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A few
caveats


12
THEORETICAL FRAMEWORK REGARDING THE IMPLEMENTATION
OF CBVCT

During the last ten years, scientific and practical evidence have largely demonstrated the impact of structural and nonstructural components of community-based counselling and testing in the implementation, development and success of this kind of service. Now, even if the technical aspects of VCT practices are really important, it is essential to also highlight the theoretical aspects of the “community-based” approach to VCT. In this way, we can state that the success of implementing and improving CBVCT services depends on their consistency with health promotion and community-based approaches. In the following sections we will briefly present various theoretical approaches that embrace different steps or aspects of community-based voluntary counselling and testing. Thus, we will present an approach to sexual health promotion which covers the whole VCT process as well as the quality assurance approach, which corresponds more precisely to the evaluative aspect of
CBVCT. It has been decided to present all the theoretical approaches at the same time in order to dedicate the third part of this document to core VCT practices


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
European and non-european guidelines
We can state that this document was created from existing experiences in european cbvct centers
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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