Priority Action Area:
- Developing a culturally appropriate targeted national education and health promotion program aimed at prevention of HIV infection in priority groups, especially gay and other homosexually active men.
- Ensure current education and prevention messages are refocused to address the rises in HIV and STIs (specifically bacterial
- STIs, such as chlamydia, gonorrhoea and syphilis, and as outlined in the National STIs Strategy)
- Achieve the early and comprehensive involvement of community organisations (such as gay, injecting drug user and sex
- worker organisations) and the Aboriginal and Torres Strait Islander community to ensure that programs are appropriately designed and delivered.
- Identify specific initiatives for each of the priority target populations.
- Ensure the continued involvement of PLWHA as key partners in prevention education.
Responsibility:Lead: Department of Health and Ageing; AFAO; NAPWA; AIVL; Scarlet Alliance.
Partners: MACASHH; IGCARHD; State and Territory Government Departments; NACCHO/ACCHOs and affiliates.
By When:Progressive over the life of the Strategy.
Approach to Achieve Outcomes:
- Australian Government or State and Territory Government support to community based and professional organisations.
- Decrease risk taking behaviour and promote healthy living amongst priority groups (particularly gay and other homosexually active men, including HIV positive men) by improving access to education and prevention programs.
- Develop detailed HIV prevention and education strategies at jurisdictional level, with an increased focus on mechanisms to meet the needs of priority groups, and ensure proven successful mechanisms for HIV prevention are sustained, including peer education in priority groups and harm minimisation measures – such as those used by injecting drug user organisations and sex workers.
- Increase awareness amongst priority groups of the health consequences of HIV infection, and the links between STIs and HIV acquisition. This should include HIV and STI testing, to support a reduction in prevalence of STIs.
- Ensure the research program continues to address emerging and agreed priority social and behavioural issues to provide an evidence-base for program development and adjustment.
- PREP – monitor international trials and facilitate dialogue within the partnership.
- Implement the inclusion of education around PEP in any health promotion program, targeting high risk groups.
- Consider the changing nature of the gay community, including the impact of the internet on the lives and sexual practices of gay men.
- Build the capacity of community based organisations to address and inclusively respond to the needs of Aboriginal and Torres Strait Islander people, and people from culturally and linguistically diverse backgrounds. This could include workforce training.
- Assess needs, identify gaps and provide analysis in relation to the availability of education resources for priority groups.
- Establish a mechanism to effectively assess resource needs for education of priority groups, such as a pilot mapping project to identify gaps and provide analysis.
- IGCAHRD to provide a collation of jurisdictional activities and strategies (twice yearly); the Australian Government to include in a template.
- Establish a mechanism to effectively link the HIV/AIDS Strategy with other National Strategies (i.e. with the NATSISH&BBV Strategy and Hepatitis C Strategy) in relation to appropriate priority populations, especially Aboriginal and Torres Strait Islander people, people who inject drugs and people in custodial settings.
- Identify specific initiatives and education needs for priority groups – these may include peer education; outreach; harm reduction; workforce development in community based services and organisations, and health promotion strategies, including the provision of culturally appropriate education.
- Investigate strategies to support the role of GP S100 prescribers and other sexual health physicians to undertake opportunistic prevention education, and upskilling of those with priority population caseloads.
- Increase GP and primary care practitioner awareness and training opportunities to reduce the rate of late presentation.
- Ensure previously successful methods of HIV prevention are maintained, including needle and syringe programs, access to treatments and PEP, and an enabling environment.
- Identify specific initiatives in response to the HIV education needs of people from priority CALD backgrounds.
- A decline in the number of cases of newly acquired HIV infection, achieved within existing resources.
- Decreased number of late HIV presentations.
- Decreased prevalence of STIs.
- Increase in safe sex practices across priority groups.
- Decreased rates of unprotected anal intercourse among gay and other homosexually active men, especially with casual partners.
- Development and implementation of comprehensive jurisdictional HIV/AIDS strategies and guidelines.
- Increased capacity in community based organisations to address and inclusively respond to the needs of Aboriginal and Torres Strait Islander people, and people from culturally and linguistically diverse backgrounds.
- Increase in regular, appropriate HIV and STI testing among gay men.
- Appropriate HIV education programs delivered to affected people from CALD backgrounds.
Measures of Achievement:
- Number of cases of newly acquired HIV infections.
- Number of late diagnoses of HIV reported across all priority target populations.
- Rates of gonorrhoea, anal gonorrhoea and the number of notified cases of syphilis in homosexually active men.
- Percentage of people from priority groups particularly gay and other homosexually active men who report safe sex practices.
- Increased HIV and STI testing among gay men.