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European and non-European guidelines was conducted.


Quality Assurance Standards for HIV Counselling, Testing, and Referral Data, Developed by Program Evaluation Branch Division of HIV/AIDS Prevention Centers for Disease Control and Prevention, 2009

Let’s talk about HIV counselling and testing, Facilitators guide, Tools to build NGO/CBO capacity to mobilize communities for HIV counselling and testing International HIV/AIDS Alliance, 2006

HIV testing increasing uptake and effectiveness in the European Union. European Centre for Disease Prevention and Control. Stockholm ECDC, 2010

Service delivery approaches to HIV testing and counselling (HTC): a strategic HTC policy
framework. World Health Organization 2012

Revised recommendations for HIV testing of adults, adolescents, and pregnant women in
health care settings: CDC 2006

Quality Assurance Guidelines for Testing Using Rapid HIV Antibody Tests, CDC 2007

HIV Counselling, Testing, and Linkage Protocols, Procedures, and Continuous Quality
Improvement Plan , Template, San Francisco Department of Public Health, 2010

Community models of HIV testing for men who have sex with men (MSM): Systematic Review
2011. Pedrana A, Guy R, Bowring A, Hellard M. & Stoove M, Report commissioned by ACON,

The NGO HIV/AIDS Code of Good Practice Project, Renewing our voice, 2004. The code of Good Practice for NGOs Responding to HIV/AIDS, 2004

Scaling up HIV testing and counselling in the WHO European Region as an essential component
of efforts to achieve universal access to HIV prevention, treatment, care and support. WHO EUROPE, 2010

Planning for the sustainability of community-based health programs conceptual frameworks
and future directions for research, practice and policy, Mona C. Shediac-Rizkallah and Lee R.
Bone, Health education research, Theory & Practice, Vol no. l 1998, Pages 87-108

Rapid HIV Tests Guidelines for use in HIV Testing and counselling services in resource-
constrained settings. WHO. 2004 Geneva.

Good practice update community based HIV testing and HIV treatment as prevention, 2008. International HIV/AIDS Alliance, International Secretariat, June 2009.

Developing sexual health programmes: A framework for action - WHO/RHR/HRP/10.22 © World Health Organization 2010

European Quality Instrument for Health Promotion (EQUIHP), User manual. Project Getting evidence into practice. September 2005

Defining equity in health, P Braveman, S Gruskin J Epidemiol Community Health, 2003;57, p254-

Ottawa Charter for Health Promotion, 1986 - - 2012

Developing sexual health programmes: A framework for action - WHO/RHR/HRP/10.22 © World Health Organization 2010

Access to earl yHIV and STI diagnostics for vulnerable groups. Self-assessment of the voluntary
counselling and testing services. Bordenet Work 2012.

Core Indicators to monitor community based voluntary counselling and testing (CBVCT) for HIV.
Guidelines for CBVCT services. Field-test version. HIV-COBATEST. July 2012. Available on

Implementation of CBVCT programs and services. Qualitative Study Report. HIV-COBATEST. September 2012. Available on

Cross-national survey on the implementation of community based voluntary counselling and
testing (CBVCT) programmes – Quantitative Report. HIV-COBATEST. October 2012. Available on

Implementing HIV testing in nonclinical settings : a guide for HIV testing providers, National centre for HIV/AIDS, viral hepatitis, STD & TB prevention, division of HIV/AIDS prevention, 2016, CDC

Evaluation guide for HIV testing and linkage programs in nonclinical settings, National centre for HIV/AIDS, viral hepatitis, STD & TB prevention, division of HIV/AIDS prevention, 2013, CDC

WHO recommends HIV testing by lay providers, 2015, WHO

HIV testing services, Cs : consent, confidentiality, counselling, correct results and connection,
2015, WHO.

11 Finally, it must be noted that this document was completed using the information and feedback of a working group where all the members are active members of
CBVCT services in Europe.

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
The methodology and sources of information used for
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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