Objective of this research is to propose an integrated service model of HIV prevention through sexual transmission (PMTS). The proposed model is consisted of 10 different services that can be organized by public health center and its alliances. The model also indicates level of integration for each service into the public services in puskesmas. The level of integration could vary from partially integrated to fully integrated with the existing public health services at puskesmas. Partially integrated services where public health centers provide condom distribution and health promotion services for high-risk groups. The same integration level also can be seen where services are coordinated by public health center along with other parties, with the division of tasks and authority that is clear particularly in the provision of condoms. While fully integrated can be observed where the financial support and human resources from other parties come from outside the regular funding mechanisms specifically mobile VCT and ART services. This also works for services where PMTS related services are routine and mainstreamed including the diagnosis and treatment of STIs in individual health efforts, screening and treatment of STIs for FSW, adult male circumcision in individual health efforts and finally, health promotion services to the general public.

Regulations, implementation instructions, and technical guidelines governing the duties and responsibilities of public health centers in  PMTS are urgently needed. The regulations should cover mechanisms necessary for the implementation of the integrated services such as procurement and distribution of condoms; national pharmaceutical list of essential medicines for public health centers so that the treatment of STIs can be provided by the public health center efficiently; standard operational procedures for reporting systems, reporting lines, and data flow from the district/city health office; and financing structures for the provision of STI screening/treatment and VCT.