 Regions V and VII report the highest prevalence of HIV in the country, 1.2 and 1.5 respectively8. Specific populations within these provinces have rates of HIV considerably higher than the national average. For instance, prevalence is 3.2 in the bateyes, the small communities surrounding sugar cane plantations, where a mixed population of Dominicans and Haitian migrant workers cohabitate. Our team has conducted preliminary studies in the Altagracia Province, part of Region V, since it reports the highest province-specific HIV rates and the lowest circumcision rates in the country. A survey of pregnant women seeking prenatal care at the main hospital in the province found an HIV seroprevalence of 4.5 11. The prevalence of HIV is 5.2 in CSW, 7.6 in MSM and 8.5 among drug users18. 