Couples HIV Counseling and Testing (CHCT): views from high risk populations in Bali, Indonesia
Introduction: The number of HIV&AIDS cases is increasing, and heterosexual transmission serves as the main mode of HIV transmission in Bali. Most female cases are intimate partners of male cases; however, the current counseling is delivered for individuals rather than for couples. It has been documented that CHCT can reduce HIV transmission among discordant couples, thus it is important to explore the views from high risk populations regarding CHCT implementation in Bali. Methods: A qualitative study was conducted in February 2013 to explore views from high risk populations regarding CHCT in Bali. Two focus group discussions were conducted with female sex workers (FSWs) and several injected drug users (IDUs) were interviewed. Data were analyzed thematically. Results: In general, both FSWs and IDUs expressed their acceptance of CHCT; however, there are several conditions that may challenge the implementation. Some FSWs are still reluctant to open their HIV status to their partners because it could result in violence, abandonment or divorce. In contrast, some FSWs are willing to open their HIV status as they want to have children and to get support from their partners. However, most FSW’s partners refuse to get tested because they are afraid of the positive result. Moreover, they have a low perceived risk of HIV. IDUs explained that CHCT will need experienced and skilled counselors as IDUs are generally difficult to let others know about their high risk behaviors. Conclusion: CHCT is well accepted by FSWs and IDUs in Bali; however, it will need experienced and skilled counselors to motivate them opening their HIV status and high risk behaviors to their partners. Disclosure of Interest Statement: This study is funded by National AIDS Commission of Indonesia and HIV Corporation Program for Indonesia (HCPI).
