Hello Edwards. I fully agree with you Reaching men will have to be done in a nontreathening environment through a peer mentoring mechanism likely from the angle of the church. I fully agree that men are not really coming forward in droves for treatment compared to women. Now lets talk about the Caribbean since part of my life I did grow up there especially in the Eastern and Southern Caribbean. The problem with West Indians is...they talk too much and can't keep a secret and they don't know what confidentiality is when something so deeply personal as being HIV+ is entrusted to them. It goes from the Church Board into the community and up and down the island. Men need to be able to trust someone. Men need a pillar to lean on in the community. Men need to know that there is safe place where they can go and park their cars and that the place doesn't that carries a stigma as one where only HIV+ patients go. One person that doesnt talk is the Catholic Priests and they should be the one running this place. It needs to be a general counselling center with a full line of services available to men and there should not be any mention of the name HIV/AIDS on the marquee. If any mention of the words HIV/AIDS is written anywhere the West Indian community usually send out a spy or two to report whose husband and who has been there and then they make conclusions and the stigmatization is just terrible. Noziness and gossiping is quite problematic in these small communities because everybody knows everybody. When the West Indians come to the USA I here it all and feel so badly how much of one's personal life is out on the streets. Now if others are allowed to join the man for counseling in the centre it should be his significant other. If men know that they can trust someone that is half the battle fought, the next is the significant other and that is forging a collaborative partnership of trust for both to have a successful outcome. When men have found a safe place it will be word of mouth that will let more come out. My two cents, Fenna