This document summarizes the results of a key population mapping conducted in Indonesia in 2022. Over 17,000 hotspots were identified for men who have sex with men, transgender women, female sex workers, and people who inject drugs across hundreds of districts. Field teams then observed and interviewed informants at over 90% of the identified hotspots. The mapping found variations in the number of key populations estimated by districts compared to those observed. It also provided information on service access and mobility of key populations that can inform HIV prevention programs and sampling for integrated biological and behavioral surveys.

1. Preliminary Result of HIV Key
Population Mapping 2022

2. Preparation
- Training provincial coordinator
(@ 2 people)
- Training district coordinator (@
2 people)
Training field team (5-17
people/district
Data Collection
- Socialization at the district level
- Identified hotspot and
gatekeeper and estimated the
number of KP per hotspot
- Observe hotspot
- Interview 2 – 5 informants per
hotspot
Recording, Compilation
and Validation
- Recoding (at district) and
compilation (province & national)
data using standardized excel
form
- Validation data through several
offline and online workshops
Distribution number of physical hotspots identified by district
stakeholders
KPs Mapping Location 2022 • KPs: MSM, TG, FSW, PWID
• Location :
• 173 districts with prevention
programs among at least 1 KPs
supported by The GF
• + 6 IBBS districts and 21 districts that
have no prevention intervention from
The GF
• Piloting virtual mapping in districts
with good internet coverage.

3. • Total number of hotspots
identified
• MSM : 6,716
• PWID : 658
• TG : 2,613
• FSW : 7,496
• Several districts don’t list all
identified hotspots due to:
• Miss understanding the
guideline
• List only hotspots will be
observed base on the budget
provided
• Other non-technical reasons
MSM, 192 Districts PWID, 67 TG, 190 FSW, 196
10th percentile
Minimum
1st quartile
Mean
Median
3rd quartile
90th percentile
Maximum
Distribution number of physical hotspots identified by district
stakeholders

4. • Brothels/permanent places to sell sex still significantly contribute to the FSW’s hotspots
despite the majority of hotspots for all KPs being open spaces and recreation places
Number & Proportion of Identified Hotspots by KPs
Distribution type of physical hotspots identified by district
stakeholders

5. • District stakeholders
(including CSO performing
outreach activities) listed
hotspots of KPs and
estimate population size
in each hotspot.
• The range of estimated
KPs are very wide with
highest average per
district is FSW, but the
highest maximum
estimated per district is
MSM.
MSM, 192 Districts PWID, 67 TG, 190
FSW, 196
Number of KPs estimated by district stakeholders

6. Number & % of field observations starting time by KPs
Number & proportion of field observations month by KPs
• More than 90% of identified hotspots were also observed (MSM 94%/6,300 Hotspots, PWID
93%/612, TG 92%/2,395, FSW 93%/6,969). Most of them were observed only once
• Field observations were done by a trained district team comprising 5-7 health and
community workers representatives, mostly done in August 2022 from noon to midnight
Time of field observation/mapping on the hotspot

7. Hotspot observation results
MSM, 190 Districts PWID, 65 TG, 190
FSW, 194
Number of KPs observed on the hotspot per district
Duration of observation
• Variance between the median of
estimated KPs by district stakeholders
with the median of observed KPs on
the hotspot:
• MSM : -21%
• FSW : -32%
• PWID : -35%
• TG : -27%

8. MSM FSW PWID TG
Number of hotspot
observed
6,300 6,969 612 2,395
Number of KP interviewed
11,872
(64%)
12,419
(61%)
1,312
(70%)
4,520
(67%)
Number Non-KP
interviewed
6,562 7,797 551 2,250
Mean of KP interviewed
per hotspot
2.9 2.9 3.0 2.8
KP using social media to
reach sex partner
86% 54% 15% 73%
Mean of hotspots visited
by KP on the last day
1.33 1.14 1.26 1.37
Interview with informant on the hotspots
• Most of the informants interviewed
on the hotspot are the key
population
• Around 3 KPs were interviewed per
observed hotspot
• MSM and TG largely use social
media to reach casual/commercial
sex partners, while only half of FSW
and 15% PWID do it.
• TG population have the highest
average number of hotspot visited
in the past day, while FSW is the
lowest

9. Result of Informant Interview on the hotspots-1
On the peak time On Saturday Before Covid-19 Pandemi
Minimum
10th percentile
Median
Median variance with median
estimated by district stakeholders
Mean
90th percentile
Maximum

10. Result of Informant Interview on the hotspots-2
Number of KP visiting and not visiting the hotspot • According to informants, almost
30% of estimated PWID, 17% of
TG, 16% of MSM, and only 8% of
FSW are not visiting hotspots.
• Not all TG mapped are sex
workers; almost all TG who sell sex
visiting hotspots.
• These findings are consistent with
anecdotal information and
outreach reports from PR Spiritia
(outreaching MSM, TG, and PWID)
and PR IAC (FSW).
• These findings should be sufficient
to justify IBBS sampling method
RDS for PWID and MSM, and TLS
for FSW and TG