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HIV rapid testing strategy — DTM&H MCQ

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EasyHIV/AIDS in tropical settingsHIV rapid testing strategyDTM&H

A district clinic with high HIV prevalence introduces same-day testing for adults with tuberculosis symptoms. The aim is to increase diagnosis and linkage to care. What is the most important public health measure?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: E — Provider-initiated HIV testing with counselling and linkage

Provider-initiated HIV testing with counselling and linkage is the single best answer because provider-initiated testing in TB services improves HIV diagnosis and timely ART linkage. Anonymous testing without results return is plausible in a related presentation, but it is less appropriate because it does not fit the key discriminator in this vignette. The teaching point is that testing programmes must preserve consent, confidentiality and post-test linkage.

Reference: WHO consolidated HIV guidelines; WHO advanced HIV disease guidance; Manson's Tropical Diseases