Community Medicine (PSM) · National Health Programmes (NTEP, NVBDCP, NACP, NIS, RMNCH+A)

Under the National AIDS Control Programme (NACP) Phase V, the strategy that replaced the 'opt-in' HIV testing approach in health facilities with routine offer of testing is known as:

  • A Targeted Intervention (TI) strategy
  • B Community-based HIV testing (CBHT)
  • C Index testing and partner notification
  • D Provider-Initiated Testing and Counselling (PITC)
Correct answer: D. Provider-Initiated Testing and Counselling (PITC)

Explanation

Provider-Initiated Testing and Counselling (PITC) is the strategy where healthcare providers routinely recommend and offer HIV testing to all patients attending health facilities, rather than waiting for patients to request testing ('opt-in'). The patient retains the right to decline (opt-out approach). This is distinguished from VCT (Voluntary Counselling and Testing) which is client-initiated. NACP Phase V (2021–2026) emphasizes 95-95-95 targets: 95% of PLHIV knowing status, 95% on treatment, 95% achieving viral suppression.

Reference: Park's Textbook of Preventive and Social Medicine, 27th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

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