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3.2

CBVCT implementation among and with populations
CVBCT promotion and participation of communities in program
development
Social and community mobilization is necessary in order to guarantee the acceptance, the appropriateness to needs and the implementation of community-based testing. This mobilization could be created through dialogue with relevant stakeholders, community organizations and key community leaders on multiple topics Individual and collective benefits of testing
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Response to community needs by existing testing offers and the consideration of needs by public health policies. Identification and emphasis of existing community knowledge and resources. The capacity of the community to use CBVCT programs as away to fight against stigma. The possibility and the desire to participate in a direct way in the planning, implementation and evaluation of CBVCT projects. Before implementing the programme, it could be interesting to build a network and/or a collaborative platform with community leaders and institutional, local and regional, partners. The aim would be to create a synergy and a partnership to support CBVCT programmes. Different forms of participation and commitment are possible, for example, as members of the steering committee or the community advisory board. Community involvement would be helpful to identify the potential opponents and obstacles of the project, to analyze health needs and to have a better knowledge of the context in which CBVCT services will be implemented. The community must be associated to assess the adequacy of the implementation strategy (particularly regarding communication) and to evaluate the effects and the quality of the program.
Finally, community involvement includes the participation of peer educators. Promotion of the service by community stakeholders is an important factor of CBVCT’s success. Thus, community stakeholders will ensure their presence in the community and will increase acceptance from community members (e.g. gay bar owners are sometimes helpful, allowing the dissemination of leaflets and encouraging outreach activities.
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Information about the individual and collective benefits of testing must not lead to any (moral) pressure to get tested and/or treated. CBVCTs are committed to non-judgemental, non-stigmatizing and client-centered approaches in counselling and testing. Therefore CBVCTs support the right of (potential) clients to make a free and individual choice of getting tested (and if necessary of starting treatment)


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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 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
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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