Perception of Men Who Have Sex with Men about the Test and Treat Strategy of Human Immunodeficiency Virus in Bandung City

Ayesha Nadiatama Saifuddin, Nita Arisanti, Bony Wiem Lestari


Background: Human immunodeficiency virus (HIV) infection in Indonesia has shifted from injecting drug use to sexual transmission. One of the ways to prevent HIV transmission is by using early antiretroviral therapy (ART) or known as Test and Treat. Test and Treat is recommended by the World Health Organization (WHO) in 2013. This study aimed to explore the perception of men who have sex with men (MSM) about HIV Test and Treat Strategy.

Methods: This quantitative observational study used a cross-sectional design. Primary data were collected from questionnaires filled in by 58 MSM diagnosed as HIV positive at Mawar Clinic, Pasundan and Ibrahim Adjie public health centers in September–December 2016. Sampling was performed using total sampling method which was bounded by time period. The questionnaire contained data of respondents’ characteristics and perceptions of HIV Test and Treat Strategy. Data analysis was presented in tables.

Result: Respondents  were mostly 20–24 years old (48%), 55% were Senior High School graduates, 98% were unmarried, 58% worked as employees, and 21% earned 2–2.5 million rupiahs per month. Forty eight percent of the respondents had negative perception of the test and treat strategy, and 52% of the respondents had positive perception of the strategy.

Conclusions: Most of the MSM population have a negative perception of HIV test and treat strategy. It is important for the key populations especially the MSM to obtain education related to HIV treatments and strategy.


Human immunodeficiency virus, men who have sex with men, perception, test and treat

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World Health Organization. HIV/AIDS data and statistics; [cited in 1 May 2016]; Available from:

Kementrian Kesehatan Republik Indonesia. Laporan pengembangan HIV AIDS triwulan I–IV. Jakarta: Pusat Data dan Informasi Kementrian Kesehatan Republik Indonesia; 2015.

Kaufman MR, Cornish F, Zimmerman RS, Johnson BT. Health behavior change models for HIV prevention and AIDS care: practical recommendations for a multi-level approach. J Acquir Immune Deficiency Syndrome. 2014;66(3):250–8.

World Health Organization. Guidelines guideline on when to start antiretroviral therapy and on pre-exposure prophylaxis for HIV. Geneva;WHO Library Cataloguing-in-Publication Data: 2015.

Hosseinipour MC, Kumarasamy N, Hakim JG, Mehendale S, Chariyalertsak S, Santos BR, et al. Prevention of HIV-1 infection with early antiretroviral therapy. N Engl J Med. 2011;365(6):493–505.

Liu H, Su Y, Zhu L, Xing J, Wu J, Wang N. Effectiveness of ART and condom use for prevention of sexual HIV transmission in serodiscordant couples: a systematic review and meta-analysis. PLoS One. 2014;9(11):1–7.

Kementrian Kesehatan Republik Indonesia. Peraturan Menteri Kesehatan Republik Indonesia Tentang Penanggulangan HIV dan AIDS. Jakarta: Peraturan Menteri Kementrian Kesehatan RI; 2013.

White JM, Mimiaga MJ, Krakower DS, Mayer KH. Evolution of massachusetts physician attitudes , knowledge , and experience regarding the use of antiretrovirals for HIV prevention. AIDS Patient Care STDS. 2012;26(7):395–405.

Guadamuz TE, Cheung DH, Wei C, Koe S, Lim SH. Young, online and in the dark: scaling up HIV testing among MSM in ASEAN. PLoS One. 2015;10(5):1–12.

Stringer JSA, Zulu I, Levy J, Stringer EM, Mwango A, Chi BH, et al. Rapid Scale-up of Antiretroviral Therapy at Primary Care Sites in Zambia: feasibility and early outcomes. JAMA. 2006;296(7):782–93.

Tabi MM, Powell M, Hodnicki D. Use of traditional healers and modern medicine in Ghana. Int Nurs Rev. 2006;53(1):52–8.

Humphreys CP,Wright J, Walley J, Mamvura CT, Bailey KA, Ntshalintshali SN, et al. Nurse Led, primary care based antiretroviral treatment versus hospital care: A Controlled Prospective Study in Swaziland. BMC Health Serv Res. 2010;10(229):1–7.

Shuaib W, Iftikhar H, Alweis R, Shahid H. Warfarin Therapy: Survey of Patients’ Knowledge of their Drug Regimen. Malays J Med Sci. 2014;21(4):37–41.

Waluyo A, Sukmarini L, Rosakawati R. Persepsi Pasien HIV/AIDS dan Keluarganya Tentang HIV/AIDS dan Stigma Masyarakat Terhadapnya. Jurnal Keperawatan Indonesia. 2006;10(1):16–23.

Shaluhiyah Z, Musthofa SB, Widjanarko B. Stigma masyarakat terhadap orang dengan HIV/AIDS. Jurnal Kesmas Nasional. 2015;09(4):333–9.

Phillips AN, Cambiano V, Nakagawa F, Brown AE, Lampe F, Rodger A, et al. Increased HIV incidence in men who have sex with men despite high levels of ART-induced viral suppression: analysis of an extensively documented epidemic. PLoS One. 2013;8(2):1–8.

Marcus U, Hickson F, Weatherburn P, Furegato M, Breveglieri M, Berg RC, et al. Antiretroviral therapy and reasons for not taking it among men having sex with men (MSM)-Results from The Europian MSM Internet Survey (EMIS). PLoS One. 2015;10(3):1–13.

Baghianimoghaddam MH, Forghani H, Zolghadr R, Rahaii Z KP. Health Belief Model and HIV/AIDS among high school female students in Yazd, Iran. J Res Med Sci. 2010;15(3):189–90.

Mimiaga MJ, Goldhammer H, Belanoff C, Tetu AM, Mayer KH. Men who have sex with men: perceptions about sexual risk, HIV and sexually transmitted disease testing, and provider communication. Sex Transm Dis. 2007;34(2):113–9.

Crepaz N, Marks G, Liau A, Mullins MM, Aupont LW, Marshall KJ, et al. Prevalence of unprotected anal intercourse among HIV-diagnosed MSM in the United States: a meta-analysis. AIDS. 2009; 23(13):1617–29.


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