HIV Primary Care

HIV_Continuum

HIVAidsRibbonRyan White Department – Capital City Family Health Center currently provides comprehensive medical management fo HIV and related chronic conditions. These services are aimed to maintain health through wellness education, monitoring of disease progession with lab tests (viral load and T-cell), immunizations, and referrals to other medical specialists if appropiate. Additionally, we provide individual interventions to those who are having difficulty with adhering to their HIV treatment.

KNOW YOUR STATUS (button should link to a page with the following information)

Up to 1 out of 6 people who have HIV don’t know it. Knowing if you have HIV can be essential to your sexual health. If you know you have HIV, you are more likely to get the care you need to keep from developing AIDS. If you know you don’t have HIV, you can learn what you need to do to protect yourself and your partner(s) from getting it.

Testing for HIV has become faster and more convenient. Today, you have many testing options. Here are some of the most common questions we hear people ask about HIV testing. We hope you find the answers helpful. 

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HIV-Primary-Care

 “Should I Get Tested for HIV?”  —- (the below information should be present)

Behaviors that put you at risk for HIV include having vaginal or anal sex without a condom or without being on medicines that prevent or treat HIV, or sharing injection drug equipment with someone who has HIV. If you answer yes to any of the following questions, you should definitely get an HIV test:

Have you had sex with someone who is HIV-positive or whose status you didn’t know since your last HIV test?

Have you injected drugs (including steroids, hormones, or silicone) and shared equipment (or works, such as needles and syringes) with others?

Have you exchanged sex for drugs or money?

Have you been diagnosed with or sought treatment for a sexually transmitted disease, like syphilis?

Have you been diagnosed with or sought treatment for hepatitis or tuberculosis (TB)?

Have you had sex with someone who could answer yes to any of the above questions or someone whose history you don’t know?

If you continue having unsafe sex or sharing injection drug equipment, then you should get tested at least once a year. Sexually active gay and bisexual men may benefit from more frequent testing (e.g., every 3 to 6 months).

You should also get tested if:

You have been sexually assaulted.

You are a woman who is planning to get pregnant or who is pregnant.

Getting tested can give you some important information and can help keep you—and others—safe. For example,

 

 “How can testing help me?” — (the below information should be present)

Knowing your HIV status can give you peace of mind—and testing is the only way you can know your HIV status for sure.

When you and your partner know each other’s HIV status, you can make informed decisions about your sexual behaviors and how to stay safe.

If you are pregnant, or planning to get pregnant, knowing your status can help protect your baby from becoming infected.

If you find out you are HIV-positive, you can start taking medicine for your HIV. Getting treated for HIV improves your health, prolongs your life, and greatly lowers your chance of spreading HIV to others.

If you know you are HIV-positive, you can take steps to protect your sex partners from becoming infected.

 

“I don’t believe that I am high risk…” — (the below should be present)

Some people who test positive for HIV were not aware of their risk. That’s why CDC recommends that providers in all health care settings make HIV testing a routine part of medical care for patients aged 13 to 64, unless the patient declines (opts out). This practice would get more people tested and help reduce the stigma around testing.

Even if you have been in a long-term relationship with one person, you should find out for sure whether you or your partner has HIV. If you are both HIV-negative and you both stay faithful (monogamous) and do not have other risks for HIV infection, then you probably won’t need another HIV test unless your situation changes.

 

Expand “I’m pregnant…” — (the below should be present)

HIV testing during each pregnancy is important because, if your result is positive, treatment can improve your health and greatly lower the chance that you will pass HIV to your infant before, during, or after birth. The treatment is most effective for preventing HIV transmission to babies when started as early as possible during pregnancy. However, there are still great health benefits to beginning preventive treatment even during labor or shortly after the baby is born.

 

CONNECT TO CARE (button should link to a page with the following information)

Today, an estimated 1.2 million people are living with HIV in the United States. Thanks to better treatments, people with HIV are now living longer—and with a better quality of life—than ever before. If you are living with HIV, it’s important to make choices that keep you healthy and protect others.

Stay healthy.

It’s very important for you to take your HIV medicines exactly as directed. Not taking medications correctly may lower the level of immune system defenders called CD4 cells and cause the level of virus in your blood (viral load) to go up. The medicines then become less effective when taken. Some people report not feeling well as a reason for stopping their medication or not taking it as prescribed. Tell your doctor if your medicines are making you sick. He or she may be able to help you deal with side effects so you can feel better. Don’t just stop taking your medicines, because your health depends on it.

Do tell.

Be sure that your partner or partners know that you have HIV. Then they will know it’s important to use condoms for all sexual activity and to be tested often for HIV. Health departments offer Partner Services to help you tell your partners about their exposure. Partner Services provides many free services to people with HIV or other STDs and their partners. Through Partner Services, health department staff help find sex or drug-injection partners to let them know of their risk of being exposed to HIV or another sexually transmitted disease (STD) and provide them with testing, counseling, and referrals for other services. Partner Services will not reveal your name unless you want to work with them to tell your partners.

Don’t take risks.

HIV is spread through body fluids such as blood, semen (cum), vaginal fluids, and breast milk. In the United States, HIV is most commonly passed from one person to another through unprotected anal or vaginal sex and through sharing needles or other drug equipment. In addition, a mother can pass HIV to her baby during pregnancy, during labor, through breastfeeding, or if by pre-chewing her baby’s food.

Viral load can range from undetectable levels of 40 to 75 copies per milliliter of blood to millions of copies. The higher your viral load, the greater the risk of spreading HIV to others. Protect your partners by keeping yourself healthy. Take all of your medicines and get tested and treated for other STDs. If you have HIV plus another STD or hepatitis, you are 3 to 5 times more likely to spread HIV than if you only have HIV. Your viral load goes up and your CD4 count goes down when you have an STD.

Although having a low viral load greatly decreases your chance of spreading HIV, some risk remains, even when your viral load is lower than 3,500 copies per milliliter. You can avoid spreading the virus to others by making sure they do not come into contact with your body fluids.

Abstinence (not having sex) is the best way to prevent the spread of HIV infection and some other STDs. If abstinence is not possible, use condoms whenever you have sex—vaginal, anal, or oral.

Do not share drug equipment. Blood can get into needles, syringes, and other equipment. If the blood has HIV in it, the infection can be spread to the next user.

Do not share items that may have your blood on them, such as razors or toothbrushes.

 

Helpful Websites:

http://www.HIV411.org

http://www.avert.org

http://ww.cdc.gov/hiv

http://www.poz.com

 

HIV PRIMARY CARE (button should link to a page with the following information)

A client may enter into care through two points of entry:

a case management referral another agency

through HIV testing and counseling

All clients must be screened for eligibility prior to their first appointment, in order to receive free services or services on a sliding scale. When going through the client screening process, new clients are asked to provide:

proof of residency

proof of income

proof of HIV status

 

 

We accept patients with or without insurance.

Our hours are listed below and patients must be scheduled for an appointment.

Monday 7:30am – 7:30 pm

Tuesday – Thursday 7:30am – 5:30 pm

Friday 8:00am – 12 pm

 

 

Services Offered 

Primary health care

Referrals to specialists

Free HIV Counseling & Testing

Medication assistance through:

Prescription Assistance Program

Medication Assistance Program

AIDS Drug Assistance Program

Doc-U-Dose

Outreach

Case management

Nutritional Counseling