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Mapping Key Populations to Develop Improved HIV and AIDS Interventions: Multiphase Cross-Sectional Observational
Pande Putu Januraga1, Endang Lukitosari2, Lanny Luhukay2
1Center for Public Health Innovation, Faculty of Medicine, Udayana University, Denpasar, Indonesia.
JMIR Public Health and Surveillance
|January 30, 2025
Summary
Indonesia
Area of Science:
- Public Health
- Epidemiology
- Social Sciences
Background:
- Indonesia faces a complex HIV epidemic across its vast archipelago.
- Identifying key populations (KPs) is crucial for targeted HIV interventions.
- 90% of Indonesian districts report HIV cases, necessitating focused resource allocation.
Purpose of the Study:
- To map key populations (KPs) in Indonesia in 2022.
- To inform the development of improved HIV and AIDS interventions.
- To understand the distribution and dynamics of KPs for effective public health strategies.
Main Methods:
- A 2022 district-based mapping of KPs was conducted in 201 districts.
- Multiphase approach included participatory workshops, direct observation, and quality control.
- Data from 49,346 informants were collected, aggregated, and analyzed to estimate population sizes.
Main Results:
- 18,339 hotspots were identified across 201 districts, showing significant distribution disparities.
- KP numbers varied by district category, with "comprehensive" areas having the highest concentrations.
- Mapped populations differed from outreach program coverage, indicating a need for strategy recalibration.
Conclusions:
- Mapping reveals significant variations in KP distribution, requiring adaptive HIV prevention strategies.
- Findings support resource reallocation and adjusted outreach to better match KP dynamics.
- Longitudinal data and integration into planning are vital for effective HIV/AIDS control.
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