California Department of Public Health

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Collecting Testing and Treatment History for HIV
Incidence Surveillance
In HIV Counseling Testing Settings

• California Department of Public Health
• Office of AIDS

NOTE To view the notes section please download
and save the file.
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Collecting Testing and Treatment History for HIV
Incidence Surveillance In HIV Counseling and
Testing Settings
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Testing and Treatment History(TTH)

• Used in calculation of HIV incidence estimates.
• Needed to differentiate between new testers and
  repeat testers.
• Used to identify patients receiving ARV meds
  within six months of first positive HIV test.

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Testing and Treatment History (TTH) Collection in
California
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Testing and Treatment History (TTH) Collection in
California
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When to Use the SIF

• Client is testing confidentially
• 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
• A hand-written note on the SIF that says
  post-test is sufficient.

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Right side 2 Filled out only for HIV positive
clients.
Left side 1 Filled out for all clients.
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Right side 2 Filled out only for HIV positive
clients.
Left side 1 Filled out for all clients.
(Posttest)
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Step-by-step instructions
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Number of HIV tests in past 2 years including
today (1 (todays test) ___ (number of tests
in the past 2 years)
1

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Example 1 Today is the clients first HIV test
ever.
Number of HIV tests in past 2 years including
today (1 (todays test) ___ (number of tests
in the past 2 years)
1
1
0
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Example 2 Client tested six months ago.
Number of HIV tests in past 2 years including
today (1 (todays test) ___ (number of tests
in the past 2 years)
1
2
1
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Example 3 Client tested twice in the past two
years, three times in 2002, and for times in
1998.
Number of HIV tests in past 2 years including
today (1 (todays test) ___ (number of tests
in the past 2 years)
1
3
2
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• 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 doesnt know

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If the answer to the last field was yes
Date of last negative HIV test
Date (mm/dd/yy)
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Example 1 Client reports his or her last
negative test was March 15, 2007
Date of last negative HIV test
Date (mm/dd/yy)
0
3
1
5
0
7
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Example 2 Client does not remember the EXACT
day of their last test.
Date of last negative HIV test
Date (mm/dd/yy)
0
3
.
.
0
7
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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 doesnt know
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If the answer to the last field was yes
First day any ART(s) used
Date (mm/dd/yy)
Last day any ART(s) used
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This field refers only to clients who have
tested POSITIVE for HIV
Date of first positive HIV test specimen
Date (mm/dd/yy)
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Can the date of the first positive HIV test
result be based only on a patients 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.

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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


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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
0
1

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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
1
2

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Example 3 Client first tested HIV positive
nine months ago, tested three months before then,
and also tested once in 2000 and once in 1999.
Number of HIV tests (first positive and prior
2 years) (1 (first positive) ___ (number of
tests in 2 years before first positive)
1
1
2

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Sending SIFs to CDPH/OAStep 1 of 3

• 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.

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Sending SIFs to CDPH/OAStep 2 of 3

• 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

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Sending SIFs to CDPH/OAStep 3 of 3

• Notify the HIS program of shipment
• Atsuko Nonoyoma
• HIS Data Coordinator
• email Atsuko.Nonoyama_at_cdph.ca.gov
• phone [phone]

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How do I get more SIF forms?

• OA HIS Website
• www.cdph.ca.gov/programs/OAHIS
• The Forms are located under Local Heath
  Departments and Providers
• Download and Print as needed

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Thank You!

• For more information please visit our websites
• HIV/AIDS Surveillance in California
• www.cdph.ca.gov/programs/OAHIS
• HIV Incidence Surveillance in the U.S.
• www.cdc.gov/hiv/topics/surveillance/incidence.htm