For a positive and comprehensive approach to health and sexual health, we need To integrate testing and counselling in conjunction with vaccination and screening for hepatitis and other STIs (added value followup. To integrate testing and counselling in conjunction with other sexual health services (e.g. contraception. Good training for the staff. Interdisciplinary staff and/or strong partnerships. To gather information about individual and social unfavorable situations for better sexual health. To advocate fora better sexual life. Work to improve the health coverage in the public health system by the development of partnerships with prevention and care services.
24 State authorities should not use the communities mobilization as a pretext for not acting at their own level. CBVCT must be included as part of a global plan and as a tool to reach most-at-risk populations. Using either community services or institutional health services must be a personal decision. For wider national or regional scaling up of the HIV testing offer, the most forward thinking CBVCT services or programmes may support other organizations that cover different locations or work with other communities by sharing their best practices. Nonetheless, given the financial fragility of most NGOs and complex national contexts, such capacity building/sharing is not always possible and unfortunately not often supported by institutional funders.