Provider-initiated testing or screening for STIs has been an important initiative in sexual health activities for some Aboriginal and Torres Strait Islander communities. Testing or screening has been largely delivered through organised population-based programs in communities where prevalence rates of bacterial STI are considerably high. Scope exists for increasing activity in this area of testing and treating STIs among those aged 15 to 30 years. However it is important that screening not be a standalone strategy—regular opportunistic testing and follow up must occur concurrently to have an impact on STI prevalence rates.