Men who have sex with men; Transvestites and Trans Women; HIV; HIV testing

The HIV/AIDS epidemic since its beginnings in the 1980s is fraught with stigma and prejudice against certain groups, especially the gay community, men who have sex with men (MSM) and transgender people (especially transvestites and trans women) ( TT), minority and traditionally marginalized groups. Although HIV infection is not restricted to sexuality, but to behaviors, the levels of incidence in these groups are higher than the general population, with the epidemic concentrated in these so-called key populations and which, with the advent of

the use of antiretrovirals as a measure of facing the epidemic, it is essential that these populations, above all, have access to routine testing for HIV. This is an integrative literature review conducted without date and language restriction, including studies published up to September 2021 in electronic databases, using free and indexed terms and Boolean operators, with the objective of evaluating intervention strategies to expand HIV testing among MSM, transvestites and transgender women available in the literature and which can contribute to the development of public policy in Brazil. The PICOD strategy was used, having as an eligibility criterion the increase in the proportion of HIV testing after the use of the intervention strategy, being included 35 original articles between clinical trials (randomized and nonrandomized), quasi-experimental studies, case studies -control, cohort, cross-sectional and ecological studies that showed an increase in HIV testing after using the intervention strategy. The studies were classified into four main strategies of approach to increase HIV testing,

distribution of self-tests, organization of health services, social marketing campaigns and peer education, with each intervention modality having its advantages and limitations for the increased testing in these populations; however, it was not possible, with the search criteria defined, to find disaggregated data for the trans population, although in theory the results for MSM can be applied to reach this audience. The recommendations are useful to be applied in the elaboration of public policies that can increase the access and the levels of testing of these populations in the daily routine of health services in Brazil.