Evidence map›Paper›PMID 29848324›Full record

ArticleInternational journal for equity in health2018

Barriers to HIV testing among male clients of female sex workers in Indonesia.

Nelsensius Klau Fauk, Anastasia Suci Sukmawati, Pius Almindu Leki Berek, Ernawati, Elisabeth Kristanti, Sri Sunaringsih Ika Wardojo, Isaias Budi Cahaya, Lillian Mwanri

Open access · goldAbstract read
In one paragraph

Article in International journal for equity in health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 2 pooled it
11.3field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 2 syntheses or guidelines pooled it, 40 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 5 institutions in 2 countries.

Nelsensius Klau FaukInstitute of Resource Governance and Social Change, Jl. R. W. Monginsidi II, No. 2, Kupang, Nusa Tenggara Timur, 85221, Indonesia. nelsen_klau@yahoo.com.ORCID 0000-0002-1325-2640
Anastasia Suci SukmawatiStikes Jenderal Achmad Yani Yogyakarta, Jl. Ringroad Barat Ambarketawang, Gamping, Sleman, Yogyakarta, 55294, Indonesia.
Pius Almindu Leki BerekJurusan Keperawatan, Universitas Timor, Jl. Wehor Kabuna Haliwen, Atambua, NTT, 85711, Indonesia.
ErnawatiSekolah Tinggi Ilmu Kesehatan Sint Carolus, Jl. Salemba Raya 41, Jakarta, 10440, Indonesia.
Elisabeth KristantiTimor University, Jl. Km 09, Kelurahan Sasi, Kefmenanu, NTT, 85613, Indonesia.
Sri Sunaringsih Ika WardojoUniversitas Muhammadiyah Malang, Jl. Raya Tlogomas, Malang, 65144, Indonesia.
Isaias Budi CahayaSamuel J. Moeda Indonesian Navy Hospital, Jl. Yos Sudarso No.5 Osmok Kupang, Nusa Tenggara Timur, 85232, Indonesia.
Lillian MwanriCollege of Medicine and Public Health, Flinders University, GPO Box 2100, Adelaide, South Australia, 5001, Australia.
University of Timor · IDFlinders University · AUUniversitas Jenderal Achmad Yani · IDUniversitas Muhammadiyah Kupang · IDUniversitas Muhammadiyah Malang · ID

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFrequent engagement of men in sexual encounters with female sex workers (FSWs) without using condoms places them at a high risk for HIV infection. HIV testing has been noted to be among important strategies to prevent HIV transmission and acquisition. However, it is known that not all men willingly undertake an HIV test as a way to prevent HIV transmission and/or acquisition. This study aimed to identify barriers to accessing HIV testing services among men who are clients of FSWs (clients) in Belu and Malaka districts, Indonesia.

methodsA qualitative inquiry employing face to face open ended interviews was conducted from January to April 2017. The participants (n = 42) were clients of FSWs recruited using purposive and snowball sampling techniques. Data were analysed using a qualitative data analysis framework.

resultsFindings indicated three main barriers of accessing HIV testing services by clients. These included: (1) personal barriers (lack of knowledge of HIV/AIDS and HIV testing availability, and unwillingness to undergo HIV testing due to low self-perceived risk of HIV and fear of the test result); (2) health care service provision barriers (lack of trust in health professionals and limited availability of medication including antiretroviral (ARV)); and (3) social barriers (stigma and discrimination, and the lack of social supports).

conclusionsThese findings indicated multilevelled barriers to accessing HIV testing services among participants, who are known to be among key population groups in HIV care. Actions to improve HIV/AIDS-related health services accessibility are required. The dissemination of the knowledge and information on HIV/AIDS and improved available of HIV/AIDS-related services are necessary actions to improve the personal levelled barriers. System wide barriers will need improved practices and health policies to provide patients friendly and accessible services. The societal levelled barriers will need a more broad societal approach including raising awareness in the community and enhanced discussions about HIV/AIDS issues in order to normalise HIV in the society.

Indexed as

Social StigmaSocial SupportAdultHealth Services AccessibilityHIV InfectionsHumansIndonesiaMaleMass ScreeningQualitative ResearchSexual BehaviorSex WorkersBarriersHIV testingIndonesiaMale clients of FSWs

Identifiers

PMID29848324
PMCPMC5977459
OpenAlexW2807433435

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.