National Blood-borne Virus and Sexually Transmissible Infections Surveillance and Monitoring Plan: 2010 - 2013

Aboriginal and Torres Strait Islander Strategy 2010 - 2013

Page last updated: November 2011

Objective

IndicatorData components and sourceLikely report date/Implementation Plan
Aboriginal and Torres Strait Islander 1
To reduce hepatitis B infection
Hepatitis B immunisation coverage among Aboriginal and Torres Strait Island children at 12 and 24 months

12 month coverage assessment:
Numerator: Number of Aboriginal and Torres Strait Islander children in the relevant birth cohort who have been administered dose three of hepatitis B vaccine by 12 months of age recorded on the Australian Childhood Immunisation Register (ACIR)
Denominator: Number of Aboriginal and Torres Strait Islander children turning 12 months of age in the measurement year on the ACIR
24 month coverage assessment:
Numerator: Number of Aboriginal and Torres Strait Islander children in the relevant cohort who have dose three hepatitis B vaccine administered by 24 months of age recorded on the ACIR
Denominator: Number of Aboriginal and Torres Strait Islander children turning 24 months of age in the measurement year on the ACIR
2011
Aboriginal and Torres Strait Islander 2
To work towards eliminating infectious syphilis in Aboriginal and Torres Strait Islander people
1.Rate of infectious syphilis notifications among Aboriginal and Torres Strait Islander people
Numerator: Number of notifications of infectious syphilis (defined as infection of less than 2 years duration) in Aboriginal and Torres Strait Islander people in National Notifiable Diseases Surveillance System

Denominator: Aboriginal and Torres Strait Islander population reported by Australian Bureau of Statistics
Analysis: gender
2011
2.Rate of syphilis testing among Aboriginal and Torres Strait Islander people in remote areasNumerator: Number of Aboriginal and Torres Strait Islander people tested for infectious syphilis in remote areas reported by pathology providers

Denominator: Number of Aboriginal and Torres Strait Islander people in remote areas reported by Australian Bureau of Statistics (as presented in National Notifiable Diseases Surveillance System annual reports)
Analysis: Gender
Currently not available
Jurisdictions to negotiate with pathology providers to access infectious syphilis testing data, focussing on NT, WA, Qld and SA and prioritising remote areas. Initial scoping, stakeholder identification and feasibility analysis by end Quarter 1 2012.
Aboriginal and Torres Strait Islander 3
To decrease the proportion of HIV and hepatitis C infection caused by injecting drug use



1.Proportion of Aboriginal and Torres Strait Islander people who are notified as newly diagnosed with HIV who report injecting drug use
Numerator: Number of Aboriginal and Torres Strait Islander people who are newly diagnosed with HIV who report injecting drug use reported by National HIV Registry

Denominator: Number of Aboriginal and Torres Strait Islander people who are newly diagnosed with HIV reported by National HIV Registry
2011
2.Incidence of newly diagnosed hepatitis C infection in Aboriginal and Torres Strait Islander peopleNumerator: Number of positive hepatitis C tests in Aboriginal and Torres Strait Islander people in enhanced sentinel surveillance sites

Denominator: Number of hepatitis C tests conducted in Aboriginal and Torres Strait Islander people in enhanced sentinel surveillance sites
Currently not available
See STI 1.2
Aboriginal and Torres Strait Islander 4
To increase the level of systematic testing and treatment of sexually active 15 to 30 year olds, noting that testing will likely increase the notifications of bacterial STIs in the short term-before a reduction in the long term
1.Proportion of Aboriginal and Torres Strait Islander young people who report having had an STI test in the previous 12 monthsNumerator: Number of Aboriginal and Torres Strait Islander people aged 15- 30 years who report having an STI test in the previous 12 months reported in National Sexual Health and Relationships in Young Indigenous People study
    Denominator: Number of Aboriginal and Torres Strait Islander people aged 15- 30 years in the National Sexual Health and Relationships in Young Indigenous People study

    Analysis: Gender
    2012
    2.Rate of chlamydia tests in remote areas in NT, Qld, SA, WA in the previous 12 monthsNumerator: Number of chlamydia tests for remote areas in NT, Qld, SA and WA reported by Medicare
    Denominator: Number of Aboriginal and Torres Strait Islander people living in remote areas in NT, Qld, SA and WA reported by Australian Bureau of Statistics
    Analysis: Age, gender
    Currently not available
    Numerator: See STI 4.1
    3.Proportion of Aboriginal and Torres Strait Islander young people receiving a chlamydia and gonorrhoea test in the previous 12 monthsNumerator: Number of Aboriginal and Torres Strait Islander people aged 15 to 29 receiving at least one chlamydia and one gonorrhoea test in enhanced sentinel surveillance sites
    Denominator: Number of Aboriginal and Torres Strait Islander people aged 15 to 29 accessing health services in enhanced sentinel surveillance sites
    Analysis: Age, gender
    Currently not available
    See STI 1.2
    Aboriginal and Torres Strait Islander 5
    To improve Aboriginal and Torres Strait Islander people’s knowledge of STIs and BBVs
    Proportion of Aboriginal and Torres Strait Islander people giving correct answers to knowledge questions on STIs and BBVs


    Numerator: Number of Aboriginal and Torres Strait Islander people giving correct answers to knowledge questions on STIs and BBVs in the National Sexual Health and Relationships in Young Indigenous People study

    Denominator: Number of Aboriginal and Torres Strait Islander people in the National Sexual Health and Relationships in Young Indigenous People study
    2012
    Aboriginal and Torres Strait Islander 6
    To increase the number of Aboriginal and Torres Strait Islander peoples receiving treatment for HIV, hepatitis C and hepatitis B
    1.Proportion of Aboriginal and Torres Strait Islander people with HIV receiving antiretroviral treatment


    Numerator: Number of Aboriginal and Torres Strait Islander people dispensed antiretroviral treatment through Highly Specialised Drugs Program

    Denominator: Number of Aboriginal and Torres Strait Islander people on National HIV Registry
    Currently not available
    Numerator: Department of Health and Ageing to negotiate arrangements with Medicare for the routine release of Highly Specialised Drugs Program data, cross-tabulated by Voluntary Indigenous Identifier data.
    2.Proportion of Aboriginal and Torres Strait Islander people with chronic hepatitis C who are dispensed drugs for hepatitis C infection through the Highly Specialised Drugs Program in the previous 12 months
    Numerator: Number of Aboriginal and Torres Strait Islander people dispensed medication for hepatitis C infection through Highly Specialised Drugs Program

    Denominator: Model-based estimate of number of Aboriginal and Torres Strait Islander people with chronic hepatitis C
    Currently not available
    Numerator: See Aboriginal and Torres Strait Islander 6.1
    Denominator: Kirby Institute to recommend options for estimating the number of Aboriginal and Torres Strait Islander people with hepatitis C and hepatitis B in each jurisdiction, by end 2011.
    3.Proportion of Aboriginal and Torres Strait Islander people with chronic hepatitis B who are dispensed drugs for hepatitis B infection through the Highly Specialised Drugs Program in the previous 12 months Numerator: The number of Aboriginal and Torres Strait Islander people dispensed medication for hepatitis B infection through Highly Specialised Drugs Program

    Denominator: Model-based estimate of number of Aboriginal and Torres Strait Islander people with chronic hepatitis B
    Currently not available
    Numerator: See Aboriginal and Torres Strait Islander 6.1
    Denominator: See Aboriginal and Torres Strait Islander 6.2
    Aboriginal and Torres Strait Islander 7
    To implement a national accreditation scheme for Aboriginal and Torres Strait Islander sexual health workers, under the Coalition of Australian Governments’ National Registration Program
    Number of Aboriginal and Torres Strait Islander people registered under the National Registration Program Number of Aboriginal and Torres Strait Islander people registered under the National Registration program Currently not available
    CDNA to further consider indicator at such time as a national health registration plan is implemented.