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APPENDIX 1: TEN MAIN PRINCIPLES TO GUIDE MEMBER STATES AS THEY ENDEAVOR TO SCALE UP HIV
TESTING AND COUNSELLING

WHO EUROPE, Scaling up HIV testing and counselling in the WHO European Region as an essential
component of efforts to achieve universal access to HIV prevention, treatment, care and support,
2010. This policy framework contains ten main principles and provides detailed recommendations to guide member states as they endeavor to scale up HIV testing and counselling. Scaling up HIV testing and counselling is both a public health and human rights imperative and must be linked to broader efforts to achieve universal access to comprehensive, evidence-based HIV prevention, treatment, care and support (page. Expanded HIV testing and counselling must be tailored to different settings, populations and client needs (page 5). Efforts to increase access to and uptake of HIV testing and counselling should include implementation of provider-initiated testing and counselling in health facilities when appropriate (page 6). Efforts to increase access to and uptake of HIV testing and counselling must meet the needs of most-at-risk and vulnerable populations and expand beyond clinical settings and involve civil society and community-based organizations in providing HIV testing and counselling services (page 8). Rapid HIV tests should be used where appropriate (page 9). Regardless of where and how HIV testing is done, it must always be voluntary and with the informed consent of the person being tested, adequate pretest information or counselling, post-test counselling, protection of confidentiality and referral to services (page 10). HIV testing policies and practices should be reviewed to eliminate any non-voluntary forms of testing (page 12). Efforts to increase access to and uptake of HIV testing and counselling must be accompanied by equal efforts to ensure supportive social, policy and legal environments page 12). In each country, consultations should be undertaken to formulate plans for expanded HIV testing and counselling based on this framework (page 13). Efforts to expand access to HIV testing and counselling must be carefully monitored and evaluated (page 14).


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
System for conducting assessments of service quality at cbvct centres
Consistency with health promotion principles
Project management
Sustainability
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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