California Department of Public Health Office of AIDS NOTE: To view the notes section please download and save the file. In HIV Counseling & Testing Settings Collecting Testing and Treatment History for HIV Incidence Surveillance

Collecting Testing and Treatment History for HIV Incidence Surveillance In HIV Counseling and Testing Settings Primary Target Audience HIV Test Counselors working in publicly funded HIV Counseling and Testing Sites (CTS). Training Goal Participants will know what Testing and Treatment History (TTH) information is needed for HIV Incidence estimation.

Testing and Treatment History (TTH) Used in calculation of HIV incidence estimates. Used in calculation of HIV incidence estimates. Needed to differentiate between new testers and repeat testers. Needed to differentiate between new testers and repeat testers. Used to identify patients receiving ARV meds within six months of first positive HIV test. Used to identify patients receiving ARV meds within six months of first positive HIV test.

Testing and Treatment History (TTH) Collection in California Counseling and Testing Sites (CTS) Private and other non- CTS settings Data entry module LEO/PEMSeHARS When usually collected Pre-HIV test Post-HIV test Implemented Collection instrument Supplemental Information Form (SIF) [CDPH 8458 S.] Laboratory-documented TTH: HIV/AIDS Case Report Form Laboratory-documented TTH: HIV/AIDS Case Report Form Patient Reported TTH: TTH Attachment Patient Reported TTH: TTH Attachment

Testing and Treatment History (TTH) Collection in California Counseling and Testing Sites (CTS) Private and other non- CTS settings Data entry module LEO/PEMSeHARS When usually collected Pre-HIV test Post-HIV test Implemented Collection instrument Supplemental Information Form (SIF) [CDPH 8458 S.] Laboratory-documented TTH: HIV/AIDS Case Report Form Laboratory-documented TTH: HIV/AIDS Case Report Form Patient Reported TTH: TTH Attachment Patient Reported TTH: TTH Attachment

When to Use the SIF Client is testing confidentially Client is testing confidentially Counselor is using a Counseling Information Form (CIF) for the client Counselor is using a Counseling Information Form (CIF) for the client Can be administered as a post-test when proportion of HIV positives is small Can be administered as a post-test when proportion of HIV positives is small –A hand-written note on the SIF that says “post-test” is sufficient.

Right side 2: Filled out only for HIV positive clients. Left side 1: Filled out for all clients.

Right side 2: Filled out only for HIV positive clients. Left side 1: Filled out for all clients. (Post–test)

Step-by-step instructions

Number of HIV tests in past 2 years including today*‡: (1 (today’s test) + ___ (number of tests in the past 2 years) = 1

Example #1 Today is the client’s first HIV test ever. Number of HIV tests in past 2 years including today*‡: (1 (today’s test) + ___ (number of tests in the past 2 years) = 1 1 0

Number of HIV tests in past 2 years including today*‡: (1 (today’s test) + ___ (number of tests in the past 2 years) = Example #2 Client tested six months ago.

Number of HIV tests in past 2 years including today*‡: (1 (today’s test) + ___ (number of tests in the past 2 years) = Example #3 Client tested twice in the past two years, three times in 2002, and for times in 1998.

Ever test negative for HIV: (lifetime history) (1) Yes (indicate date of last negative HIV test below) (0) No (7) Client declined/refused (9) Client doesn’t know

Date of last negative HIV test Date (mm/dd/yy) If the answer to the last field was yes

Example #1 Client reports his or her last negative test was March 15, 2007 Date of last negative HIV test 0 Date (mm/dd/yy) 31507

Example #2 Client does not remember the EXACT day of their last test. Date of last negative HIV test 0 Date (mm/dd/yy) 3..07

Taken any antiretroviral therapy (ART) in the last 6 months: (1) Yes (indicate date of first and last day used below) (0) No (7) Client declined/refused (9) Client doesn’t know

First day any ART(s) used: Date (mm/dd/yy) Last day any ART(s) used: If the answer to the last field was yes

Date of first positive HIV test specimen: Date (mm/dd/yy) This field refers only to clients who have tested POSITIVE for HIV

Can the date of the first positive HIV test result be based only on a patient’s preliminary positive rapid test result? No. A positive HIV test refers to a reactive screening test that is confirmed using supplemental testing, either Western Blot or Immunofluorescent assay (IFA). If a patient did not return for his or her confirmatory result disclosure, then this test cannot be considered their first positive HIV test. No. A positive HIV test refers to a reactive screening test that is confirmed using supplemental testing, either Western Blot or Immunofluorescent assay (IFA). If a patient did not return for his or her confirmatory result disclosure, then this test cannot be considered their first positive HIV test.

This field refers only to clients who have tested POSITIVE for HIV Number of HIV tests*‡: (first positive and prior 2 years): (1 (first positive) + ___ (number of tests in 2 years before first positive)= 1

Example #1 Client tested HIV positive for the first time three months ago. Number of HIV tests*‡: (first positive and prior 2 years): (1 (first positive) + ___ (number of tests in 2 years before first positive)= 1 01

Example #2 Client first tested HIV positive nine months ago and tested one other time three months before then. Number of HIV tests*‡: (first positive and prior 2 years): (1 (first positive) + ___ (number of tests in 2 years before first positive)= 1 12

Example #3 Client first tested HIV positive nine months ago, tested three months before then, and also tested once in 2000 and once in Number of HIV tests*‡: (first positive and prior 2 years): (1 (first positive) + ___ (number of tests in 2 years before first positive)= 1 12

Sending SIFs to CDPH/OA Step 1 of 3 Photocopy only SIFs and CIFs from confidential testers who tested HIV+ Photocopy only SIFs and CIFs from confidential testers who tested HIV+ –No anonymous testers. –Make sure there are no personal identifiers visible such as name or social security number on any forms. –Pay special attention to the notes section of the CIF. –Send shipments generally every 1-2 months.

Sending SIFs to CDPH/OA Step 2 of 3 Shipment should be double enveloped and sent via traceable overnight courier Shipment should be double enveloped and sent via traceable overnight courier – Inner envelope: Seal SIFs and CIFs in the inner envelope and mark it confidential. – Outer envelope: Address to: Chief HIV/AIDS Case Registry Section California Department of Public Health 1616 Capitol Avenue, Suite 616, MS 7700 Sacramento, CA 95814

Sending SIFs to CDPH/OA Step 3 of 3 Notify the HIS program of shipment Notify the HIS program of shipment Atsuko Nonoyoma HIS Data Coordinator phone:

OA HIS Website OA HIS Website – –The Forms are located under Local Heath Departments and Providers –Download and Print as needed How do I get more SIF forms?

Thank You! For more information please visit our websites: HIV/AIDS Surveillance in California HIV Incidence Surveillance in the U.S.