| PVTCC1 | PVTCC2 | PVTCC3 | PVTCC4 | PVTCC5 | PVTCC6 |
---|---|---|---|---|---|---|
1. Infrastructure | ||||||
• Facility registered to provide VCT services? | Yes | Yes | Yes | Yes | Yes | Yes |
• Adequate counselling room/s available (well lit, spacious, ventilated, private, equipped with 3 chairs and 1 table)? | No | No | No | No | No | Yes |
• Room (s) is equipped to accordingly perform a test? | No | Yes | No | No | No | No |
• Penile model available and on display? | No | No | No | No | No | No |
• Room/s and waiting area well maintained and clean? | Yes | Yes | No | No | Yes | Yes |
• Adequate waiting area (chairs and space)? | Yes | No | No | No | Yes | Yes |
2. Supply and storage | ||||||
• Uninterrupted and adequate supply of rapid test kits in stock? | No | No | No | No | No | No |
3. Referral system | ||||||
• Referral system in place and functioning? | Yes | Yes | Yes | Yes | Yes | Yes |
• Referral directory/list available? | Yes | Yes | Yes | Yes | Yes | Yes |
• Designated referral site for care and support? | Yes | Yes | Yes | Yes | Yes | Yes |
• Post-test support available (post-test counselling, people living with HIV, etc.)? | Yes | Yes | Yes | Yes | Yes | Yes |
4. Record and information system | ||||||
• Uninterrupted and adequate supply of VCT data forms and client cards? | No | No | No | No | No | Yes |
• System for anonymous client coding in place and functioning? | No | No | Yes | No | No | No |
• Easily retrievable copies of quarterly reports sent to the regional level available? | Yes | Yes | Yes | Yes | Yes | Yes |
• Accident/incident book available and used?? | Yes | Yes | Yes | Yes | Yes | Yes |
5. Information, Education & Communication (IEC) materials | ||||||
• Signboards, signs, labels and directions for VCT room/s? | No | No | No | No | No | Yes |
• Opening hours prominently displayed? | No | No | No | Yes | No | Yes |
• Door tags used for privacy (please enter/counselling in progress)? | No | No | No | No | No | No |
6. Financial management | ||||||
• Fee charges prominently displayed? | No | No | Yes | No | No | No |
• Records of accounts available? | Yes | Yes | Yes | Yes | Yes | Yes |
• Clear policy and measures in place for clients unable to pay? | No | No | No | Yes | No | No |
7. Guidelines/client-provider interaction | ||||||
• Did VCT staff in charge of counselling attended an official training programme and obtained a degree? | Yes | No | No | Yes | Yes | Yes |
• Did VCT staff performing the rapid test attended an official training programme and obtained a degree? | No | No | No | No | No | No |
• VCT services available on advertised days? | Yes | Yes | Yes | Yes | Yes | Yes |
• Informed consent (signature) obtained before HIV testing? | No | No | No | No | No | No |
• Condoms supplied where appropriate? | No | No | No | Yes | No | Yes |
• Same-day blood testing conducted on site? | No | No | No | No | No | No |
• Correct testing algorithm used? | Yes | Yes | Yes | Yes | Yes | Yes |
• Test results given same day? | No | No | No | No | No | No |
• All forms are checked for missing items at the end of each day? | No | No | No | No | No | No |
• Community mobilization activities being conducted? | No | Yes | No | Yes | No | Yes |
• All counsellors attending regular group supervision? | Yes | Yes | Yes | Yes | No | Yes |
• All counsellors receiving individual or peer supervision? | Yes | Yes | Yes | Yes | Yes | Yes |
• Counsellors working scheduled hours (not assigned to other non-VCT services)? | Yes | Yes | Yes | Yes | Yes | Yes |
• Each counsellor sees <10 clients/day? | Yes | Yes | Yes | Yes | Yes | Yes |