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June 2017


The document A guide to do it better in our CBVCT centres. Core practices in some European CBVCT centres has been developed through the contribution and expertise of a number of different people within the project HIV community-based testing practices in Europe (HIV-COBATEST) with co-funding from the Executive Agency for Health and Consumers (EAHC) under the EU Public Health
Programme (Grant Agreement N 2009 12 11). An early draft was developed by Laura Rios Guardiola, Beata Umubyeyi-Mairesse and Jean-Marie Le Gall, with the support of Daniela Rojas Castro, Guillemette Quatremère and Grace Cunnane (Association AIDES, France. A working group was created to reflect on and plan the guide, as well as to provide feedback during its writing. The members of this working group were Per Slaaen Kaye and François Pichon (STOP AIDS, now AIDS-Fondet, Denmark, Miha
Lobnik (Legebitra, Slovenia, Michael Wurm (AIDS-Hilfe, Germany, Michael Meulbrouk (Hispanosida, Spain, Ivo Prochazka Institute of Sexology, Medical Faculty, Charles University, Czech Republic, Iwona Wawer (National AIDS Centre, Poland,
Galina Musat (Aras, Rumania), Cristina Agustí Benito (CEEISCAT, Spain. The final draft was discussed among the members of the project Steering Committee Jordi Casabona i Barbarà, Cristina
Agustí Benito and Laura Fernàndez López (CEEISCAT, Spain, Ferran Pujol (Projecte dels Noms-Hispanosida, Spain, Michael
Wurm (AIDS-Hilfe, Germany, Per Slaaen Kaye (STOP AIDS, Denmark, Luigi Bertinato (Regional Centre for Health Promotion, Verona, Italy, Irena Klavs (Institute of Public Health of the Republic of Slovenia, Ivo Prochazka (Institute of Sexology, Medical Faculty, Charles University, Czech Republic) and Iwona Wawer (National AIDS Centre, Poland. An update of the guide has been realized by the work package 4 task 1 of the Euro HIV Edat Project (Grant Agreement N
2013 11 01). In appendix a self-evaluation grid of core practices in CBVCT centres has been included. The working group of this workpackage was composed of Jordi Casabona i Barbarà, Cristina Agustí Benito and Laura Fernàndez López
(CEEISCAT, Spain, Elsa Ricard, Laura Rios (AIDES, France, Francois Pichon, Per Slaaen Kaye (Aids Fondet, Denmark, Ricardo
Fuertes (GAT, Portugal, Michael Meulbroek (Hispanosida, Spain, Mathias Kuske (AIDS-Hilfe NRW e.V., Germany, Bojan
Cigan (Legebitra, Slovenia, Galina Musat (ARAS, Rumania). The page layout has been realized by Audrey Musto (AIDES,


Theoretical framework regarding the implementation of cbvct .......................... 12
The main objective of this document
How this guide was created.
Definition, objectives and methodology of this guide
How this document should be used.
The objectives of this guide are
The methodology and sources of information used for
European and non-european guidelines
We can state that this document was created from existing experiences in european cbvct centers
A few caveats
Health & sexual health promotion approaches
What is health promotion
Community-based approach – community health
Cbvct in scaling up strategies
Community-based approach
Quality assurance approach
The european quality instrument for health promotion (equihp)
Quality assurance
Figure 1 - dynamics of health promotion projects
Easier access to testing by taking the needs of hard-to-reach populations into
Community based vct can have an impact on three levels:
To foster cbvt accessibility for most-at-risk and hard- to-reach populations,
To be compatible with people’s daily lives, cbvct should
For a positive and comprehensive approach to health and sexual health,
To guarantee sustainability, cbvct services need to
Cbvct implementation among and with populations
Fixed or mobile cbvct programmes should consider
Staff and people involved in cbvct
Items sub-items
Cbvct practices
Before the test
C) after the test
Negative result
Support after positive result
Confidentiality, anonymity, privacy
System for conducting assessments of service quality at cbvct centres
Consistency with health promotion principles
Project management
Appendix 1: ten main principles to guide member states as they endeavor to scale up hiv
Appendix 2: self-evaluation tool
How do we encourage participation in the self-assessment?
Preparing the materials
Filling in the self-assessments grids
Our project forms partnerships to help ensure a global response
Scale of the self-
The cbvct project is based on a participative analysis of
The healthcare services that are being offered are adapted
Regarding your practice …
Our organisation / project is developing its ability to
Regarding your practice…

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