The Standard Operating Procedures for HIV Index Testing Services was developed by the National Department of Health (NDoH) to provide guidance to provinces and districts on the implementation of ITS as a strategy to improve HIV case finding and successful linkages to prevention, care, and treatment services in South Africa. This SOP applies to all health facility- and community-based employees, including ward-based primary healthcare outreach teams, implementing HIV testing services (HTS). It is also intended for use by all implementing partners supporting the South African government with the implementation of HTS.