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Community-based approach

Community is a group of people with diverse characteristics who are linked by social ties, share common perspectives, and engage in joint action in geographical locations or settings. This approach emphasizes the capacity of the community’s members to act cooperatively.


16 number of people who have access to HIV Testing and Counselling (HTC) and decreasing the number of people who are unaware of being infected”
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On an individual level, HIV Testing and Counselling (HTC) can provide an opportunity for timely access to appropriate treatment, care and support late presenters suffer greater morbidity and mortality than those diagnosed early”
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On a community/collective level, Quality HTC can help prevent HIV infection through counselling to discourage high-risk behavior and support protective behavior. People who learn that they are HIV-infected can take steps to decrease the risk of transmitting HIV to injecting and sexual partners. The importance of this for HIV prevention is enhanced in settings where antiretroviral treatment (ART) is available and accessible to all who need it, given its value in reducing viral load and the amount of virus circulating in the community. WHO EUROPE’s Policy Framework emphasizes the need to increase efforts to scale up access to HIV testing and counselling services. It must be considered as a public health and human rights imperative but is not the ultimate goal. HTC programs must be linked to broader efforts to achieve universal access to comprehensive, evidence-based HIV prevention, treatment, care and support”
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A policy framework listing the ten main principles to scale up HIV testing and counselling in member states was elaborated by WHO Europe (see appendix 1).



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
Cbvct in scaling up strategies
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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