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Supported by Existing Guidelines:
ILO/WHO guidelines on health services and HIV/AIDS, 2005- Section on VCT:
- Voluntary disclosure by an individual of his or her HIV status has many consequences and can be only a personal decision. Confidentiality at the workplace means that persons with HIV have full control over decisions about whether and how their colleagues are informed. Health-care workers should understand they have a right to confidentiality and have no obligation to respond if asked about their sero-status by patients or their families. Healthcare workers may decide against disclosing their HIV status at work for fear of dismissal or stigmatisation by the employer or fellow workers. In a safe and decent workplace, where health-care workers are educated about HIV and where discrimination is prohibited and absent, people living with HIV are more likely to be open about their status, seek counselling and treatment, and attend prevention programmes. This in turn enhances the potential for the practice of preventive behaviours and appropriate placement.
- 68. The confidentiality of all records of health-care workers who have been exposed to blood or body fluids should be maintained. Summary information regarding all incidents of exposure in a particular health-care institution may be made available to all workers and their representatives in a form that has been agreed through consultation between the employer and the workers' representatives. Procedures should be established to manage and minimize breaches of confidentiality in the workplace, in accordance with national laws and regulations.
ILO/WHO PEP guidelines, 2008
- 2.2.2 Confidentiality Personal information relating to PEP, such as the reasons for seeking it, having it provided and for HIV testing, needs to be confidential. Privacy and confidentiality considerations are the same as those for HIV testing.
- 2.2.3 Informed consent Informed consent for HIV PEP needs to be obtained in the same way as for any other health care procedure. Consent to any HIV testing in the context of PEP must also be obtained, in accordance with standard guidelines for HIV testing and counselling. HIV testing and counselling is often referred to as voluntary counselling and testing, when initiated by the beneficiary, or provider-initiated testing and counselling, when proposed by the services provider.