Background Brazil’s HIV epidemic is largely concentrated among key populations whose HIV infection rates can be up to 30 times higher than those observed in the general population. Rapid HIV testing and combination prevention in community settings, delivered by peers, allows for easier access to HIV testing. Our aim is to present the percentage of positive HIV rapid tests and intersectional risk factors of young key populations (YKP) targeted by the ‘Live Better Knowing’ programme, a nationwide initiative launched by the Brazilian Ministry of Health in close collaboration with NGOs.

Methods Programmatic data were analyzed, collected through Registration form of the Monitoring and Evaluation System Registration Form (SIMAV-Pro), collected from January 1st 2016 from December 31st 2018. 51 Brazilian NGOs administrated the form and offer rapid oral fluid HIV tests (DPP HIV-1/2 Bio-Manguinhos/Fiocruz) and combination prevention packages to sex workers, men who have sex with men (MSM), trans people, people who use drugs and and youngsters in these populations.

Results In total, 88,052 were tested aged from 15 to 24 yo, 69.2% were nonwhite, 58.9% reported drug use, 2.6% commercial sex, and 13.8% drug use and commercial sex combined. Overall, 49% reported condom use during their last sexual intercourse and 9% reported STI symptoms in the last 12 months. The general HIV prevalence found was 1% and its distribution among women, transvestites, trans women, trans men, MSM, and heterosexual men was 17%, 9%, 5%, 1%, 49%, and 19% respectively.

Conclusion Community-based rapid HIV testing delivered by peers reached YKP that had not previously accessed HIV testing. Given the combination of drug use and sex work, comprehensive combination prevention services need to be delivered. Our analyses suggest the need to impact behaviors related YKP focusing on sex workers, people who use drugs, MSM, and Trans people. These findings support community-based strategies in public health policies.

Disclosure No significant relationships.