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
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
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.