Abstract
Test to Eliminate Sexual Transmission is an innovative collaboration among a county public health department, a county district attorney, and local courts intended to extend rapid testing to individuals who are at high risk of HIV transmission. The process of engaging partners for the collaboration is discussed, as is the design of the program itself. The outcome of the first year of operation is reviewed in terms of client and court participation and in terms of the ability of the program to reach a high-risk population that has previously proven to be elusive to public health.