Then and Now Ethics of HIV/AIDS Counseling: Then and Now

Ethics of HIV/AIDS Counseling:
Then and Now
Presented by:

History of Counseling Pattern
• Before
• Limited question
• More focused to the conjugal life
• Main target group: People suffering from
HI
• After
• More liberal question
• Analysis of the psychological perspectives
• Main target group: Couples willing to get
married, expecting mother and sex
workers
(Bor, Miller & Goldman, 2013)

Ethics Related to HIV Counseling
• Confidentiality
• Information related to HIV/AIDs are not disclosed through publication of general
bulletin
• Patient information can only be disclosed without patient’s consent if another person
(having close contact with patient) is found vulnerable in getting affected
(Tucker & Rennie, 2014)
• Informed Consent
• Informed consent must be taken before the onset of the counseling
• Informed consent must disclose the intended outcome
(Tucker & Rennie, 2014))

New Modification in the HIV/AIDs Ethics
• Introduction of beneficence and non-
maleficence
• Modification of bio-ethics of informed
consent under the guidance of WHO
• Introduction of the informed consent
during pregnancy
• Controversy: HIV-testing for new-born
revealing the HIV state of mother,
breaching the informed consent of
mother
(Hardy & Cu-Uvin, 2015)

References
• Bor, R., Miller, R., & Goldman, E. (2013). Theory
and practice of HIV counselling: a systemic
approach. Routledge
• Hardy, E., & Cu-Uvin, S. (2015). Care of the HIV-
infected pregnant woman in the developed
world. Obstetric medicine, 8(1), 13-17.
• Tucker, J. D., & Rennie, S. (2014). Social and
ethical implications of HIV cure research. AIDS
(London, England), 28(9), 1247.