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To foster CBVT accessibility for most-at-risk and hard- to-reach populations



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To foster CBVT accessibility for most-at-risk and hard- to-reach populations,
we should


Have community-based staff and steering committees in order to adapt the programs to the needs identified by the people at stake. Take the culture of the individuals, minorities and communities into account, and be sensitive to gender and the different requirements according to the period of life. Foster specific, community-based communication and develop partnerships with community friendly organizations. Launch community-based research programs data and in-depth understanding are needed. Provide a more diverse offer in order to increase the likelihood of reaching “hard-to- reach groups.


22 appointment for the majority of clients who receive a negative test result (for more information on rapid test vs. traditional tests, see Figure 2). Literature describes several barriers and facilitators regarding the implementation and success of rapid HIV testing. Nevertheless, most barriers are overcome by some advantages of rapid tests, such as the comfort of undertaking the test in a community environment and receiving the results the same day. These advantages highlight the importance of developing client-friendly services and a supportive testing environment, but also the importance of service promotion. In this sense, it is important that clients are aware of testing protocols and of pre and post-test counselling procedures.


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
Community based vct can have an impact on three levels:
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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