2.4 Quality assurance approach Finally, we would like to dedicate some lines to the qualitative assurance approach. No matter what kind of health services we are managing, the issue of evaluation quickly comes up if we have the intention, the necessity and/or the obligation of describing our results accurately and if improvement is possible and/or desired. Quality assurance is abroad concept that can be defined as the methodology to secure quality, focusing on planning of projects and activities. Quality assurance involves measuring and evaluating quality, but also covers other activities to prevent poor quality and ensure high quality. Quality assurance in health promotion has four main advantages the avoidance of the use of ineffective health promotion strategies the promotion of evidence-based health promotion a consideration of the limited resources in health promotion practice the integration of the needs and wishes of the target group 10 WHO EUROPE , 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, 2010. 11 Ibid. 12 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 13 Ibid.
17 Obviously quality assurance is not only a monitoring and evaluating process (ME) but it includes the data provided by ME. Several common standard tools or guidelines have been written, carried out by institutions and/or associations, some at a national level, and others within national frameworks. They offer comparative criteria that enable evaluation and quality improvement. The use of these criteria should depend on how relevant the theoretical approaches and values are for the actions developed by the organization, for the financial means and human resources available, and for local public health or financial policies. As stated by Bollars et al., Health promotion interventions are complex and multi-sectorial processes, the outcomes of which are not always visible in the short term the concept of quality assurance cannot be simply transferred to health promotion. Furthermore, the basic orientation of health promotion is emancipative, and its values are rooted in fundamental human rights. Quality assurance in health promotion should reflect these fundamental and ethical values, which means that the existing quality frameworks and instruments need to be expanded to include the contextual, multidimensional, emancipatory and ethical aspects of health promotion” 14