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Community based VCT can have an impact on three levels

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Community based VCT can have an impact on three levels:

Individual: health benefits for each individual

Collective: benefits for the community (reduce or stop the spread of the epidemic within one’s community through treatment and positive prevention)

Professional, institutional, political & environmental: impacts health systems by adapting itself to the needs of hard-to-reach populations.

21 In the European countries participating in the COBATEST project, most-at-risk populations are MSM, migrants, transgender people, sex-workers and IDU. Hard-to-reach populations are mainly homeless people, undocumented people, migrants who do not speak the national language, people who do not/cannot benefit from health and social coverage, IDU, MSM and ethnic groups among MSM. As stated before, most of the CBVCT programs participating in the COBATEST project, even if diverse in nature and quantity, and even if they all target “most-at-risk” populations, MSM is still the main targeted population.
Community-based staff and a community-based steering committee in CBVCT programs are necessary to create and develop adapted programs for most-at-risk and hard-to-reach populations. Indeed, they know the needs of the community and thus, can adapt the programs to the needs identified by the people at stake. Specific, community-based communication as well as community-friendly organizations are favorable elements to ensure better access to HIV voluntary counselling and testing. A more varied
VCT offer increases the likelihood of reaching more and different people.

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
Figure 1 - dynamics of health promotion projects
Easier access to testing by taking the needs of hard-to-reach populations into
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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