244245 Offer testing and they will come: A case study of implementing an HIV testing program in a community detention center

Wednesday, November 2, 2011

Richard Rapp, PhD , Boonshoft School of Medicine, Wright State University, Dayton, OH

Historically, a discussion about HIV testing in community detention centers ended with the conclusion that implementation was idiosyncratic, dependent on the characteristics of a specific location. This assumption blunts consideration of factors that are important in successful testing implementation in many community detention centers.


The following study provides a case history of the implementation of HIV testing in a community detention center in the South. Implementation is discussed in the context of eight factors, including timing of testing, marketing and advertising of services, and the manner in which testing is presented to inmates, testing protocols, methods of informing those tested of their results, confidentiality of results, HIV counseling associated with testing and consideration of administrative and implementation issues.

Lessons learned Process data demonstrated an acceptance rate that exceeded 90% for both males and females in a population of over 5,000 inmates. Testing acceptors had been in jail a mean of 11 days and dropouts only 2.5 days. Precise record-keeping demonstrated at what point individuals dropped-out of the process—over 25% before any description of the testing could be made and 50% following lengthy research consent.


Community detention centers that wish to implement HIV testing should consider the effect that individual testing steps have on inmate acceptance. The factors that improve inmate acceptance may at times be counterintuitive to detention center staff.

Learning Areas:
Administer health education strategies, interventions and programs
Conduct evaluation related to programs, research, and other areas of practice
Implementation of health education strategies, interventions and programs
Planning of health education strategies, interventions, and programs
Public health or related public policy

Learning Objectives:
Describe eight factors that need to be considered in implementation of HIV testing in community detention centers Discuss the findings from this study in the context of the eight factors

Keywords: Criminal Justice, HIV/AIDS

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am evaluator for the project from which this data comes
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

See more of: HIV/AIDS Prevention Strategies
See more of: HIV/AIDS