- Generally, ACT had a difficult time in becoming a "part" of the community. As the case shows, ACT did take a number of steps that helped it to understand what the community needs were and to respond to these through their programme or by referral to others who could help.

- ACT anticipated the problems of HIV/AIDS on the community before this was accepted by the community themselves. This had a significant impact on the programme design and forced ACT to extend its HIV/AIDS activities to include the general health clinic.

- The opening of the clinic was a combination of 'opportunity' and design - the latter because ACT realised that this would be a way of establishing a trusting relationship with the community.

- The community obviously needed health services.

- The volunteers, although from outside the community, seem to be providing feedback on needs to the| programme staff to be reflected in the programme's activities.

- The approach to the brothel owners was done in a spirit of cooperation.

- Even though ACT itself could not provide all the support services that might have been needed by those identified as HIV positive and their families, ACT did refer such individuals to other organisations for further support.