Voluntary counselling and testing sites as a source of sentinel information on HIV prevalence in a concentrated epidemic: A pilot project from Indonesia

R. Guy; D. E. Mustikawati; D. B. Wijaksono; N. Nugraihini; S. Priohutomo; N. Silitonga; J. M. Kaldor

doi:10.1258/ijsa.2009.009445

Voluntary counselling and testing sites as a source of sentinel information on HIV prevalence in a concentrated epidemic: A pilot project from Indonesia

R. Guy^*, D. E. Mustikawati, D. B. Wijaksono, N. Nugraihini, S. Priohutomo, N. Silitonga, J. M. Kaldor

^*Corresponding author for this work

Research output: Contribution to journal › Article › peer-review

6 Citations (Scopus)

Abstract

A new system for monitoring HIV voluntary counselling and testing (VCT) outcomes was established in 2007 at seven VCT clinics in Jakarta and Bali, Indonesia. Counsellors collected demographic and risk information from VCT clients. Logistic regression was used to determine factors associated with HIV infection. In 15 months, HIV prevalence in 5569 new clients without HIV symptoms was 63.3% in injecting drug users (IDUs) (n 1/4 783), 7.7% in female sex workers (n 1/4 1437), 31.6% among transgender people (n 1/4 395), 9.3% in men who have sex with men (n 1/4 268), 13.5% in clients of sex workers (n 1/4 643), 21.1% in people with high-risk partners (n 1/4 569) and 3.2% in other VCT clients (n 1/4 822). Among IDUs, being older, tested though outreach, tested due to being 'at risk' and having injected for one or more years were independently associated with HIV infection. This network confirmed high HIV prevalence among IDUs and transgender people. HIV prevalence estimates were consistent with serosurveys.

Original language	English
Pages (from-to)	505-511
Number of pages	7
Journal	International Journal of STD and AIDS
Volume	22
Issue number	9
DOIs	https://doi.org/10.1258/ijsa.2009.009445
Publication status	Published - Sept 2011
Externally published	Yes

Bibliographical note

Funding Information:
We would like to acknowledge the contribution of the VCT sentinel sites; Kios Atma Jaya, PKBI Jakarta, PPTI, RSKO Cibubur, RSUD Buleleng, RSUD Sanglah, and Yayasan Kerti Praja and the dedicated network members from these sites. We would also like to thank Aang Sutrisna for his contribution to the programme and Robert Magnani from Family Health International for his support of the programme. Finally, thanks to Tim Spelman from the Burnet Institute for providing statistical advice. The programme was funded by the Australasian Agency for International Development, through the Indonesia HIV Prevention and Care Program. The National Centre in HIV Epidemiology and Clinical Research is affiliated with the Faculty of Medicine, University of New South Wales and is funded by the Australian Government Department of Health and Ageing. The programme described in this paper was funded by the Australasian Agency for International Development, through the Indonesia HIV Prevention and Care Program.

Keywords

Epidemiology
Estimate
HIV
Indonesia
Prevalence
Voluntary counselling and testing (VCT)

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1258/ijsa.2009.009445

Cite this

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title = "Voluntary counselling and testing sites as a source of sentinel information on HIV prevalence in a concentrated epidemic: A pilot project from Indonesia",

abstract = "A new system for monitoring HIV voluntary counselling and testing (VCT) outcomes was established in 2007 at seven VCT clinics in Jakarta and Bali, Indonesia. Counsellors collected demographic and risk information from VCT clients. Logistic regression was used to determine factors associated with HIV infection. In 15 months, HIV prevalence in 5569 new clients without HIV symptoms was 63.3% in injecting drug users (IDUs) (n 1/4 783), 7.7% in female sex workers (n 1/4 1437), 31.6% among transgender people (n 1/4 395), 9.3% in men who have sex with men (n 1/4 268), 13.5% in clients of sex workers (n 1/4 643), 21.1% in people with high-risk partners (n 1/4 569) and 3.2% in other VCT clients (n 1/4 822). Among IDUs, being older, tested though outreach, tested due to being 'at risk' and having injected for one or more years were independently associated with HIV infection. This network confirmed high HIV prevalence among IDUs and transgender people. HIV prevalence estimates were consistent with serosurveys.",

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note = "Funding Information: We would like to acknowledge the contribution of the VCT sentinel sites; Kios Atma Jaya, PKBI Jakarta, PPTI, RSKO Cibubur, RSUD Buleleng, RSUD Sanglah, and Yayasan Kerti Praja and the dedicated network members from these sites. We would also like to thank Aang Sutrisna for his contribution to the programme and Robert Magnani from Family Health International for his support of the programme. Finally, thanks to Tim Spelman from the Burnet Institute for providing statistical advice. The programme was funded by the Australasian Agency for International Development, through the Indonesia HIV Prevention and Care Program. The National Centre in HIV Epidemiology and Clinical Research is affiliated with the Faculty of Medicine, University of New South Wales and is funded by the Australian Government Department of Health and Ageing. The programme described in this paper was funded by the Australasian Agency for International Development, through the Indonesia HIV Prevention and Care Program.",

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AU - Kaldor, J. M.

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Voluntary counselling and testing sites as a source of sentinel information on HIV prevalence in a concentrated epidemic: A pilot project from Indonesia

Abstract

Bibliographical note

Keywords

UN SDGs

Access to Document

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