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1.4.

The methodology and sources of information used for
creating this guide
The document has been drawn up using the data collection of various work packages of the HIV-
COBATEST project and an analysis of existing literature. Regarding the HIV-COBATEST project, we have used

Information collected from a quantitative study conducted to gather data on National AIDS policies and on the way community-based voluntary counselling and testing services are run in
2
[http://www.hivcode.org/about-the-code/]
In conclusion, this guide

Is not a theoretical document but an evidence-based guide stemming from various CBVCT practices. Is not a guideline to define or label CBVCT projects. Is not another guide on how to do quality testing but a source of information where community-based aspects are highlighted. Is a tool to understand better how CBVCT works, how it can be implemented and improved. It inspires rather than dictates. Is not a catalogue but a collection of key features that can be adapted according to local situations, targeted populations and CBVCT organizations


9 practice. A survey was administrated to the HIV national and/or regional managers and to representatives of some CBVCT programs in each country, in order to have insights on the various national contexts. Thus, it was possible to have an overview of the HIV testing and counselling situation in general and from the point of view of the CBVCT programs and services. Special attention was given to the comparison between what is known by the National/Regional Focal Points (NFPs) and what is done/known concretely by CBVCT programs and services.

Information was collected from a qualitative study conducted in 8 participating countries (The Czech Republic, Denmark, France, Germany, Italy, Poland, Slovenia and Spain. Focus groups with
CBVCT clients and semi-structured interviews with CBVCT coordinators were conducted by a core group of field-coordinators (one per participating country) which was setup in order to guarantee linkage with all these centers, to moderate the focus groups and to perform the interviews.

The document Core indicators to monitor CBVCT for HIV Guidelines for CBVTC services defines a standardized approach to monitoring and evaluating (ME) CBVCT activities. For some
CBVCT services such ME processes will provide valuable information in order to improve their services and to enable them to compare their performance with other similar services. Besides, ME can also be a useful means fora) advocating for broadening the offer of CBVCT services in addition to formal health care systems, b) providing evidence of their activities, c) demonstrating their value when seeking funding. Thus, the data collected by the HIV-COBATEST project provide key elements on the way CBVCT services are run and on the national regulation and contexts in several European countries. This information has allowed us to portray the pros and cons of CBVCT: what works, what is appreciated by CBVCT clients, what is important to take into account in the implementation and improvement of CBVCT programs. Since the objective of the HIV-COBATEST project is not to establish a theoretical guide but to gather concrete elements in order to provide stakeholders with some assistance for the successful implementation of CBVCT services or improving existing services, this document focuses on those elements which appeared indispensable and crucial for successful implementation but, specially illustrates those issues that deserve special attention and that must be decided on according to the very particular context where the CBVCT is being conducted (target population, national or regional organization, medical staff or peer educators. To complete the data from the HIV-COBATEST project and to build this guide, ab review of existing



June 2017 2
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
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
Sustainability
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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