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ISDS Annual Conference Proceedings 2012. This is an Open Access article distributed under the terms of the Creative Commons Attribution-
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ISDS 2012 Conference Abstracts

Surveillance-Based Program Planning
Rossi Sanusi*

Center for Health Service Management, Gadjah Mada University School of Medicine, Yogyakarta, Indonesia

Objective
to analyze the Integrated Behavioral & Biological Surveillance

(IBBS) 2011 data for designing a condom utilization program.

Introduction
The IBBS is part of the Indonesian MoH HIV Surveillance System,

which include Serological Surveillance, Behavioral Surveillance, Re-
productive Tract Infection Survey, and monthly HIV/AIDS facility-
based (hospitals, HCs, VCT Sites) monthly reports. The IBBS 2011
was conducted in 11 provinces (22 districts/municipalities) encom-
passing eight Most At Risk Populations (MARPs) – injection drug
users, transsexuals, men who have sex with men, youths, inmates,
mobile men, direct female sex workers (FSWs), and indirect FSWs.
Data of 442 direct FSWs of the Jayapura Municipality and Jayawijaya
District (Papua Province) showed that 406 (91.85%) have sex with
partners who did not use condoms. Of these 406 FSWs 60 (14.78%)
were HIV positive and 231 (56.89%) were STD positive.

Methods
Items of the Direct FSW Questionnaire, IBBS 2011, were exam-

ined and items that would yield information regarding content and
method of HIV prevention interventions by means of condoms were
identified. The Stata12 software was used to inspect/codebook the
variables related to the selected items, to recode numeric data into
categorical data, to generate one-way and two-way tables, and to pro-
duce pairwise correlations (and their significance levels).

Results
The Direct FSWs IBBS 2011 data of the Jayapura Municipality

and Jayawijaya District showed that there are significant positive cor-
relations between condom use behavior variables of FSWs (i.e., to
know, to possess, to buy, and to offer male condoms) and variables of
last-sex encounter condom use by customers, and between the latter
and HIV and STD lab results. The correlations were low, however, of
the condom use behavior variables and variables that are related to
comprehensive knowledge of HIV prevention, condom use by more
steady sex partners (e.g., husbands, boyfriends, other males) and fe-
male condom utilization, and during last-week and last-month sex
transactions. The data analyses also indicated details of the distribu-

tion of the FSWs, with their condom use behaviors, according to in-
dividual characteristics, CIE (communication, information & educa-
tion) intervention utilization, condom acquirement, and sexual
behavior.

Conclusions
The condom utilization campaigns ought to focus on continuous

reminders (instead of education programs) about how to persuade
customers and other sex partners to use condoms, or to allow FSWs
to use female condoms, and about where to go for HIV/STD testing
and treatment. The condom promotion drives should use posters, TV
ads, and field/health workers, The program should also make certain
that good quality condoms be made avaible by local managers (of
brothels, hotels, bars, etc.) and local vendors (drugists, stands, mobile
carts).

Keywords
IBBS; condom use; HIV; FSWs; Papua

Acknowledgments

The author thanks the Directorate General of Disease Control & Envi-
ronmental Health, MoH, Republic of Indonesia (for allowing to use the
IBBS 2011 data) and Family Health Indonesia (for funding the IBBS 2011
Data Analysis Training Program).

References

Ghimire, L., Smith, W., & van Teijlingen, E.R. (2011). Utilisation of sex-
ual health services by female sex workers in Nepal. BMC Health
Services Research 2011, 11:79.

Longfield, K., Panyanouvong, X., Chen, J., & Kays, M.B.. (2011). In-
creasing safer sexual behavior among Lao kathoy through an inte-
grated social marketing approach. BMC Public Health 2011, 11:872.

MoH, Republic of Indonesia. (2011). Report on the Development of HIV
& AIDS in Indonesia until June 2011.

*Rossi Sanusi
E-mail: rossi_sanusi@yahoo.com

Online Journal of Public Health Informatics * ISSN 1947-2579 * http://ojphi.org * 5(1):e175, 2013