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2.3

CBVCT in scaling up strategies
When speaking about CBVCT we cannot avoid dealing with the issue of scaling up. In fact, from the moment CBVCT services start to perform HIV tests, the question of adapting their response to the estimated population that might need these services arises. Even if some CBVCT programmes and services are launched in a more local context or with a modest objective, the issue of scaling up appears at some point. Thus, it has been estimated that in the European Union around a third of those infected are not aware of their serostatus, while in some countries in Eastern Europe and Central Asia, more than
60% of people with HIV remain undiagnosed. Lack of knowledge of HIV status is a key issue for both individuals and society. One of the main challenges in tackling the HIV epidemic is increasing the
8
Convention of the Community Practices of Health 1999 – SEPSAC http://www.sepsac.org/index.php?id=20 9
Ottawa Charter for Health Promotion, 1986 - http://www.who.int/healthpromotion/ - 2012


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
A few caveats
Health & sexual health promotion approaches
What is health promotion
Community-based approach – community health
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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