Since its conception, NRHS has been at the forefront of provision of sexual and reproductive health services in the region. These services have ranged from family planning, management of sexually transmitted diseases and HIV testing and counselling. As part of its Partners in Reproductive Health (PIRH) programme, NRHS continues offering screening, diagnosis and treatment of STIs both as a syndromic approach and an aetiological approach. These are offered on a walk-in basis to any client who cares to seek services. Riding on the Anza Mapema programme for Key Population and the PIRH programme for general population, we use a mix of different modalities to offer HIV testing and counselling. These modalities included fixed site testing both at AMCE and URTC as well as outreaches which included targeted, Social Network Strategy (SNS) and Partner Notification Services (PNS).