The principles informing this strategy are drawn from Australia’s efforts over time to respond to the challenges, threats and impacts of HIV, STIs and hepatitis C. Strategies addressing each of these diseases, including as they relate to Aboriginal and Torres Strait Islander peoples, seek to minimise their transmission and impacts on individuals and communities and establish directions based on their unique epidemiology, natural history and public health imperatives.
The guiding principles underpinning Australia’s response to HIV, STIs and viral hepatitis are:
- The transmission of HIV, STIs and hepatitis C can be prevented by adopting and maintaining protective behaviours. Vaccination is the most effective means of preventing the transmission of hepatitis B. Vaccination, education and prevention programs, together with access to the means of prevention, are prerequisites for adopting and applying prevention measures. Individuals and communities have a mutual responsibility to prevent themselves and others from becoming infected.
- The Ottawa Charter for Health Promotion4 provides the framework for effective HIV, STI and viral hepatitis health promotion action and facilitates the:
- active participation of affected communities and individuals, including peer education and community ownership, to increase their influence over the determinants of their health
- formulation and application of law and public policy that support and encourage healthy behaviours and respect human rights as this protects those who are vulnerable or marginalised, promotes confidence in the system and secures support for initiatives.
- Harm reduction principles underpin effective measures to prevent transmission of HIV and viral hepatitis, including the needle and syringe programs and drug treatment programs.
- People with HIV, STIs and viral hepatitis have a right to participate in the community without experience of stigma or discrimination, and have the same rights to comprehensive and appropriate healthcare as do other members of the community (including the right to the confidential and sensitive handling of their personal and medical information).
- An effective partnership of affected governments, affected communities, researchers and health professionals is to be characterised by consultation, cooperative effort, respectful discussion and action to achieve this strategy’s goal. This includes:
- non-partisan support for the pragmatic social policy measures necessary to control HIV, STIs and viral hepatitis
- recognition that those living with, and at risk of, infection are experts in their own experience and are therefore best placed to inform efforts that address their own education and support needs
- timely and quality research and surveillance to provide the necessary evidence base for action
- a skilled and supported workforce
- leadership from the Australian Government, the full cooperative efforts of all members of the partnership struck to implement this strategy’s agreed directions, and early adoption of a framework for monitoring and evaluating.
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4 The Ottawa Charter for Health Promotion is a 1986 document produced by the World Health Organization. It was launched at the first international conference for health promotion that was held in Ottawa, Canada.