Resumen

The eradication of HIV, viral hepatitis, and other sexually transmitted infections (STIs) remains a global challenge. CASA Torremolinos, a community-based voluntary counseling and testing (CBVCT) initiative in southern Spain, provides comprehensive prevention services (CPS), including rapid HIV, HBV, HCV, and syphilis testing. From 2018 to 2022, 2,288 individuals were screened, identifying a 7.7-fold higher HIV seroprevalence than the national average (2.4% vs. 0.31%) and moderate increases for HBV (0.30% vs. 0.22%) and HCV (0.23% vs. 0.17%). Linkage to care was achieved for 98.2% of HIV and 100% of HBV, HCV, and syphilis cases. CASA Torremolinos also delivered 6,896 CPS sessions, including chemsex counseling and PrEP linkage. These results underscore the importance of CBVCT services in facilitating early diagnosis, community engagement, and continuity of care in high-incidence areas. The findings support scaling up community-led strategies to meet UNAIDS goals and strengthen local sexual health systems.