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System for conducting assessments of service quality at CBVCT centres

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System for conducting assessments of service quality at CBVCT centres

Structured and standardized data collection tools for assessment of service quality at CBVCT sites should be developed as part of a protocol of good practices. Quality assurance (QA) refers to planned, step-by-step activities that let one know that testing is being carried out correctly, results are accurate, and mistakes are found and corrected to avoid adverse outcomes. Quality assurance is an ongoing set of activities that help to ensure that the test results provided areas accurate and reliable as possible for all persons being tested. Quality assurance activities should be in place during the entire testing process this means from the time a client asks to be tested using the rapid HIV test to providing the test result. For improving the quality of CBVCT, a quality improvement framework and tools are available
These could include surveys of clients at facilities that provide testing. This can monitor the quality and acceptability of services and identify problems. It can also be done in the context of operational research or program evaluation. The protocol for collecting and analyzing the information that each country develops mayor may not be extensive, depending on who is responsible for conducting the assessment, the number of sites to be covered, the diversity of CBVCT service delivery models in the program, and the resources allocated for assessing service quality. Resources are needed to establish and maintain a QA program, no matter how simple the testis. Someone designated by the management of the CBVCT centre should oversee the programme and ensure the necessary staff and supplies are available. Knowledge about national/regional regulations is needed. The quality process is intended to combine the myriad of guidelines and requirements normally found in many different locations. Every new CBVCT’s staff member should be able to read this plan and understand the ins and outs of HIV testing there. However, it is also intended to function as a reference tool for more experienced testers and counselors, when special circumstances or questions arise.
WHO (2010) Handbook for improving HIV testing and counselling services

What is the value of feedback for quality assurance
Site-level CBVCT data are generally forwarded to a more central site such as a district, province or state office where they maybe further aggregated and then forwarded to the national level. ME data have a use at every managerial level and should be actively reviewed. Information collected for the national HTC program should be made available at all levels (i.e. national, sub national, and
CBVCT site) through strategically designed feedback mechanisms. Communication between management levels should flow in two directions just as systems for reporting data to higher levels of management are established, so should feedback and data analysis flow regularly back down. The dissemination of program results from data analysis and use of findings for program improvement and policy development is a key step in the ME process. This includes allowing sites to understand their performance in the context of how other sites are performing and can encourage sharing of best practices and joint problem-solving among sites. Broader sharing and discussion of CBVCT programmatic data at all levels is intended to lead to improved service provision and delivery to identify target populations in need of strengthened CBVCT efforts to motivate programme staff and stimulate programme performance to address issues in data quality to ensure that CBVCT sites, as well as district and national offices, realize the benefits of dedicating resources to the ME process.

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
Negative result
Support after positive result
Confidentiality, anonymity, privacy
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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