Abstract
Pre-marital HIV screening is one of many initiatives taken by various worldwide countries to combat the fast spreading of HIV infections. In Malaysia, it was initially started in the year 2001 in Johor state the southern zone of Malaysia and subsequently with the collaboration of the Department of the Islamic Religious Affairs; it was made mandatory for all prospective Muslim couples. The main objective of this mandatory pre-marital HIV screening test was an early detection and appropriate management. Although the aim was beneficial, but there are still certain limitations, such as lack of confidentiality, stigmatization and termination of proposed marriage. Furthermore, there is obvious under-reporting of HIV cases among non-Muslims due to poor attendance at voluntary HIV screening. A small change in the existing policies may benefit this current program.
Highlights
Human Immunodeficiency Virus World Health Organization (WHO) (HIV)/Acquired Immune Deficiency Syndrome TB (AIDS) is a lifestyle related condition which is considered as a global pandemic disease
In Malaysia, it was initially started in the year 2001 in Johor state the southern zone of Malaysia and subsequently with the collaboration of the Department of the Islamic Religious Affairs; it was made mandatory for all prospective Muslim couples
There are three key principles of Human Immunodeficiency Virus WHO (HIV) testing which to be followed are consent to testing, counselling is provided pre and post testing and the results are kept confidential [5]. Few countries modified this voluntary counselling and testing (VCT) program, whereby these countries have made pre-marital HIV screening as a compulsory test for the pre-married couples which is parallel to the 2012 World Health Organization “Guidance on Couples HIV Testing and Counselling Including Antiretroviral therapy for Treatment and Prevention in Sero-discordant Couples”
Summary
HIV/AIDS is a lifestyle related condition which is considered as a global pandemic disease. Sutan 72 es of vertical transmission from mother to child during child birth and subsequently during breast feeding in developing countries [3] Through these various methods, HIV continues to spread globally, mainly in developing countries and Asia has become an epidemic port for its transmission [1]. There were 3 programs that been launched in 2007 by CDC: 1) PS 07-768 Expanded and Integrated Human Immunodeficiency Virus (HIV) Testing for Populations Disproportionately Affected by HIV, Primarily African American, 2) PS10-10138: Expanded Human Immunodeficiency Virus (HIV) Testing for Disproportionately Affected Populations (2010-2011), 3) PS12-1201: Comprehensive Human Immunodeficiency Virus (HIV) Prevention Programs for Health Departments (2012-2017) Another initiative is offering the premarital HIV screening for the yet-to-be married couples. Present research reviews existing published pre-marital HIV screening program in Malaysia and proposed recommendation for expanded scope
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