Using the toolkit for quality assurance

The topics in the toolkit and the items in each checklist form a basic standard for operating a CBVCT according to current practice and expert advice in Europe. You can therefore use the toolkit as a general quality assurance tool.

Please be aware that formal quality assurance standards and tools may apply to particular aspects of CBVCT operations, such as infection control, data management, waste disposal etc. These vary according to local regulations and this toolkit does not cover or replace any legal obligations you may have as the operator of a CBVCT facility in your location.

If you would like to use this toolkit for quality assurance, the topics ‘Operating environment’, ‘CBVCT Services’ and ‘Counselling and linkage to care’ are essential to include in an initial assessment. You can add the rest later for a more comprehensive assessment.

This toolkit has not been designed or validated to provide quality ratings, but your answers in the checklists indicate whether your CBVCT has the prerequisites for providing a quality service:

  • If your answers are green in the first column (‘Does your CBVCT have this in place?’), and green or yellow in the second (‘Is there a documented standard, guideline, plan, policy, procedure, contract or agreement?‘), it is an indication that your CBVCT is able to operate at a basic level of quality.
  • If your answers are green in the first two columns, and green or yellow in the third (‘Is it adapted to local conditions?‘), it is an indication that your CBVCT covers basic elements of a quality service and has the potential to reach its key population and fulfil its objectives.
  • A red answer in the first column (‘Does your CBVCT have this in place?’) indicates that a core component of a CBVCT is missing. A red answer in the second (‘Is there a documented standard, guideline, policy, plan, procedure, contract or agreement?‘) or third (‘Is it adapted to local conditions?‘) column indicates that a component does not have a reliable enough foundation or may not suit the local context to function properly.

Apart from the specialised Euro HIV EDAT Self-Assessment Grids, there are broader quality assurance and improvement tools available to check the quality of your CBVCT as an HIV prevention intervention. You can use the Succeed tool for self-assessment or the QIP tool for an external review that includes specific recommendations by expert reviewers. You can find both tools, including further information and online learning resources at www.qualityaction.eu.

Please also see ‘Quality improvement and innovation’ for details.