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Updated: Jul 5, 2026

Comprehensive & Cost Effective Laboratory Monitoring of HIV/AIDS: an African Role Model
Published on: October 31, 2010
Building stakeholder partnerships for an on-site HIV testing programme.
William J Woods1, Kathleen Erwin, Margery Lazarus
1Center for AIDS Prevention Studies, University of California San Francisco, San Francisco, CA 94105, USA. William.Woods@ucsf.edu
Gay saunas and sex clubs are key venues for HIV outreach and voluntary counselling and testing (VCT) programs. Stakeholders collaborated to overcome challenges, establishing a successful, well-utilized VCT program in a California gay sauna.
Area of Science:
- Public Health
- HIV/AIDS Prevention
- Community Health Programs
Background:
- Gay saunas and sex clubs serve populations at high risk for HIV infection.
- These venues present unique opportunities for HIV outreach and voluntary counselling and testing (VCT).
- Establishing VCT programs in these settings faces significant management and logistical barriers.
Purpose of the Study:
- To describe how stakeholders overcame barriers to implement a VCT program in a gay sauna.
- To evaluate the process of establishing a regular and frequent on-site VCT program.
- To understand factors contributing to the successful utilization of VCT services by patrons.
Main Methods:
- Qualitative data collection through a process evaluation.
- Analysis of stakeholder collaboration in overcoming implementation challenges.
- Assessment of program utilization by patrons.
Main Results:
- Stakeholders successfully collaborated to address disparate interests and responsibilities.
- A regular and frequent on-site VCT program was established and fully utilized.
- The study identified effective strategies for managing VCT program components in high-risk venues.
Conclusions:
- Collaborative efforts among diverse stakeholders are crucial for successful VCT program implementation in gay saunas.
- Overcoming logistical and interest-based barriers can lead to fully utilized HIV prevention services.
- Gay saunas can be effectively integrated into HIV outreach strategies through dedicated program development.
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