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Integrated Counselling and Testing Centre (ICTC) is a hub where HIV Counselling and Testing Services (HCTS) are offered to an individual of his/her own will or as suggested by a medical care provider.

Types of ICTC

1. Standalone ICTC (SA - ICTC)

2. Facility integrated ICTC (F - ICTC)

 

The SA-ICTC facility is a confirmatory facility and it should be located at an easily accessible place with proper signages to direct and guide people to the location.

The SA-ICTC facility should consist of at least two rooms, one for counselling and the other for testing.

 ICTC Type

Location Staff Pattern Services
Standalone ICTC
  • Government medical colleges under centre, state and corporation
  • General hospital
  • District hospital
  • Sub-district hospital and
  • Community health centre
  • Health facilities under public sector undertakings - Private medical colleges - Public-private partnership facilities 
  • Mobile SA-ICTC 
  • Targeted intervention (TI) -based SA-ICTC
  • Medical Officer in charge
  • Counsellor- One counsellor is appointed on a contractual basis. An additional counsellor may be appointed if there are more than 500 counsellings in a month
  • Lab Technician (LT) - One LT appointed on a contractual basis, with less than 10,000 annual test load, every additional 5,000 annual tests, one additional LT and a maximum of up to 3.
  • Pre-test counselling and informed consent
  • HIV testing and sharing of test results
  • Post-test counselling & disclosure
  • Early Infant Diagnosis (EID) 
  • Testing of sexual partner/ spouse
  • Screening for Sexually Transmitted Infections (STI)/ Respiratory Tract Infection (RTI), TB and other co-infections
  • Linkages to care and treatment and other health services
  • Linkage to social welfare schemes 
  • Outreach activity 
  • Follow-up testing and counselling
  • Follow up of discordant couple
  • Act as a nodal point for coordination, supportive supervision, capacity building and supply chain management of all F-ICTC

 

ICTCs are aligned to the National TB Elimination Programme (NTEP) diagnostic facilities.

  • All individuals attending the ICTC are screened for the four symptoms of fever, cough, night sweats, and weight loss.
  • Presumptive TB cases are referred for TB diagnosis to TB Detection centres(TDCs).
  • Link the referred individual to the NTEP centre by providing a linkage form in Triplicate.
  • Provide them with a duly filled NTEP referral form for diagnosis to fast track. 
  • Line list of all the Presumptive TB should be maintained and should be reviewed with NTEP monthly to ensure that all the cases have undergone testing.

Resources

 

Assessment

Question Option 1 Option 2 Option 3 Option 4 Correct Answer Explanation Page ID Pre-test Post-test
Which of the following statement about ICTC is false?  TB screening is done for all individuals at ICTC. Standalone ICTC is an HIV confirmatory facility. ICTC has a medical officer, a lab technician, and a counsellor. TB screening for HIV-positive cases is done at ICTC.  4 TB screening is done for all individuals at ICTC irrespective of their HIV status.      

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