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Before the test
Pretest information or counselling in order to obtain informed consent
Before performing the test, it is important to offer the client space and time for discussion where they can receive and ask for information. This discussion must be oriented to allow clients to make an informed choice and to give their consent. Some issues must be discussed

Possible exposure to HIV (which and when) and verify knowledge about HIV transmission risk perception, real life-experiences, etc) Information about the HIV test, especially when a rapid testis used Anticipate results, how a positive or negative result will be managed and how the result could have an impact on the client’s quality of life (clinical benefits and risk. This issue is one of the key principles for the WHO European Region policy framework on scaling up HIV testing and counselling when HIV testing is offered. It is a legal requirement inmost EU countries. Two aspects must be kept in mind in the pretest phase to obtain informed consent when CBVCT centres use rapid tests Consent should include additional information about the HIV test clients must understand the meaning, including the fact that no tests are 100% accurate and understand the purposes of the procedure. Clients must understand that results will be available during the session. Also, they have to be told that positive rapid test results require confirmatory testing which can be carried out at the same time and in the same place depending on the possibilities available in a particular CBVCT centre. Anticipating results. A commonly cited barrier to community-based HIV testing was not being prepared for testing or receiving a test result the same day. It is particularly true for people who are getting a rapid test for the first time in their lives and in communities where
CBVCT facilities providing rapid tests is anew service. Identify with the client the social and emotional support they have available to them in particular if the result is positive. Also, it is important to communicate on the support possibilities provided by the CBVCT staff. An analysis of several studies suggests that verbal consent is adequate and that a separate consent form is not mandatory.

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
Cbvct practices
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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