The dissemination of the Annual HIV AIDS Survey in East Java, from 6 CSOs implementing the program from USAID through the SUM2 Program was held at Ballroom 2 Mercure Grand Mirama Surabaya on September 25, 2013. The six CSOs are the GENTA Foundation Surabaya, Surabaya ORBIT Foundation, GAYa NUSANTARA Foundation, PERWAKOS Foundation Surabaya, Malang PARAMITRA Foundation, and Malang IGAMA Foundation.

The implementation of this dissemination activity in Surabaya was relatively successful because CSOs succeeded in cooperating with the East Java AIDS Commission (KPA) to perform as organizers of the event as well as invitees for institutions, corporate CSR, and stakeholders in the prevention of HIV AIDS in East Java as the target of the activity. In addition to bringing in corporate CSR whose results are not optimal yet, many institutions and key stakeholders have come into the field of HIV AIDS prevention in East Java. This success is also due to each CSO being able to back up their respective organizational invitation targets. As a result, KPA East Java, USAID SUM2 Program, SurveyMETER, and the six CSOs were the main organizing committee for the success of this dissemination activity.

The objectives of this dissemination activity in Surabaya are:

1. Present the results of research conducted by CSOs that concentrate on the issue of HIV and AIDS in Indonesia, especially in the East Java region.
2. Discusses the extent to which research results are able to leverage for the development and improvement of HIV and AIDS prevention programs in Indonesia, especially in the East Java region.

Dr. Otto Bambang Wahyudi, MS, MM, the Secretary of the East Java KPA, opened the event. In his remarks, after appreciating this dissemination activity, Dr. Otto reminded us that the population of people with HIV/AIDS in East Java just reached 17,775 people from the estimated 32,715 people. There must be something stressful about the results of this Annual Survey in the future, including the importance of qualitative and quantitative research and producing more accurate data.

The main event of the research results presentation was divided into two sessions. The first was the presentation of the Four CSOs, while the second was the presentation from the two other CSOs, as well as two presentations from FHI SUM1 research, and a global summary of the results of the Annual Survey by SurveyMETER. Dede Oetomo, Ph.D., a Sociology Linguistics expert from Airlangga University Surabaya who is also the founder of the GAYa NUSANTARA Foundation, moderated the main event.

The principal exposure from the presentation of the first research results from the GAYa NUSANTARA Foundation with assisted groups from the male sex with men (MSM) community gave rise to data that the MSM age group varied BETWEEN 20-40 years old with an active age of 20-29 years, the highest level of education was SENIOR HIGH SCHOOL. They were looking for a partner through the internet. For changes in behavior, such as using condoms, they are relatively aware of buying their own, even though the majority rely on the endowment supplies from companions.

The main point from the presentation of the results of the second research from the GENTA Foundation with assisted groups from the women's direct sex worker community (FSW) presents data that in terms of income, FSW is generally not only obtained through working as FSW but as Ladies Companion, other businesses bribe such as from trading or transfers from other parties. Comprehensive know-how of some basic knowledge about HIV-AIDS is still very low, only 13% answered correctly. Most of the FSWs only attended elementary level education, while now aging 20-50 years old. Their awareness level of using condoms during having sex with permanent partners was still less than with the non-permanent ones. However, the percentage of participants joining in inspections is quite high due to local agreements requiring them to take part in the agenda.

The presentation of the results of the third research from the IGAMA Foundation with assisted groups from the male sex with men (MSM) community concludes the data findings that in the MSM community, especially in Surabaya:

• Comprehensive knowledge of HIV is highest at the level of the group with a high school education of 67% and the lowest with a junior high school education of 9%.
• The risk behavior of transmitting STI HIV AIDS in the MSM community is still quite high (59%) during anal-sex and oral-sex intercourses.
• The level of condom use of respondents when having sex in KD (59%) is higher than respondents in non-KD (38%)
• There is a significant impact of program intervention by CSO Foundation IGAMA on respondents' health service-seeking behavior. The level of visits to the KD HCT test was higher than the non-KD respondents. Likewise, the level of visits to the KD STI test is higher than non-KD respondents.
• There is a significant effect on the frequency of visits by PL CSO IGAMA on the respondent's health service-seeking behavior.

The presentation of the fourth research results from the ORBIT Foundation with assisted groups from the PENASUN community concludes the data findings that:

1. The age of drug use is known to start at the age of 15 years, this shows that prevention efforts at this age need to be increased.
2. There are IDUs in the age range of 20 to 30 years, so a youth-based program approach is needed.
3. It is known that IDUs who do not share needles have a high percentage, one of which is supported by the LJSS satellite program which is a partnership between DKK through PKM and NGOs on the basis of easy access, however, the intensity of injecting drugs is quite high so it still requires the sustainability of the LJSS program.
4. The role of Field Officers in influencing Assisted Groups by providing information about comprehensive knowledge greatly influences changes in IDU behavior
5. The high number of sexual relations between IDUs to various types of partners with inconsistent use of condoms greatly influences the spread of HIV/AIDS.
6. Oral substitution is still an option in overcoming addiction and suppressing the transmission of HIV/AIDS, although certain types are still abused by IDUs.
7. HIV testing in NGOs, either through DiC or Mobile services, is still the community's choice.
8. Negotiation efforts to encourage communities to access services need to be carried out continuously in-field performance, for example for STI, TB, and other treatments.
9. Availability of various types of injected drugs, including Heroin, Suboxone, Diazepam, Subutex, and Methadone.

The presentation of the results of the fifth research in session two from the Malang PARAMITRA Foundation with assisted groups from the FSW and Shemale communities concludes the data findings that the established KD and non-KD respondents have provided a broader view of behavioral situations related to HIV and AIDS in the ongoing program. Hopefully, this information will contribute to the process of developing a scientifically proven AIDS response program based on the key findings that comprehensive knowledge about HIV and AIDS is still low, condom use when having sex with boyfriends or partners is still higher than among guests or customers, and most respondents who have used STI services and have been accompanied by HIV testing services indicate that STI and HIV services are already running.

The presentation of the results of the sixth research in session two from the Surabaya PERWAKOS Foundation with assisted groups from the Shemale community concludes the data findings that:

1. Comprehensive knowledge still needs to be improved even though outreach activities are good
2. The distribution of condoms to shemale is already quite high but what needs to improve is the awareness of shemale to access condoms independently and use them consistently.
3. The coverage of having been tested for HIV in transgender women is already high
4. Drug consumption, especially alcohol among shemale is still quite high even though the necessity to buy their own alcohol is low
5. CSOs or institutions are strategic, effective, and comprehensive means in an effort to change behavior in the transgender community and will play a role in breaking the chain of transmission, reducing prevalence rates until no more new infections and death rates exist due to HIV/AIDS.
6. The shemale community will be more effective if it is carried out by the shemale themselves
7. The balance of programs is very necessary for efforts to control STI and HIV/AIDS problems in the shemale community
8. All agency activities still depend on donor agencies

The presentation of the study from FHI SUM1 regarding the measurement of condom coverage, coverage quality, and condom access in a number of FSW hot zones in Surabaya using GPS and GIS applications concludes:

• Only 42% of hotspots have access to condoms within a 10-meter radius.
• The condom outlets displayed their condoms were only 39%, while the outlets displayed condom promotional materials in an easily visible place were only 13%.
• Most of the outlets were open until the evening at 9.00 pm, or even until the early hours at 04.00 am.
• Silk is the most popular condom brand in various FSW hotspots.
• The types of condom brands available at outlets are 72% of commercial condoms while 12% subsidized condoms.

Concurrently, the explanation of SurveyMETER's research results that summarized the entire research in terms of Intervention Program Correlation with MARP Knowledge and Behavior confirmed that there is interesting data on IDUs, and access to the internet and social media has a very positive effect. So, it is very potent and has the opportunity to try to disseminate information through social media. Then for paid sex workers, education level and age determine whether she will use a condom or not. The tendency of highly educated MSM, at the time of paying they did not to use condoms.

Various responses and questions appeared in this forum. In the discussion after the presentation of session 1, one respondent concluded that the data presented in this dissemination were generally the same as in similar activities several years ago. The success of the program is not only measured by the increase in comprehensive knowledge, but it could also be that comprehensive knowledge is not necessary, and the important thing is behavioral change.

In the discussion of session 2, suggestions were made for conducting a panel study. This Annual Survey activity is very useful for the development of the program in the future and it is necessary to continue and conduct panel studies. Surveys of the same people will not result in biased data. For assistance and outreach, several new breakthroughs can be used, such as the use of the internet, Black-Berry Messenger, and other innovations.

In the Dissemination Review and Next Steps session, it was seen that there had been a change from stigma and discrimination in the handling of HIV/AIDS in Surabaya. Now there is no discrimination in accessing services. Health services are in harmony, they can go anywhere. The next task is to start doing budget advocacy to the relevant SKPD in order to minimize dependence on donor agencies. In addition, there must be a move to seek sanctions for FSW, managers, and sex lovers, who do not use or provide condoms.

In closing, various recommendations were compiled from the Dissemination of the Annual HIV AIDS Survey in Surabaya as follows:

• Use the Multimedia Campaign to disseminate comprehensive information on HIV and AIDS
• Mobilizing the community through the Community Organizer (CO) concept
• Community empowerment to buy condoms independently through information on where condom outlets exist or are close to hotspots
• Need to improve access to complete mobile clinics/hotspot Venues (IMS & HCT)

• There is a need for special handling strategies for vulnerable groups that are still hidden either in accessing information and health services for STIs, HIV, and AIDS
• Increased institutional strengthening and understanding of KD and health care workers regarding consent when going to do an HIV test as a form of treatment for the counseling code of ethics
• Community participation and support in forming local agreements to create a conducive environment and as an effort to monitor FSW, especially in terms of health
• The importance of continuous mentoring to further increase KD visits in accessing health services, both STIs and HIV testing

• Encouraging equal and open partnerships as well as clear, coordinated, and integrated roles between program implementers from the government and civil society toward program success
• Data-based program planning can support effective and efficient program success

It is required to be a study of program learning that is not only measured based on the quantity of data but also on the quality of the interventions carried out