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CBVCT practices
The main principles for CBVCT’s practices are not very different from those identified by most health policies in particular those drawn up by the World Health Organization. According to what was said before, CBVCT should take some general factors into consideration before launching the service As regards the environment (in public spaces or venues like bathhouses, events, parties or the CBVCT office, it is very important to offer people a safe, quiet and warm place, which encourages confidentiality and fosters the expression of feelings (positive and/or negative. It is important to have enough time for the counselling, testing process and linkage to care not being in a hurry. Finally, some basic conditions have to be met before performing a test asepsis and hygiene, temperature, sufficient lighting to read the results, infectious waste management risk.

CBVCT should clearly determine the referral process for those receiving a positive result confirmatory test, linkage to health department HIV or STI specialist etc. To establish how those being tested will be supported while they are waiting for the result. To establish algorithms of actuation for every situation (window periods, negative results, candidates for pre and post-exposure prophylaxis

37 Consider the legal aspects in every country for carrying out the test (for example what kind of tests are possible to use, which personnel are authorized to perform the test, etc, for offering other health services (medication, vaccines) and for facilitating access to health services (free or not free access, social security coverage, …) To stimulate the work between peers and among communities Initial and continuous training on issues like HIV, sexual health, harm reduction and counselling for staff. Identification of the users in the centers where anonymity is guaranteed and how data collection is organized. Information on those factors (and others that maybe relevant for CBVCT) should be collected in a quality assurance program (see following chapter. Attending a CBVCT centre is a voluntary act. Those attending should get adequate information and specific support appropriate to each one’s choices (sexual practices, their willingness or otherwise to adhere to harm reduction programmes, life and health priorities. Creating a supportive environment (confidential and safe) between clients and providers is necessary. With this aim, the WHO policy framework Scaling up HIV testing and counselling in the WHO European Region highlights five principles of HIV testing (the five Cs”)
: Counselling and information about HIV/AIDS before and after the test Consent to be tested given in an informed, specific and voluntary way by the person being tested Confidentiality regarding test results and the fact of seeking a test Correct test results. Testing must be performed and quality assurance measures followed according to internationally-recognized testing strategies, norms, and standards based on the type of epidemic. Results must be communicated to the person tested unless that person refuses the results.

Connection/linkage to prevention, care, and treatment
World AIDS Day 2012: Statement on HIV testing and counselling.

38 These five principles are present throughout the process before, during and after the test as in the next figure.

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
Items sub-items
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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