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Comparative benefits of traditional tests versus rapid tests



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Comparative benefits of traditional tests versus rapid tests

Items
Sub-items
Conventionnal
Tests
Rapid Tests

Populations’
needs
Invasive technique ( e.g. DU)
+++
+
Trust in reliability of the test
+++
+
Receipt of results
++ +++
Accessibility
Affordability of testing process
+
++
Time to obtain result
+
+++
Anonymity
+
+
Walk-in vs appointment
+
+++
Additional tests
(same blood
sample)
Confirmatory test
+++

Plus hepatitis tests
+++
Plus other STI tests
+++

Efficiency
Early detection seroconversion period
(6 weeks vs 3 months)
+++
+
Sensitivity
++
++
Specificity
++
++
Ease of use
+


+
Location
Inside the center clinics
++
+
Outreach settings Community venues
+
+++
Mobile testing ( vans & other facilities)
+
++
Staff
Medical staff
+++
+
Community counsellors & testing staff volunteers

+++
Peer educators trained to do test

++
Administrative
and logistic
organisation
Storage
+
+++
Transportation
+
+++
Reduced traceability steps
+
++
Post-test support
Immediate post-test Counselling versus counselling several days later
+
+++
Positive prevention for Pb+

+++
Quick linkage with formal health settings
++
++



36
3.5

The use of counselling in CBVCT

Counselling in CBVCT is one of many tools used in a global process. HIV counselling means that we receive information, support and referral through a dialogue with a trained counselor before and after the HIV test. In CBVCT we consider that the counselling, is a great opportunity for the clients to increase their health management skills. We speak of pretest and post-test counselling as two different opportunities to discuss multiple issues such as informed consent during the pretest counselling and referral during the post-test. But in fact, it is important to look on these conversations as a whole and to consider the importance of providing these conversations by only one counselor. Thus, counselling can be adapted to each client, even giving him/her the choice to only talk about some issues or to skip others, in particular when it comes to those who get tested frequently. Counselling during the HIV testing process can be conducted indifferent ways directive or semi directive interviews, the Rodgers approach, motivational interviews, etc. Numerous guidelines and checklists have already been produced on HIV counselling. These documents list important approaches and attitudes to be developed in order to conduct the counselling in the best possible way.


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
Cbvct implementation among and with populations
Fixed or mobile cbvct programmes should consider
Staff and people involved in cbvct
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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