39 a) 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.