Post-test counseling is critical in helping patients cope with a diagnosis of HIV.¹⁹ In order for care providers to adapt post-test counseling to the context of their patients’ lives, soliciting patients’ concerns and their understanding of HIV is crucial. In the ZL program in Haiti, post-test counseling occurs at the time of diagnosis and continues during subsequent clinic appointments and home visits by nurses, social workers, physicians, and accompagnateurs. Community-based support ensures that patients truly understand the nature and management of their disease, and that psychological and medical support exists to allow them a long, productive life. In PIH programs, the long-term relationships between patients, community health workers, and members of the clinic staff constitute the most effective ongoing counseling.