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What is CBVCT? A definition.
Literature and evidence show us that the definition of community-based voluntary counselling and testing differs enormously from one national European context to the other. For this reason, and even if we are aware of this large range of CBVCT experiences, the HIV-COBATEST project proposes the following definition

CBVCT is any program or service that offers HIV counselling and testing on a voluntary basis outside
formal health facilities. It has been designed to target specific groups within the most-at-risk
populations and is clearly adapted and accessible to those communities. Moreover, these services
should ensure the active participation of the community with the involvement of community
representatives either in planning or implementing HIV testing interventions and strategies.

Community-based HTC (HIV testing and counselling) services are expected to help build public trust, protect human rights and reduce stigma and discrimination (UNAIDS, In practice CBVCT, can be implemented in a variety of settings and with various approaches and use standard HIV testing or HIV rapid testing (HRT).

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
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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