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Community HIV Screening Among MSM in Three Indonesian Cities

[ Vol. 17 , Issue. 1 ]

Author(s):

Rahmat Hidayat*, Daniel Marguari, Nany Hairunisa, Heru Suparno and Robert Magnani   Pages 65 - 71 ( 7 )

Abstract:


Background: Indonesia lags behind its peers with regard to ART coverage of PLHIV. Insufficient HIV testing among MSM and other key affected populations remains a barrier to increasing ART coverage.

Objective: This report presents the results of the first government-endorsed implementation research study of a community screening approach to increasing the rate of HIV testing among MSM in three cities.

Methods: All new MSM outreach contacts meeting eligibility criteria during March-June 2017 were included in the study. HIV testing at a government health facility, which is required to qualify for government-supported ART, was advised for all new contacts. Men refusing formal testing were offered an HIV screening test in a community setting using a saliva-based rapid test and advised to get a confirmatory test at a health facility. All outreach contacts and testing activities were recorded on individual client records.

Results: Of 1,149 eligible MSM, 27% were willing to be referred to receive HIV testing at a health facility, among which 83% were confirmed to have been tested. Of the 838 study subjects refusing health facility testing, 38% accepted community screening. The screening positivity rate was 14.8%. Only 38% of men with reactive screening tests received a confirmatory test at a health facility, along with 8% of those with non-reactive tests.

Conclusion: While community screening resulted in more MSM knowing their HIV status, reluctance to avail government health facility-based services, or indeed to be tested at all, must be addressed if community screening is to accelerate progress in getting HIV-positive MSM onto treatment.

Keywords:

ART, HIV community screening, MSM, Indonesia, MoH, PLHIV.

Affiliation:

Yayasan Spiritia, Jakarta, Yayasan Spiritia, Jakarta, Yayasan Spiritia, Jakarta, Health Research Center, University of Indonesia, Jakarta, AIDS Research Center, Atma Jaya Catholic University, Jakarta

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