Invasive cervical cancer is still a public health burden in Indonesia, with increasing prevalence and mortality rate. Specifically, women living with HIV (WLHIV) have higher risk of developing dysplasia due to immunosuppression and more likely to have progression to high-grade cervical intraepithelial neoplasia compared with women without HIV. Contrastingly, only 7.34% of women aged between 30 to 50 years old in Indonesia have accessed the cervical cancer screening program until 2018, but limited information related to service utilization among WLHIV. 4 A study found that WLHIV were reluctant to access health services due to afraid of stigma and discrimination. Lack of knowledge regarding the risk of cervical cancer was associated with lower utilization of screening services among WLHIV. Recognizing that WLHIV have been most vulnerable group and limited published studies explore the service utilization of cervical cancer screening in Indonesia; therefore, this study aimed to provide understanding related to these gaps.