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C) After the test

Notifying the test result
In order to respect confidentiality, policies and regulatory frameworks emphasize that the result of
HIV testing should always be given to the person being tested. It is the person’s decision to share
this result with others
. In some countries, the law states that the result of the test must be notified only through an individual interview even if the client asks to be accompanied by another person. In the same way, the document giving evidence of the result must be delivered personally to the client. After announcing the result, it is important that the speaker creates a space for the client to express his/her feelings regarding the result (negative or positive. Whether oral and / or written, the test result must be accompanied by some information. This information will vary depending on the positive or negative outcome. In CBVCT centres, special attention should be given to the comprehension of the result and should, if possible, be expressed in the language and culture of the client. When CBVCT staff consider that conditions for confidentiality and quality of referral to care are not met in some venues (like bathhouses, squats, public spaces, etc, they can choose not to deliver the results in those spaces and ask the clients to come and get them at their main office.
Implementation of Community-Based Voluntary Counselling and Testing (CBVCT) Programs and Services. COBATEST- Quality report
Rapid HIV Tests Guidelines for use in HIV Testing and counselling services in resource-constrained settings. WHO. 2004 Genève.

41 Whether the result is negative or positive (but especially if it is positive, the post-test counselling should be used as an opportunity to encourage the client to invite partners to access HIV counselling and testing also.

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
Before 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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