An urban church-run health center is a popular alternative for many people who complain about the poor services and lack of confidentiality in the public-run clinics. As a researcher investigating the effects of a new post-test HIV counseling and case management program, the church health center seems like a perfect site. The well-trained staff of the health center is interested in your research and has past experience implementing similar research with other diseases. The center is already the preferred HIV-testing site in the city.
Upon further discussions with the health center staff, you learn that they are not willing to distribute condoms to post-test clients, even those who test positive for HIV. Although your study does not require condoms to be distributed, you are alarmed that the center would refuse to distribute condoms to HIV-positive clients, thus putting their partners at risk of HIV.
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