Among MSM there was concern that providing adequate post-test counselling would be difficult in community settings such as bars and clubs [39]. Researchers reported overall positive attitudes of staff towards community testing [18, 20, 30, 35, 39, 44]. Staff training was highlighted as an important component of community testing as it increased the levels of comfort about both the testing and the provision of results in this setting [20, 44]. Developing strong relationships and building trust between venue owners HDAC inhibitors cancer and testing staff was also seen as important [35]. In one study examining the attitudes to introducing

HIV testing in bars and saunas frequented by MSM, although venue owners were supportive overall, they did express some concerns that the service may be a deterrent to potential customers [39]. The results of the studies included in this review indicate that community testing initiatives

are successful in diagnosing previously undiagnosed HIV infections among MSM communities [32-34, 37, 38, 41, 43, 45, 46] and people from BME [54, 55] communities and are acceptable to both clients and staff. Rapid testing technologies increased the likelihood of a person receiving their test result and are acceptable to clients [18, 20, 23, 27, 46]. The proportions of patients testing in community settings who had never previously Erastin tested were generally small [17, 18, 27, 31, 34, 36, 41, 43, 47, 51, 59]. In addition,

comparisons of seropositivity among clients attending community testing settings and those attending more traditional settings were conflicting [19, 34, 43, 55]. Therefore, although it is clear that community testing services are providing an important choice for individuals regarding where they have an HIV test, whether the services are diagnosing individuals from who would otherwise not test until they are unwell is less clear. Evidence from the studies included in this review demonstrates the importance of selecting appropriate venues, building relationships with venue owners and choosing suitable locations within those venues [35, 39]. The location should be conducive to providing a confidential testing service of equal professional standard to those services in healthcare facilities. In addition, training of staff conducting the tests as well as of staff working in the venues will increase confidence and acceptability [20, 44]. There are some limitations to our review. Studies were only included if they had been published in peer-reviewed journals and were written in English.