Machine -- A new approach to hand hygiene auditing
 
Patient Centered IT meets APPS4HEALTH @ Cebit 2011
Patient Centered IT meets APPS4HEALTH @ Cebit 2011Patient Centered IT meets APPS4HEALTH @ Cebit 2011
Patient Centered IT meets APPS4HEALTH @ Cebit 2011
 
Week 1-sbirt-attc-workwise-series (1)
Week 1-sbirt-attc-workwise-series (1)Week 1-sbirt-attc-workwise-series (1)
Week 1-sbirt-attc-workwise-series (1)
 
Spina Bifida Association of Kentucky research presentation- Kristen Ray
Spina Bifida Association of Kentucky research presentation- Kristen RaySpina Bifida Association of Kentucky research presentation- Kristen Ray
Spina Bifida Association of Kentucky research presentation- Kristen Ray
 
Learning from Leadership: how to champion the Hospital Harm Measure and Never...
Learning from Leadership: how to champion the Hospital Harm Measure and Never...Learning from Leadership: how to champion the Hospital Harm Measure and Never...
Learning from Leadership: how to champion the Hospital Harm Measure and Never...
 
MedicalResearch.com: Medical Research Exclusive Interviews December 31 2014
MedicalResearch.com: Medical Research Exclusive Interviews December 31 2014MedicalResearch.com: Medical Research Exclusive Interviews December 31 2014
MedicalResearch.com: Medical Research Exclusive Interviews December 31 2014
 
Why, when, and how to use pre exposure prophylaxis for hiv acquisition. 2014
Why, when, and how to use pre exposure prophylaxis for hiv acquisition. 2014Why, when, and how to use pre exposure prophylaxis for hiv acquisition. 2014
Why, when, and how to use pre exposure prophylaxis for hiv acquisition. 2014
 
Clinicians Satisfaction Before and After Transition from a Basic to a Compreh...
Clinicians Satisfaction Before and After Transition from a Basic to a Compreh...Clinicians Satisfaction Before and After Transition from a Basic to a Compreh...
Clinicians Satisfaction Before and After Transition from a Basic to a Compreh...
 
Wellness Presentation
Wellness PresentationWellness Presentation
Wellness Presentation
 
e-Patient Dave AF4Q South Central PA 01-11-2019
e-Patient Dave AF4Q South Central PA 01-11-2019e-Patient Dave AF4Q South Central PA 01-11-2019
e-Patient Dave AF4Q South Central PA 01-11-2019
 

Destacado

The HIV Engagement in Care Cascade by Dr. Kathleen Brady
The HIV Engagement in Care Cascade by Dr. Kathleen BradyThe HIV Engagement in Care Cascade by Dr. Kathleen Brady
The HIV Engagement in Care Cascade by Dr. Kathleen BradyOffice of HIV Planning
 
Biotest Overview March 2009
Biotest Overview March 2009Biotest Overview March 2009
Biotest Overview March 2009bgruber
 
Hep B and C Screening & Management Simons Towns
Hep B and C Screening & Management Simons TownsHep B and C Screening & Management Simons Towns
Hep B and C Screening & Management Simons TownsHIV_STD_Partners_Meeting
 
Larose design week - hiv elisa test
Larose design week - hiv elisa testLarose design week - hiv elisa test
Larose design week - hiv elisa testJoanna Swafford
 
Lab diagnosis of Dengue
Lab diagnosis of DengueLab diagnosis of Dengue
Lab diagnosis of DengueAnam Khurshid
 
BLOOD SCREENING :AntiHBc and NAT-Necessity or Luxury
BLOOD SCREENING :AntiHBc and NAT-Necessity or LuxuryBLOOD SCREENING :AntiHBc and NAT-Necessity or Luxury
BLOOD SCREENING :AntiHBc and NAT-Necessity or Luxuryicsp
 
‫Pretransfusion testing final- ab screening - NAGLAA MAKRAM
‫Pretransfusion testing final- ab screening - NAGLAA MAKRAM ‫Pretransfusion testing final- ab screening - NAGLAA MAKRAM
‫Pretransfusion testing final- ab screening - NAGLAA MAKRAM Naglaa Makram
 
LABORATORY INVESTIGATION OF TRANSFUSION REACTION CASES
LABORATORY INVESTIGATION OF TRANSFUSION REACTION CASESLABORATORY INVESTIGATION OF TRANSFUSION REACTION CASES
LABORATORY INVESTIGATION OF TRANSFUSION REACTION CASESSadd Alias
 
Malaria rapid diagnostic tests (RDTs)
Malaria rapid diagnostic tests (RDTs)Malaria rapid diagnostic tests (RDTs)
Malaria rapid diagnostic tests (RDTs)Jerin Kuruvilla
 
Lab diagnosis of syphilis
Lab diagnosis of syphilisLab diagnosis of syphilis
Lab diagnosis of syphilisHarsha Yaramati
 
syphilis serology ppt, syphilis, laboratory diagnosis of syphilis, VDRL, FTA-ABS
syphilis serology ppt, syphilis, laboratory diagnosis of syphilis, VDRL, FTA-ABSsyphilis serology ppt, syphilis, laboratory diagnosis of syphilis, VDRL, FTA-ABS
syphilis serology ppt, syphilis, laboratory diagnosis of syphilis, VDRL, FTA-ABSsanjay singh
 
Blood grouping and crosss matching
Blood grouping and crosss matchingBlood grouping and crosss matching
Blood grouping and crosss matchingAnkita072
 
Hepatitis c.diagnosis and management
Hepatitis c.diagnosis and managementHepatitis c.diagnosis and management
Hepatitis c.diagnosis and managementAmar Patil
 
Laboratory diagnosis of HIV
Laboratory diagnosis of HIVLaboratory diagnosis of HIV
Laboratory diagnosis of HIVNikhil Bansal
 
Lab diagnosis of malaria
Lab diagnosis of malariaLab diagnosis of malaria
Lab diagnosis of malariaShridhan Patil
 

Destacado (20)

The HIV Engagement in Care Cascade by Dr. Kathleen Brady
The HIV Engagement in Care Cascade by Dr. Kathleen BradyThe HIV Engagement in Care Cascade by Dr. Kathleen Brady
The HIV Engagement in Care Cascade by Dr. Kathleen Brady
 
Screening and Treatment Related Issues in HIV
Screening and Treatment Related Issues in HIVScreening and Treatment Related Issues in HIV
Screening and Treatment Related Issues in HIV
 
Hiv Testing VA Goetz
Hiv Testing VA GoetzHiv Testing VA Goetz
Hiv Testing VA Goetz
 
Biotest Overview March 2009
Biotest Overview March 2009Biotest Overview March 2009
Biotest Overview March 2009
 
Hep B and C Screening & Management Simons Towns
Hep B and C Screening & Management Simons TownsHep B and C Screening & Management Simons Towns
Hep B and C Screening & Management Simons Towns
 
Larose design week - hiv elisa test
Larose design week - hiv elisa testLarose design week - hiv elisa test
Larose design week - hiv elisa test
 
Lab diagnosis of Dengue
Lab diagnosis of DengueLab diagnosis of Dengue
Lab diagnosis of Dengue
 
BLOOD SCREENING :AntiHBc and NAT-Necessity or Luxury
BLOOD SCREENING :AntiHBc and NAT-Necessity or LuxuryBLOOD SCREENING :AntiHBc and NAT-Necessity or Luxury
BLOOD SCREENING :AntiHBc and NAT-Necessity or Luxury
 
‫Pretransfusion testing final- ab screening - NAGLAA MAKRAM
‫Pretransfusion testing final- ab screening - NAGLAA MAKRAM ‫Pretransfusion testing final- ab screening - NAGLAA MAKRAM
‫Pretransfusion testing final- ab screening - NAGLAA MAKRAM
 
LABORATORY INVESTIGATION OF TRANSFUSION REACTION CASES
LABORATORY INVESTIGATION OF TRANSFUSION REACTION CASESLABORATORY INVESTIGATION OF TRANSFUSION REACTION CASES
LABORATORY INVESTIGATION OF TRANSFUSION REACTION CASES
 
Ria and elisa final ppt
Ria and elisa final pptRia and elisa final ppt
Ria and elisa final ppt
 
RIA and ELISA
RIA and ELISARIA and ELISA
RIA and ELISA
 
Malaria rapid diagnostic tests (RDTs)
Malaria rapid diagnostic tests (RDTs)Malaria rapid diagnostic tests (RDTs)
Malaria rapid diagnostic tests (RDTs)
 
Hepatitis c
Hepatitis cHepatitis c
Hepatitis c
 
Lab diagnosis of syphilis
Lab diagnosis of syphilisLab diagnosis of syphilis
Lab diagnosis of syphilis
 
syphilis serology ppt, syphilis, laboratory diagnosis of syphilis, VDRL, FTA-ABS
syphilis serology ppt, syphilis, laboratory diagnosis of syphilis, VDRL, FTA-ABSsyphilis serology ppt, syphilis, laboratory diagnosis of syphilis, VDRL, FTA-ABS
syphilis serology ppt, syphilis, laboratory diagnosis of syphilis, VDRL, FTA-ABS
 
Blood grouping and crosss matching
Blood grouping and crosss matchingBlood grouping and crosss matching
Blood grouping and crosss matching
 
Hepatitis c.diagnosis and management
Hepatitis c.diagnosis and managementHepatitis c.diagnosis and management
Hepatitis c.diagnosis and management
 
Laboratory diagnosis of HIV
Laboratory diagnosis of HIVLaboratory diagnosis of HIV
Laboratory diagnosis of HIV
 
Lab diagnosis of malaria
Lab diagnosis of malariaLab diagnosis of malaria
Lab diagnosis of malaria
 

Similar a Routine HIV Testing in the Community Health Center

Integrating HIV Prevention into Primary Care
Integrating HIV Prevention into Primary CareIntegrating HIV Prevention into Primary Care
Integrating HIV Prevention into Primary CareCHC Connecticut
 
IAFCC-Presentation-12-7-15-EH.pptx
IAFCC-Presentation-12-7-15-EH.pptxIAFCC-Presentation-12-7-15-EH.pptx
IAFCC-Presentation-12-7-15-EH.pptxashokkumarm27
 
Linkage to Care Strategies
Linkage to Care StrategiesLinkage to Care Strategies
Linkage to Care StrategiesRandi Sylve
 
HIVST and PrEP community consultation
HIVST and PrEP community consultationHIVST and PrEP community consultation
HIVST and PrEP community consultationCarmen Figueroa
 
Patient Engagement Strategies for Post COVID Success - Chris Nicholson | mPul...
Patient Engagement Strategies for Post COVID Success - Chris Nicholson | mPul...Patient Engagement Strategies for Post COVID Success - Chris Nicholson | mPul...
Patient Engagement Strategies for Post COVID Success - Chris Nicholson | mPul...VSee
 
PITC Presentation by MSD
PITC Presentation by MSDPITC Presentation by MSD
PITC Presentation by MSDfreespirit7
 
Unit 3 counseling for pmtct
Unit 3 counseling for pmtctUnit 3 counseling for pmtct
Unit 3 counseling for pmtctDavid Ngogoyo
 
Counselling HIV/ AIDS patient
Counselling HIV/ AIDS patient Counselling HIV/ AIDS patient
Counselling HIV/ AIDS patient Qurrot Ulain Taher
 
Utilizing Care Management Nurses to Improve Transitions in Care in the Oupati...
Utilizing Care Management Nurses to Improve Transitions in Care in the Oupati...Utilizing Care Management Nurses to Improve Transitions in Care in the Oupati...
Utilizing Care Management Nurses to Improve Transitions in Care in the Oupati...Tanisha Davis
 
Utilizing Care Management Nurses to Improve Transitions in Care in the Oupati...
Utilizing Care Management Nurses to Improve Transitions in Care in the Oupati...Utilizing Care Management Nurses to Improve Transitions in Care in the Oupati...
Utilizing Care Management Nurses to Improve Transitions in Care in the Oupati...Tanisha Davis
 
KY HIMSS Leveraging Innovative Ways to Connect with Patients at Covenant Care...
KY HIMSS Leveraging Innovative Ways to Connect with Patients at Covenant Care...KY HIMSS Leveraging Innovative Ways to Connect with Patients at Covenant Care...
KY HIMSS Leveraging Innovative Ways to Connect with Patients at Covenant Care...PreventScripts
 
0. 2016 WHO ART Guidelines_General Overview.pptx
0. 2016 WHO ART Guidelines_General Overview.pptx0. 2016 WHO ART Guidelines_General Overview.pptx
0. 2016 WHO ART Guidelines_General Overview.pptxyakemichael
 
Getting to Zero San Francisco
Getting to Zero San FranciscoGetting to Zero San Francisco
Getting to Zero San FranciscoHopkinsCFAR
 
Where’s the evidence that screening for distress benefits cancer patients?
Where’s the evidence that screening for distress benefits cancer patients?Where’s the evidence that screening for distress benefits cancer patients?
Where’s the evidence that screening for distress benefits cancer patients?James Coyne
 
Healthcare -- putting prevention into practice
Healthcare -- putting prevention into practiceHealthcare -- putting prevention into practice
Healthcare -- putting prevention into practiceZafar Hasan
 

Similar a Routine HIV Testing in the Community Health Center (20)

Integrating HIV Prevention into Primary Care
Integrating HIV Prevention into Primary CareIntegrating HIV Prevention into Primary Care
Integrating HIV Prevention into Primary Care
 
IAFCC-Presentation-12-7-15-EH.pptx
IAFCC-Presentation-12-7-15-EH.pptxIAFCC-Presentation-12-7-15-EH.pptx
IAFCC-Presentation-12-7-15-EH.pptx
 
Linkage to Care Strategies
Linkage to Care StrategiesLinkage to Care Strategies
Linkage to Care Strategies
 
HIVST and PrEP community consultation
HIVST and PrEP community consultationHIVST and PrEP community consultation
HIVST and PrEP community consultation
 
LTC Strategies for CBO's - Lara Jackson
LTC Strategies for CBO's - Lara JacksonLTC Strategies for CBO's - Lara Jackson
LTC Strategies for CBO's - Lara Jackson
 
Patient Engagement Strategies for Post COVID Success - Chris Nicholson | mPul...
Patient Engagement Strategies for Post COVID Success - Chris Nicholson | mPul...Patient Engagement Strategies for Post COVID Success - Chris Nicholson | mPul...
Patient Engagement Strategies for Post COVID Success - Chris Nicholson | mPul...
 
PITC Presentation by MSD
PITC Presentation by MSDPITC Presentation by MSD
PITC Presentation by MSD
 
Best Practices in STD Follow Up and Case Management
Best Practices in STD Follow Up and Case ManagementBest Practices in STD Follow Up and Case Management
Best Practices in STD Follow Up and Case Management
 
Innovations STI Coleman White Earth
Innovations STI Coleman White EarthInnovations STI Coleman White Earth
Innovations STI Coleman White Earth
 
Unit 3 counseling for pmtct
Unit 3 counseling for pmtctUnit 3 counseling for pmtct
Unit 3 counseling for pmtct
 
Counselling HIV/ AIDS patient
Counselling HIV/ AIDS patient Counselling HIV/ AIDS patient
Counselling HIV/ AIDS patient
 
Utilizing Care Management Nurses to Improve Transitions in Care in the Oupati...
Utilizing Care Management Nurses to Improve Transitions in Care in the Oupati...Utilizing Care Management Nurses to Improve Transitions in Care in the Oupati...
Utilizing Care Management Nurses to Improve Transitions in Care in the Oupati...
 
Utilizing Care Management Nurses to Improve Transitions in Care in the Oupati...
Utilizing Care Management Nurses to Improve Transitions in Care in the Oupati...Utilizing Care Management Nurses to Improve Transitions in Care in the Oupati...
Utilizing Care Management Nurses to Improve Transitions in Care in the Oupati...
 
KY HIMSS Leveraging Innovative Ways to Connect with Patients at Covenant Care...
KY HIMSS Leveraging Innovative Ways to Connect with Patients at Covenant Care...KY HIMSS Leveraging Innovative Ways to Connect with Patients at Covenant Care...
KY HIMSS Leveraging Innovative Ways to Connect with Patients at Covenant Care...
 
0. 2016 WHO ART Guidelines_General Overview.pptx
0. 2016 WHO ART Guidelines_General Overview.pptx0. 2016 WHO ART Guidelines_General Overview.pptx
0. 2016 WHO ART Guidelines_General Overview.pptx
 
Getting to Zero San Francisco
Getting to Zero San FranciscoGetting to Zero San Francisco
Getting to Zero San Francisco
 
Testing and Care for HIV+ Individuals 2014
Testing and Care for HIV+ Individuals 2014 Testing and Care for HIV+ Individuals 2014
Testing and Care for HIV+ Individuals 2014
 
Use your Pharmacist Huentelman
Use your Pharmacist HuentelmanUse your Pharmacist Huentelman
Use your Pharmacist Huentelman
 
Where’s the evidence that screening for distress benefits cancer patients?
Where’s the evidence that screening for distress benefits cancer patients?Where’s the evidence that screening for distress benefits cancer patients?
Where’s the evidence that screening for distress benefits cancer patients?
 
Healthcare -- putting prevention into practice
Healthcare -- putting prevention into practiceHealthcare -- putting prevention into practice
Healthcare -- putting prevention into practice
 

Más de MPCA

Health Center Expansion in Michigan
Health Center Expansion in MichiganHealth Center Expansion in Michigan
Health Center Expansion in MichiganMPCA
 
Why 85% of Decisions Made in Your Organization are Wrong and How to Fix It!
Why 85% of Decisions Made in Your Organization are Wrong and How to Fix It!Why 85% of Decisions Made in Your Organization are Wrong and How to Fix It!
Why 85% of Decisions Made in Your Organization are Wrong and How to Fix It!MPCA
 
How to Stop Losing Money Using Your EMR
How to Stop Losing Money Using Your EMRHow to Stop Losing Money Using Your EMR
How to Stop Losing Money Using Your EMRMPCA
 
STEAM: Set Goals, Take Control, Eat Healthy, Accountability, Move
STEAM: Set Goals, Take Control, Eat Healthy, Accountability, MoveSTEAM: Set Goals, Take Control, Eat Healthy, Accountability, Move
STEAM: Set Goals, Take Control, Eat Healthy, Accountability, MoveMPCA
 
Anniversary banner color background 3
Anniversary banner color background 3Anniversary banner color background 3
Anniversary banner color background 3MPCA
 
Anniversary banner color background
Anniversary banner color backgroundAnniversary banner color background
Anniversary banner color backgroundMPCA
 
Anniversary banner color background 2
Anniversary banner color background 2Anniversary banner color background 2
Anniversary banner color background 2MPCA
 
Anniversary banner
Anniversary bannerAnniversary banner
Anniversary bannerMPCA
 
State oral health plan 2010 webr
State oral health plan 2010 webrState oral health plan 2010 webr
State oral health plan 2010 webrMPCA
 
People with Disabilities Brochure
People with Disabilities BrochurePeople with Disabilities Brochure
People with Disabilities BrochureMPCA
 
Improving access to quality health care final
Improving access to quality health care finalImproving access to quality health care final
Improving access to quality health care finalMPCA
 
Workshop #2 details, details, details
Workshop #2 details, details, detailsWorkshop #2 details, details, details
Workshop #2 details, details, detailsMPCA
 
Workshop #1 intro & diseases
Workshop #1 intro & diseasesWorkshop #1 intro & diseases
Workshop #1 intro & diseasesMPCA
 
Legislative handout 2010
Legislative handout 2010Legislative handout 2010
Legislative handout 2010MPCA
 
Its Not Just Perio Anymore Webinar
Its Not Just Perio Anymore WebinarIts Not Just Perio Anymore Webinar
Its Not Just Perio Anymore WebinarMPCA
 
MPCA Integrating Behavioral Health Project
MPCA Integrating Behavioral Health ProjectMPCA Integrating Behavioral Health Project
MPCA Integrating Behavioral Health ProjectMPCA
 
Improving Oral Health Access Migrant and Seasonal Workers
Improving Oral Health Access Migrant and Seasonal WorkersImproving Oral Health Access Migrant and Seasonal Workers
Improving Oral Health Access Migrant and Seasonal WorkersMPCA
 
FQHC Dental "Balancing Act": Establishing Productivity in CHCs
FQHC Dental "Balancing Act": Establishing Productivity in CHCsFQHC Dental "Balancing Act": Establishing Productivity in CHCs
FQHC Dental "Balancing Act": Establishing Productivity in CHCsMPCA
 
Improving Oral Health Access Migrant and Seasonal Workers
Improving Oral Health Access Migrant and Seasonal WorkersImproving Oral Health Access Migrant and Seasonal Workers
Improving Oral Health Access Migrant and Seasonal WorkersMPCA
 
Adopting Ideas Over Time
Adopting Ideas Over TimeAdopting Ideas Over Time
Adopting Ideas Over TimeMPCA
 

Más de MPCA (20)

Health Center Expansion in Michigan
Health Center Expansion in MichiganHealth Center Expansion in Michigan
Health Center Expansion in Michigan
 
Why 85% of Decisions Made in Your Organization are Wrong and How to Fix It!
Why 85% of Decisions Made in Your Organization are Wrong and How to Fix It!Why 85% of Decisions Made in Your Organization are Wrong and How to Fix It!
Why 85% of Decisions Made in Your Organization are Wrong and How to Fix It!
 
How to Stop Losing Money Using Your EMR
How to Stop Losing Money Using Your EMRHow to Stop Losing Money Using Your EMR
How to Stop Losing Money Using Your EMR
 
STEAM: Set Goals, Take Control, Eat Healthy, Accountability, Move
STEAM: Set Goals, Take Control, Eat Healthy, Accountability, MoveSTEAM: Set Goals, Take Control, Eat Healthy, Accountability, Move
STEAM: Set Goals, Take Control, Eat Healthy, Accountability, Move
 
Anniversary banner color background 3
Anniversary banner color background 3Anniversary banner color background 3
Anniversary banner color background 3
 
Anniversary banner color background
Anniversary banner color backgroundAnniversary banner color background
Anniversary banner color background
 
Anniversary banner color background 2
Anniversary banner color background 2Anniversary banner color background 2
Anniversary banner color background 2
 
Anniversary banner
Anniversary bannerAnniversary banner
Anniversary banner
 
State oral health plan 2010 webr
State oral health plan 2010 webrState oral health plan 2010 webr
State oral health plan 2010 webr
 
People with Disabilities Brochure
People with Disabilities BrochurePeople with Disabilities Brochure
People with Disabilities Brochure
 
Improving access to quality health care final
Improving access to quality health care finalImproving access to quality health care final
Improving access to quality health care final
 
Workshop #2 details, details, details
Workshop #2 details, details, detailsWorkshop #2 details, details, details
Workshop #2 details, details, details
 
Workshop #1 intro & diseases
Workshop #1 intro & diseasesWorkshop #1 intro & diseases
Workshop #1 intro & diseases
 
Legislative handout 2010
Legislative handout 2010Legislative handout 2010
Legislative handout 2010
 
Its Not Just Perio Anymore Webinar
Its Not Just Perio Anymore WebinarIts Not Just Perio Anymore Webinar
Its Not Just Perio Anymore Webinar
 
MPCA Integrating Behavioral Health Project
MPCA Integrating Behavioral Health ProjectMPCA Integrating Behavioral Health Project
MPCA Integrating Behavioral Health Project
 
Improving Oral Health Access Migrant and Seasonal Workers
Improving Oral Health Access Migrant and Seasonal WorkersImproving Oral Health Access Migrant and Seasonal Workers
Improving Oral Health Access Migrant and Seasonal Workers
 
FQHC Dental "Balancing Act": Establishing Productivity in CHCs
FQHC Dental "Balancing Act": Establishing Productivity in CHCsFQHC Dental "Balancing Act": Establishing Productivity in CHCs
FQHC Dental "Balancing Act": Establishing Productivity in CHCs
 
Improving Oral Health Access Migrant and Seasonal Workers
Improving Oral Health Access Migrant and Seasonal WorkersImproving Oral Health Access Migrant and Seasonal Workers
Improving Oral Health Access Migrant and Seasonal Workers
 
Adopting Ideas Over Time
Adopting Ideas Over TimeAdopting Ideas Over Time
Adopting Ideas Over Time
 

Último

Cara Menggugurkan Kandungan Dengan Cepat Selesai Dalam 24 Jam Secara Alami Bu...
Cara Menggugurkan Kandungan Dengan Cepat Selesai Dalam 24 Jam Secara Alami Bu...Cara Menggugurkan Kandungan Dengan Cepat Selesai Dalam 24 Jam Secara Alami Bu...
Cara Menggugurkan Kandungan Dengan Cepat Selesai Dalam 24 Jam Secara Alami Bu...Cara Menggugurkan Kandungan 087776558899
 
Intramuscular & Intravenous Injection.pptx
Intramuscular & Intravenous Injection.pptxIntramuscular & Intravenous Injection.pptx
Intramuscular & Intravenous Injection.pptxsaranpratha12
 
💚Chandigarh Call Girls Service 💯Piya 📲🔝8868886958🔝Call Girls In Chandigarh No...
💚Chandigarh Call Girls Service 💯Piya 📲🔝8868886958🔝Call Girls In Chandigarh No...💚Chandigarh Call Girls Service 💯Piya 📲🔝8868886958🔝Call Girls In Chandigarh No...
💚Chandigarh Call Girls Service 💯Piya 📲🔝8868886958🔝Call Girls In Chandigarh No...Sheetaleventcompany
 
Call Girl In Indore 📞9235973566📞 Just📲 Call Inaaya Indore Call Girls Service ...
Call Girl In Indore 📞9235973566📞 Just📲 Call Inaaya Indore Call Girls Service ...Call Girl In Indore 📞9235973566📞 Just📲 Call Inaaya Indore Call Girls Service ...
Call Girl In Indore 📞9235973566📞 Just📲 Call Inaaya Indore Call Girls Service ...Sheetaleventcompany
 
🚺LEELA JOSHI WhatsApp Number +91-9930245274 ✔ Unsatisfied Bhabhi Call Girls T...
🚺LEELA JOSHI WhatsApp Number +91-9930245274 ✔ Unsatisfied Bhabhi Call Girls T...🚺LEELA JOSHI WhatsApp Number +91-9930245274 ✔ Unsatisfied Bhabhi Call Girls T...
🚺LEELA JOSHI WhatsApp Number +91-9930245274 ✔ Unsatisfied Bhabhi Call Girls T...soniya pandit
 
❤️Amritsar Escorts Service☎️9815674956☎️ Call Girl service in Amritsar☎️ Amri...
❤️Amritsar Escorts Service☎️9815674956☎️ Call Girl service in Amritsar☎️ Amri...❤️Amritsar Escorts Service☎️9815674956☎️ Call Girl service in Amritsar☎️ Amri...
❤️Amritsar Escorts Service☎️9815674956☎️ Call Girl service in Amritsar☎️ Amri...Sheetaleventcompany
 
Call Girls Shahdol Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Shahdol Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Shahdol Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Shahdol Just Call 8250077686 Top Class Call Girl Service AvailableDipal Arora
 
ANATOMY AND PHYSIOLOGY OF REPRODUCTIVE SYSTEM.pptx
ANATOMY AND PHYSIOLOGY OF REPRODUCTIVE SYSTEM.pptxANATOMY AND PHYSIOLOGY OF REPRODUCTIVE SYSTEM.pptx
ANATOMY AND PHYSIOLOGY OF REPRODUCTIVE SYSTEM.pptxSwetaba Besh
 
Call Girls Bangalore - 450+ Call Girl Cash Payment 💯Call Us 🔝 6378878445 🔝 💃 ...
Call Girls Bangalore - 450+ Call Girl Cash Payment 💯Call Us 🔝 6378878445 🔝 💃 ...Call Girls Bangalore - 450+ Call Girl Cash Payment 💯Call Us 🔝 6378878445 🔝 💃 ...
Call Girls Bangalore - 450+ Call Girl Cash Payment 💯Call Us 🔝 6378878445 🔝 💃 ...gragneelam30
 
Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...
Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...
Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...Sheetaleventcompany
 
Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...
Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...
Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...Sheetaleventcompany
 
Cardiac Output, Venous Return, and Their Regulation
Cardiac Output, Venous Return, and Their RegulationCardiac Output, Venous Return, and Their Regulation
Cardiac Output, Venous Return, and Their RegulationMedicoseAcademics
 
Kolkata Call Girls Shobhabazar 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Gir...
Kolkata Call Girls Shobhabazar 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Gir...Kolkata Call Girls Shobhabazar 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Gir...
Kolkata Call Girls Shobhabazar 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Gir...Namrata Singh
 
💰Call Girl In Bangalore☎️63788-78445💰 Call Girl service in Bangalore☎️Bangalo...
💰Call Girl In Bangalore☎️63788-78445💰 Call Girl service in Bangalore☎️Bangalo...💰Call Girl In Bangalore☎️63788-78445💰 Call Girl service in Bangalore☎️Bangalo...
💰Call Girl In Bangalore☎️63788-78445💰 Call Girl service in Bangalore☎️Bangalo...gragneelam30
 
Jual Obat Aborsi Di Dubai UAE Wa 0838-4800-7379 Obat Penggugur Kandungan Cytotec
Jual Obat Aborsi Di Dubai UAE Wa 0838-4800-7379 Obat Penggugur Kandungan CytotecJual Obat Aborsi Di Dubai UAE Wa 0838-4800-7379 Obat Penggugur Kandungan Cytotec
Jual Obat Aborsi Di Dubai UAE Wa 0838-4800-7379 Obat Penggugur Kandungan Cytotecjualobat34
 
Call Girls Mussoorie Just Call 8854095900 Top Class Call Girl Service Available
Call Girls Mussoorie Just Call 8854095900 Top Class Call Girl Service AvailableCall Girls Mussoorie Just Call 8854095900 Top Class Call Girl Service Available
Call Girls Mussoorie Just Call 8854095900 Top Class Call Girl Service AvailableJanvi Singh
 
Jaipur Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Jaipur No💰...
Jaipur Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Jaipur No💰...Jaipur Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Jaipur No💰...
Jaipur Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Jaipur No💰...Sheetaleventcompany
 
❤️Call Girl Service In Chandigarh☎️9814379184☎️ Call Girl in Chandigarh☎️ Cha...
❤️Call Girl Service In Chandigarh☎️9814379184☎️ Call Girl in Chandigarh☎️ Cha...❤️Call Girl Service In Chandigarh☎️9814379184☎️ Call Girl in Chandigarh☎️ Cha...
❤️Call Girl Service In Chandigarh☎️9814379184☎️ Call Girl in Chandigarh☎️ Cha...Sheetaleventcompany
 
Nagpur Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Nagpur No💰...
Nagpur Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Nagpur No💰...Nagpur Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Nagpur No💰...
Nagpur Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Nagpur No💰...Sheetaleventcompany
 
Control of Local Blood Flow: acute and chronic
Control of Local Blood Flow: acute and chronicControl of Local Blood Flow: acute and chronic
Control of Local Blood Flow: acute and chronicMedicoseAcademics
 

Último (20)

Cara Menggugurkan Kandungan Dengan Cepat Selesai Dalam 24 Jam Secara Alami Bu...
Cara Menggugurkan Kandungan Dengan Cepat Selesai Dalam 24 Jam Secara Alami Bu...Cara Menggugurkan Kandungan Dengan Cepat Selesai Dalam 24 Jam Secara Alami Bu...
Cara Menggugurkan Kandungan Dengan Cepat Selesai Dalam 24 Jam Secara Alami Bu...
 
Intramuscular & Intravenous Injection.pptx
Intramuscular & Intravenous Injection.pptxIntramuscular & Intravenous Injection.pptx
Intramuscular & Intravenous Injection.pptx
 
💚Chandigarh Call Girls Service 💯Piya 📲🔝8868886958🔝Call Girls In Chandigarh No...
💚Chandigarh Call Girls Service 💯Piya 📲🔝8868886958🔝Call Girls In Chandigarh No...💚Chandigarh Call Girls Service 💯Piya 📲🔝8868886958🔝Call Girls In Chandigarh No...
💚Chandigarh Call Girls Service 💯Piya 📲🔝8868886958🔝Call Girls In Chandigarh No...
 
Call Girl In Indore 📞9235973566📞 Just📲 Call Inaaya Indore Call Girls Service ...
Call Girl In Indore 📞9235973566📞 Just📲 Call Inaaya Indore Call Girls Service ...Call Girl In Indore 📞9235973566📞 Just📲 Call Inaaya Indore Call Girls Service ...
Call Girl In Indore 📞9235973566📞 Just📲 Call Inaaya Indore Call Girls Service ...
 
🚺LEELA JOSHI WhatsApp Number +91-9930245274 ✔ Unsatisfied Bhabhi Call Girls T...
🚺LEELA JOSHI WhatsApp Number +91-9930245274 ✔ Unsatisfied Bhabhi Call Girls T...🚺LEELA JOSHI WhatsApp Number +91-9930245274 ✔ Unsatisfied Bhabhi Call Girls T...
🚺LEELA JOSHI WhatsApp Number +91-9930245274 ✔ Unsatisfied Bhabhi Call Girls T...
 
❤️Amritsar Escorts Service☎️9815674956☎️ Call Girl service in Amritsar☎️ Amri...
❤️Amritsar Escorts Service☎️9815674956☎️ Call Girl service in Amritsar☎️ Amri...❤️Amritsar Escorts Service☎️9815674956☎️ Call Girl service in Amritsar☎️ Amri...
❤️Amritsar Escorts Service☎️9815674956☎️ Call Girl service in Amritsar☎️ Amri...
 
Call Girls Shahdol Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Shahdol Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Shahdol Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Shahdol Just Call 8250077686 Top Class Call Girl Service Available
 
ANATOMY AND PHYSIOLOGY OF REPRODUCTIVE SYSTEM.pptx
ANATOMY AND PHYSIOLOGY OF REPRODUCTIVE SYSTEM.pptxANATOMY AND PHYSIOLOGY OF REPRODUCTIVE SYSTEM.pptx
ANATOMY AND PHYSIOLOGY OF REPRODUCTIVE SYSTEM.pptx
 
Call Girls Bangalore - 450+ Call Girl Cash Payment 💯Call Us 🔝 6378878445 🔝 💃 ...
Call Girls Bangalore - 450+ Call Girl Cash Payment 💯Call Us 🔝 6378878445 🔝 💃 ...Call Girls Bangalore - 450+ Call Girl Cash Payment 💯Call Us 🔝 6378878445 🔝 💃 ...
Call Girls Bangalore - 450+ Call Girl Cash Payment 💯Call Us 🔝 6378878445 🔝 💃 ...
 
Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...
Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...
Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...
 
Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...
Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...
Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...
 
Cardiac Output, Venous Return, and Their Regulation
Cardiac Output, Venous Return, and Their RegulationCardiac Output, Venous Return, and Their Regulation
Cardiac Output, Venous Return, and Their Regulation
 
Kolkata Call Girls Shobhabazar 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Gir...
Kolkata Call Girls Shobhabazar 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Gir...Kolkata Call Girls Shobhabazar 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Gir...
Kolkata Call Girls Shobhabazar 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Gir...
 
💰Call Girl In Bangalore☎️63788-78445💰 Call Girl service in Bangalore☎️Bangalo...
💰Call Girl In Bangalore☎️63788-78445💰 Call Girl service in Bangalore☎️Bangalo...💰Call Girl In Bangalore☎️63788-78445💰 Call Girl service in Bangalore☎️Bangalo...
💰Call Girl In Bangalore☎️63788-78445💰 Call Girl service in Bangalore☎️Bangalo...
 
Jual Obat Aborsi Di Dubai UAE Wa 0838-4800-7379 Obat Penggugur Kandungan Cytotec
Jual Obat Aborsi Di Dubai UAE Wa 0838-4800-7379 Obat Penggugur Kandungan CytotecJual Obat Aborsi Di Dubai UAE Wa 0838-4800-7379 Obat Penggugur Kandungan Cytotec
Jual Obat Aborsi Di Dubai UAE Wa 0838-4800-7379 Obat Penggugur Kandungan Cytotec
 
Call Girls Mussoorie Just Call 8854095900 Top Class Call Girl Service Available
Call Girls Mussoorie Just Call 8854095900 Top Class Call Girl Service AvailableCall Girls Mussoorie Just Call 8854095900 Top Class Call Girl Service Available
Call Girls Mussoorie Just Call 8854095900 Top Class Call Girl Service Available
 
Jaipur Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Jaipur No💰...
Jaipur Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Jaipur No💰...Jaipur Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Jaipur No💰...
Jaipur Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Jaipur No💰...
 
❤️Call Girl Service In Chandigarh☎️9814379184☎️ Call Girl in Chandigarh☎️ Cha...
❤️Call Girl Service In Chandigarh☎️9814379184☎️ Call Girl in Chandigarh☎️ Cha...❤️Call Girl Service In Chandigarh☎️9814379184☎️ Call Girl in Chandigarh☎️ Cha...
❤️Call Girl Service In Chandigarh☎️9814379184☎️ Call Girl in Chandigarh☎️ Cha...
 
Nagpur Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Nagpur No💰...
Nagpur Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Nagpur No💰...Nagpur Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Nagpur No💰...
Nagpur Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Nagpur No💰...
 
Control of Local Blood Flow: acute and chronic
Control of Local Blood Flow: acute and chronicControl of Local Blood Flow: acute and chronic
Control of Local Blood Flow: acute and chronic
 

Routine HIV Testing in the Community Health Center

  • 1. Routine HIV Screening in the Primary Care Setting Michigan Primary Care Association Annual Meeting September 28, 2009 Grand Rapids, MI
  • 2.
  • 3. Awareness of Serostatus Among People with HIV and Estimates of Transmission ~75% Aware of Infection ~ 25% Unaware of Infection ~54% of New Infections ~46% of New Infections People Living with HIV/AIDS New Sexual Infections Each Year Marks G, et al AIDS 2006; 20:1447-1450. Accounting for:
  • 4.
  • 5.
  • 6.
  • 7.
  • 8.
  • 9.
  • 10.
  • 11.
  • 12.
  • 13.  
  • 14.
  • 15.
  • 16.
  • 17.
  • 18.
  • 19.
  • 20.
  • 21.
  • 22.
  • 23.