The Integration of HIV Screening into Family Planning Services


The Department of State Health Services (DSHS) requires that contractors who provide family planning services in Texas also provide HIV prevention screening to clients whose history and/or assessment reveal a risk for HIV infection or for clients who request the HIV test (Family Planning Policy Manual). This website is intended to provide resources for contractors who are implementing the new Center for Disease Control Guidelines to screen clients in all health-care settings.

CDC Recommendations for HIV Testing

“Increase HIV screening of patients, including pregnant women, in health-care settings; foster earlier detection of HIV infection; identify and counsel persons with unrecognized HIV infection and link them to clinical and prevention services.(CDC Website: Revised Recommendations for HIV Testing)

Screening Information

Initial Screening

  • Age 13-64
  • General Consent
  • Opt-out Screening (Unless declined)
  • Annual Screening for High-Risk Clients
  • New sexual partnership
  • No counseling required

Follow-up Screening

  • High-Risk - Annually
  • Low risk – As the clinician recommends
  • New sexual partnership

Consent and Pre-screening

  • Voluntary
  • With patient knowledge/understanding
  • Informed orally or in writing
  • Document in client file
  • Easily understood informational materials

Risk Reduction – A B C’s

DSHS policy requires that all family planning clients receive accurate and thorough client-centered counseling about HIV to include risk reduction and infection prevention information using the A B C approach. A B C (abstinence, be faithful, and/or use a condom correctly and consistently) behavior-change strategies are central to HIV prevention and are also relevant to family planning needs and practices.

  • Abstinence

  • Be Faithful

  • Use Condoms


Abstinence (either delaying the age of sexual debut or abstaining from sex for adolescents and unmarried individuals) prevents pregnancy, HIV, and sexually transmitted infections (STIs).

Be Faithful – For individuals who are married or in a committed relation, is used as a behavior-change message to reduce the number of sexual partners. The implications for pregnancy prevention are more complex, but mutually monogamous couples who use family planning have dual protection against HIV and unintended pregnancy.

Use Condoms – For individuals who engage in behavior that puts them at risk for HIV. If used correctly and consistently, condoms are important to the prevention of HIV, STIs, and pregnancy. However, data indicate that most married couples prefer other family planning methods. Thus, while important, condom use most often occurs with non-regular sexual partners, and in general condom programs should not replace efforts to ensure access to other effective family planning methods.


The President’s Emergency Plan for AIDS Relief Office of the U.S. Global AIDS Coordinator

This document provides further guidance on implementing the “ABC” - Abstinence, Be Faithful, and correct and consistent Condom use—approach to HIV/AIDS prevention, including definitions, implementation considerations


DSHS Policy

  • For additional information regarding consent for HIV tests, please review the section “Chapter 2 – Clinical Informed Consent II-12” of the Family Planning Policy Manual.

Training Information & Resources

  • AIDS Education & Training Centers: HIV Screening and Women’s Health Training Materials. The goal of the curriculum is to promote early diagnosis and care of HIV/AIDS by encouraging HIV screening and education for all clients in family planning clinics. The curriculum consists of six modules, or sections, that are formatted as PowerPoint slide sets.


  • DSHS HIV/STD Website:
    The Department of State Health Services (DSHS) HIV/STD Program has the duty to identify, report, prevent, and control HIV, AIDS, and STDs in the State of Texas. The Program is dedicated to preventing the spread of HIV and other STDs while minimizing complications and costs.

Last updated September 25, 2013