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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


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
Community-based 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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