The Integrated Targeted Testing Services (ITTS) program, established to combat the HIV pandemic and a syphilis outbreak that occurred in Guilford County in 1994 is grant-funded by the NC Department of Health and Human Services (NC DHHS) Communicable Disease Branch to provide non-traditional STI prevention, testing and treatment services to vulnerable populations. This initiative is a collaborative effort among the Guilford County Division of Public Health, NC DHHS Communicable Disease Branch, and the Centers for Disease Control and Prevention (CDC), along with two community-based organizations: Triad Health Project (THP) and Piedmont Health Services and Sickle Cell Agency (PHSSCA).

The Guilford County ITTS team provided the following innovative testing and outreach services in 2024:

• Testing services in diverse outreach settings including college campuses, nightclubs, treatment centers, grocery stores, and other mobile clinics in the community.
• Weekly walk-up mobile testing at both the Greensboro and High Point Health Department locations provided by the sexual health action group (SHAG) team, which saw an increased response in 2024.
• Online promotion efforts utilizing geofencing and community centered advertising, which contributed to the rise in testing at walk-up sites.
• Walk-in testing on Wednesdays at Triad Health Project, which sees a steady flow of clients.
• Outreach agencies saw an increase in bulk condom requests, presenting a challenge maintaining stock and serving new condom sites.