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Figure 1 - Dynamics of health promotion projects

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Figure 1 - Dynamics of health promotion projects

I. Framework of HP principles
II. Project
development &

Analysis Aims & objectives Target group Intervention Implementation strategy Evaluation
III. Project

Leadership Planning & documentation Capacity & ressources Participation & commitent/involvent Communication
IV. Sustainbility
Model taken from C. Bollars et al., European Quality Instrument for Health Promotion
(EQUIHP), User manual. Project Getting Evidence Into Practice Project, 2005



The community-based approach in CBVCT services.
“Community-based HTC services are expected to help build public trust, protect human rights and
reduce stigma and discrimination (UNAIDS, 2010). They are also expected to remove structural,
logistic and social barriers to HTC, including—in the case of home-based and mobile or outreach
HTC—costs associated with transportation to facility-based services”

CBCVT is addressed to those communities who have been historically rejected and stigmatized
MSM, migrants from high HIV endemic countries and intravenous drug users (IDU) among others. These communities usually prefer to get tested in their own territory (e.g. community-based organizations) and not in the institutions which participate in this discrimination unwittingly or not
(e.g. health centres. As expressed by a majority of the MSM participating in the COBATEST qualitative study, it is quite important for this population to have a place of their own, a place for them.

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
Quality assurance approach
The european quality instrument for health promotion (equihp)
Quality assurance
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
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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