Orange County NC Website
N.C.Department of Environment,Heald-i,and Natural Resources' Page 1 of <br /> Division of General Services <br /> FY 197 - 1998' <br /> CONTRACT ADDENDUM <br /> HIV/STD Control Branch 9845331068 <br /> Office,Section,or Branch Contract Number <br /> Orange County Health Department AIDS Federal <br /> Contractor Activiry <br /> HIV COUNSELING AND TESTING PROGRAM PLAN <br /> 1.A. All staff with primary responsibility for HIV antibody counseling and testing will receive training <br /> and continuing education by the HN/STD Control Branch; all other staff will be trained by local <br /> staff who were trained by Branch staff. <br /> I.B. Pre and post-test counseling will be conducted as specified below: <br /> 1) All persons provided HIV counseling and testing services will receive individual pre- and <br /> post-test counseling. <br /> 2) All pre-test counseling will include risk assessment, personalized risk reduction guidelines, <br /> the advantages and disadvantages of testing, and the accuracy and limitations of the test. <br /> Informed consent is obtained prior to testing. <br /> 3) All post-test counseling will include test results, interpretation of test results, and <br /> personalized risk reduction counseling. <br /> 4) If the client is infected, HIV control measures will be given, including information on the <br /> legal responsibility to notify sex and needle-sharing partners. <br /> 5) If a client is infected, a referral will be made for a follow-up interview with an HIV/STD <br /> Control Branch Regional Disease Intervention Specialist. For clients tested confidentially, <br /> the referral will be made within three to seven days after post-test counseling. A telephone <br /> report may be given; however, a Communicable Disease Report Card will also be completed <br /> within seven days. <br /> 6) If the client is infected, appropriate referrals for medical and psychosocial services will be <br /> made. <br /> 7) If the client is tested confidentially and is seropositive, a Communicable Disease Report Card <br /> will be filled out and forwarded to the Communicable Disease Coordinator for submission to <br /> HIV/STD Control Surveillance Unit. <br /> 8) If the client is tested anonymously and is seropositive, reporting is accomplished through <br /> submission of the correctly completed laboratory report form. <br /> I.C. HIV antibody test results will be opened only by trained HIV counselor, nurse practitioners and <br /> public health nurses. Written release of information is required before confidential HIV test <br /> results will be released except as required by law. All HIV test records and patient records will <br /> be stored in locked facilities. <br /> I.D. Plan of Operation <br /> 1)_Informing clients of availability of service: posters; bulletin boards; brochures; individual <br /> risk assessment during STD/FP/Maternal Health/TB interviews (especially women of <br /> childbearing age, adolescents, minorities,drug users and gay/bisexual men). Advertising will <br /> occur through periodic public service announcements. Contact will be maintained with local <br /> AIDS services organizations, drug treatment centers and other local agencies serving <br /> populations who are at increased risk. Contact is also maintained with student and <br /> university organizations at UNC-Chapel Hill, religious and human service organizations. <br /> The health department will participate in the AIDS Service Agency of Orange County. <br /> �4w Reviewed by <br /> DEI-INR 33CO(Revised 2/90) <br /> General Services Division(Review <br /> Initials Date <br />