Our site has been has been in place for more than 15 years now and we have been engaging the community using the local existing structures such as Local Government Authorities, community leaders at ward and street levels as well as community based organization and other influential personnel in the community. Fortunately we started with HIV cohorts in general population, whereby there was no much interventions or investigation product and participants were prevailed to have free medical care of minor ailments. With involvement of broader community stakeholder engagements it was possible to gain trust from the surrounding community. In one of the projects our site supported the renovation of health center and dispensaries in the study catchment area and in some facilities the site assisted purchase of laboratory reagents thus increasing trust and mutual respect between the site and community in general.