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Negative result

Emphasize the importance of doing the test again, when necessary or on a regular basis like once a year. If the test was done during the window period, remind the person of the importance of doing the test again at the end of this period. Arrange an appointment if possible.
Positive result

Emphasize the advantages of knowing one’s positive status as soon as possible and the fact that treatment is now available which decreases the amount of virus in the body and rebuilds the immune system (treatment that can prevent further development of the infection. Discuss with the person the question of telling other people about the result. Who can they say it to It is important to remind them that they are under no obligation to do so. Offer to go with the person to get the test confirmed in a specialized HIV medical service. Discuss the use of condoms to prevent transmission to others and to protect oneself, even if the sexual/s partners is/are positive. Discuss the possibility of inviting the client’s sexual partner to do the test. Reassure the person and reduce the sense of guilt they could be feeling. Inform them about the fact that when treatment is initiated and when the viral load is undetectable, the risk of the virus being transmitted is significantly reduced.


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
C) after the test
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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