Lecture | Quiz | Learning Exercise | Answer Key

Developed by JHPIEGO’s Training in Reproductive Health Project with funding from USAID.

Lesson 2: Understanding Who is at Risk for HIV: Risk Assessment and Identification
Instructor: Jean Anderson

Learning Exercise

Below are two case studies. Read and think about the questions for each case study. 

Choose ONE case study and write down your answers.

1. A 35 year-old man presents complaining of a discharge from his penis and burning with urination. He appears thin and says he has lost 20 pounds in the last 2 months. He is married and lives with his wife on the weekends but travels as a long distance truck driver during the week.
   1. How would you assess his risk for HIV?
   2. What are the benefits for this man in knowing his HIV status?
   3. Are there any risks for him in learning his HIV status?
2. A 26 year-old woman presents for antenatal care at 14 weeks gestation. She is married and has two young children ages 2 and 4. She denies any symptoms or history of sexually transmitted infections. She appears healthy. Her husband works in a city 100 km distant from their village but comes home every weekend. 
   1. How would you assess her risk for HIV?
   2. Would you recommend HIV testing in this situation? Why?
   3. The woman is offered HIV testing and refuses. What are some of the reasons she might refuse testing and how might you address these?