 While anonymous testing may be an effective andor efficient strategy in the seek phase of STTR, in the majority of studies and testing programs it does not address the vital step of linkage to care. Although anonymous testing tends to yield individuals earlier in their HIV disease, those who test anonymously are more likely to experience delays entering care, because anonymous testing sites and programs do not typically have the resources to engage individuals into linkage programs and are not co-located with medical care. For example, in a study of characteristics of the HIV testing encounter and linkage to care, Reed 2009 found that 36 of those testing anonymously did not enter care within three months of diagnosis, compared with 26 of those testing confidentially. 