National HIV/AIDS Strategy 2005-2008: Implementation Plan

3. Responding to changing care and support needs

Page last updated: 07 November 2006

Priority Action Areas:

  • Ensure that PLWHA can access appropriate treatments, care and support, including appropriate income support, disability support and carer allowances.
  • Improve collaboration between mental health, clinical and welfare services to address the care and support needs of PLWHA with cognitive illness and drug and alcohol dependency issues.
  • Develop long term support for PLWHA who are ageing or have chronic disabilities.

Responsibility:

Lead: Department of Health and Ageing; State and Territory Governments.
Partners: Aust Govt Dept of Human Services (Centrelink); IGCAHRD; AFAO; NAPWA; AIVL; Scarlet Alliance; State and Territory
Government Departments; ASHM.

By When:

Continuous

Approach to Achieve Outcomes:

  • Australian Government provision of national HIV/AIDS grants to community-based organisations.
  • Ensure PLWHA are able to access and negotiate appropriate treatment, care and support entitlements, such as Medicare and income support entitlements.
  • Consider and implement ways of raising awareness among service delivery agencies of the needs of PLWHA.
  • Ensure PLWHA have adequate access to mental health services, and that mental health workers have appropriate training and awareness of HIV treatment and care issues.
  • Increase access to related health services such as drug and alcohol services and counselling services and assist them to build the capacity of these services to respond to HIV, and develop and maintain links with key organisations in these areas.
  • Utilise the National Mental Health Action Plan and Better Outcomes in Mental Health Care Initiative linkages.
  • Include consideration of the needs of PLWHA who are co infected with hepatitis B and/or C when determining treatment options.
  • Develop links with Australian Government initiatives to better respond to the needs of young people requiring nursing home care and/or people who require long-term supported care and accommodation for chronic illness.

Outcomes:

  • Evidence of appropriate coordination and access to entitlements among PLWHA.
  • Evidence that PLWHA are accessing mental health services.
  • Increased awareness of issues for people living with HIV/AIDS among a range of service providers.
  • Equitable access to treatments, care and support services among PLWHA.
  • Improved health outcomes for PLWHA.

Measures of Achievement:

  • Feedback from PLWHA via community organisations on access to, understanding of and uptake of allowances.
  • Results of qualitative and quantitative research, such as HIV Futures.
  • NAPWA’s map/audit of HIV care and support issues/needs for people living with HIV/AIDS and prioritisation activities.
  • Number of initiatives to improve awareness among mental health care agencies and other service providers; number of mental health care workers reporting increased knowledge and awareness of HIV.
  • Strategies delivered to inform PLWHAs of service entitlements and support processes (including negotiation and appeal mechanisms).
  • MACASHH receives a report on progress of outcomes.

Priority Action Areas:

  • Appropriate training and skills development for staff of HIV/AIDS health services to improve service accessibility for people from CALD backgrounds.
  • Support for the HIV/AIDS community sector to improve its capacity to work with people from CALD backgrounds.
  • Sharing of innovative strategies, across jurisdictions, to provide support to gay and other homosexually active men from CALD backgrounds.

Responsibility:

Lead: Department of Health and Ageing; IGCAHRD; AFAO; NAPWA. Partners: ASHM; State and Territory Governments; MACASHH and HASTI.

By When:

Progressively

Approach to Achieve Outcomes:

  • Refocus current training programs to improve access to HIV services for people from CALD backgrounds.
  • Improved mechanisms for contact between jurisdictions, and with community based stakeholders to facilitate optimum service delivery for gay and other homosexually active men from CALD backgrounds who are HIV positive or are affected by HIV/AIDS.
  • Innovative strategies shared across jurisdiction in all States and Territories.
  • Undertake an assessment to determine HIV/AIDS service providers’ needs in relation to access by people from priority CALD backgrounds.

Outcomes:

  • Decreased proportion of late diagnoses of HIV infection among people from CALD backgrounds.
  • Consideration of a training and skills development program that could be applied nationally or jurisdictionally.

Measures of Achievement:

  • Increased utilisation of HIV/AIDS health services by affected people from CALD backgrounds.
  • Evidence of increased sharing/utilisation of innovative strategies across jurisdictions.

Priority Action Areas:

  • Development of culturally effective health promotion programs to increase the awareness of HIV/AIDS risk among Aboriginal and Torres Strait Islander people in rural/remote and urban settings, including specific programs focused on gay and other homosexually active men, women and people who inject drugs.
  • HIV-positive peer support for Aboriginal and Torres Strait Islander PLWHA.
  • Recognition of the importance of Aboriginal and Torres Strait Islander input and the role of Australian Government organisations, in advocating for improved health services for HIV/AIDS appropriate to Aboriginal and Torres Strait Islander communities and frameworks.
  • Access to appropriate HIV health care for Aboriginal and Torres Strait Islander people.

Responsibility:

Lead: Department of Health and Ageing; NACCHO/ACCHOs and affiliates; State and Territory Governments
Partners: AFAO; NAPWA; AIVL; DEST; IGCAHRD; ASHM; IASHC; SCATSIH.

By When:

Continuous

Approach to Achieve Outcomes:

  • Support community-based programs providing HIV health promotion and awareness among Aboriginal and Torres Strait Islander people.
  • Address high levels of stigma and discrimination around disclosure of HIV status.
  • Increase the number of Aboriginal health care workers with HIV/AIDS training.
  • Maintain linkages between the National HIV/AIDS Strategy, the National STIs Strategy and the National Aboriginal and Torres Strait
  • Islander Sexual Health and Blood Borne Virus Strategy.
  • Support Aboriginal and Torres Strait Islander PLWHA to adhere to treatment combinations.
  • Facilitate attendance of people from Aboriginal and Torres Strait Islander backgrounds at sexual health and HIV/AIDS clinics.
  • Facilitate communication between Aboriginal and Torres Strait Islander communities and community based organisations.
  • Ensure cultural responsiveness of all HIV/AIDS related health care settings, including ensuring they are designed to meet the needs of Aboriginal and Torres Strait Islander PLWHA.
  • Ensure access to best practice HIV/AIDS health care, especially in rural and remote settings.
  • Develop and offer training in HIV/AIDS and STI issues to Aboriginal and Torres Strait Islander health care workers employed outside of the HIV/AIDS sector.
  • Improve linkages between service providers, including between ACCHOs and mainstream services.

Outcomes:

  • Incorporation of needs specific to Aboriginal and Torres Strait Islander people into consultative processes and programs of community-based organisations.
  • People from Aboriginal and Torres Strait Islander backgrounds and those who work with them have knowledge of HIV prevention and the broader context of sexual health including issues related to stigma and discrimination.
  • Increased number of people from Aboriginal and Torres Strait Islander backgrounds reporting knowledge of HIV prevention and access to appropriate care and treatment.
  • Increased number of trained Aboriginal and Torres Strait Islander health care workers who have completed training in HIV/AIDS and STI issues.
  • Promotion of treatments and compliance packages for Aboriginal and Torres Strait Islander positive people in adverse environments.
  • Consideration of initiatives to combat stigma and discrimination around sexual behaviour, HIV/AIDS and STIs in Aboriginal and Torres Strait Islander communities.
  • Improved health outcomes for Aboriginal and Torres Strait Islander PLWHA.

Measures of Achievement:

  • Increased numbers of Aboriginal health care workers with training in HIV/AIDS and all aspects of sexual health.
  • Increased numbers of people involved with Aboriginal and Torres Strait Islander peer support.
  • Increased numbers of HIV positive people from Aboriginal and Torres Strait Islander backgrounds reporting access to appropriate HIV care and treatment.
  • Decrease in AIDS diagnoses in HIV positive Aboriginal and Torres Strait Islander people.

Priority Action Area:

  • The development of mechanisms to enable cohesive work across State and Territory jurisdictions as well as international borders in relation to the Torres Strait.

Responsibility:

Lead: Department of Health and Ageing; Queensland Health; AusAID.
Partners: IGCAHRD; State and Territory Governments; IASHC; SCATSIH; Torres Strait Regional Authority; Queensland AIDS Council.

By When:

Continuous over the life of the Strategy.

Approach to Achieve Outcomes:

  • Consider implications of the Torres Strait Treaty Health Initiative, and consult with all relevant agencies to develop a comprehensive approach for prevention of rises in HIV infections in the Torres Strait region, northern Queensland and other regions.

Outcomes:

  • Increased rates of safe sex reported by Torres Strait Islander people.
  • Decline in the number of newly diagnosed HIV infections in Aboriginal and Torres Strait Islander communities.
  • The existence of cross border treatment and care mechanisms.

Measures of Achievement:

  • Number of cases of newly diagnosed HIV infection in Aboriginal and Torres Strait Islander peoples.
  • The implementation of treatment and care programs in HIV for Aboriginal and Torres Strait Islander peoples.

Priority Action Area:

  • Workforce development for health care workers and other services with the particular aim of maintaining high quality expert knowledge and skills in relation to HIV/AIDS and STIs in both government and non-government health and community services.

Responsibility:

Lead: Department of Health and Ageing; ASHM
Partners: State and Territory Governments; DEST; AFAO; NAPWA; IGCAHRD; NACCHO and affiliates.

By When:

Progressively

Approach to Achieve Outcomes:

  • Increase capacity of health care services in relation to the recognition, diagnosis and treatment of HIV, through education and training.
  • Improve access to HIV/AIDS and STIs education and accredited training programs for medical and allied healthcare workers and health care students as appropriate.

Outcomes:

  • Increased number of health care service providers and community based workers receiving accredited HIV education including people from CALD backgrounds and Aboriginal and Torres Strait Islander workers.
  • Use of HIV positive people’s perspectives, and/or broader PLWHA issues in training sessions.
  • Decrease in number of late HIV/AIDS diagnosis.
  • Improved clinical outcomes for PLWHA through improved clinical management, including at the point of HIV diagnosis.

Measures of Achievement:

  • Increased numbers of health care workers and health care students receiving HIV/AIDS and STIs education.
  • Proportion of health care service providers and community based workers accessing accredited HIV education training programs.
  • Ongoing accreditation (eg continuing medical education) for HIV prescribers monitored.