We have learnt that with the advent of Antiretroviral (ARV) drugs, persons who have been diagnosed with AIDS have had their health lives dramatically improved and extended. Here, in the Turks and Caicos Islands as we have been told time and time again ARV treatment is made available and accessible to persons who have been diagnosed and seek care and treatment through the National AIDS program.

Although, these drugs perform wonders in some cases, it must be borne in mind that they do not offer a cure from the disease and should always be taken as directed by your physician. In spite of this, it is imperative to practice measures which will result in the prevention of HIV infection. Information on ways to prevent HIV infection have been made available in print (brochures, newspapers), via the radio and television, however, it is essential to revisit these actions as they can never be overemphasized.

• Abstinence, which is choosing not to have sexual relations, is an option which is usually discussed with young persons. This option when practiced offers 100% protection against HIV infection.
• Having sexual relations with only one partner who is not HIV infected, who does not have other sexual partners and who does not use injection drugs; is an option which should be considered by married couples and persons who are in sexual relationships.
• The use of barrier methods such as female and male condoms when used consistently and correctly offer about 90% protections, against HIV infection.
• Being aware of your HIV status (if you are sexually active and if you are engaging in risky behaviors like alcohol and or drug use, prior to sexual activity, which could impair your judgment in the correct use of condom); is considered integral to any program which addresses the prevention of HIV infection.

Healthcare providers have been trained throughout the Turks and Caicos Islands to offer Voluntary Counseling to persons prior to being tested for the presence of the virus (Pretest Counseling) and after having received the results of the test (Post Test Counseling). This service offers assistance to persons who have received a negative test result to remain negative by designing a plan, which will facilitate their risk reduction for HIV infection. Risk reduction plan describes the process whereby a person may lower his or her chances of becoming HIV infected by recognizing and changing any unsafe behaviors that may put a person at risk for becoming HIV infected. The challenge of confidentiality is always viewed with concern especially when counseling and testing is being advocated. It should be noted that all information collected by providers is kept private and the client's wishes are respected. For more information kindly contact the National AIDS Program, Grand Turk
Tel/Fax: 946-1675.