• In many parts of the world, people speak their own regional language and one other widely shared language.
• Couples counseling is a variation of this. In couples counseling there are four views: those of each partner, the couple together, and the counselor.
• In HIV couples counseling and testing, the goal is to bring together these views and to create a shared vision and a shared language.
• This shared vision is the couple’s acceptance of the realities of HIV in their lives, being empowered to prevent acquiring and transmitting HIV, and sharing their support and compassion for each other.

Advantages of Couples HIV Counseling and Testing

• Environment is safe for couple to discuss risk concerns.
• Partners hear information and messages together, enhancing likelihood of a shared understanding.
• Counselor has the opportunity to ease tension and diffuse blame.
• Counseling messages are based on the results of both individuals.
• Individual is not burdened with the need to disclose results and persuade partner to be tested.
• Counseling facilitates the communication and cooperation required for risk reduction.
• Treatment and care decisions can be made together.
• Couple can engage in decision-making for the future.

Importance of Couples HIV Counseling and Testing

• The couple is a collective unit representing more than two individuals (“our family” or “our life”).
• HIV/AIDS is a disease of the family, the community, and society.
• The couple is the backbone of the community.
• To contend with HIV and plan for their future, both partners must know their status.
• Couples HIV services enhance opportunities to prevent mother-to-child transmission of HIV.