ABSTRACT
PIP: Confidentiality is a critical issue in the conduct of HIV tests in Chile. Though HIV testing is confidential in the public health system (through the use of a coding system), syphilis tests which are conducted simultaneously with HIV, require clients to provide their identity as well as address. In response to this concern, the National AIDS Commission has launched training programs in all 26 public health services for staff involved with HIV/AIDS programs. The training programs allow professional staff and volunteers to understand the importance of confidentiality. Nevertheless, cases of breaches of confidentiality have been reported, raising doubts as to the ability of the system to maintain confidentiality. These cases often occur at the hospitals or clinics where staff is insensitive to the needs of their clients and oblivious of their rights. Hence, it is highlighted that to reinforce confidentiality, patients, advocacy groups, human rights activists and health care administrators must pay attention to the many ways in which confidentiality is breached.^ieng