HIV/AIDS National Overview 2008


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An overview of national strategies and structures relevant to the HIV/AIDS response in Australia. This presentation was given by ANET Manager Simon Donohoe at the AFAO HIV Educators' Conference 2008.

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  • HIV/AIDS National Overview 2008

    1. 1. AFAO 2008 HIV Educators’ Conference Newcomers’ Dinner Overview of National Strategies and National Structures & Overview of AFAO Simon Donohoe Manager AFAO/NAPWA Education Team and AFAO National Aboriginal & Torres Strait Islander HIV/AIDS - Sexual Health Project
    2. 2. Presentation Overview <ul><li>National Strategies </li></ul><ul><li>State & Territory Strategies </li></ul><ul><li>National Advisory Groups </li></ul><ul><li>The Partnership </li></ul><ul><li>National Research Centres </li></ul><ul><li>AFAO’s work and structures </li></ul>
    3. 3. National Strategies <ul><li>Guide Australian response to HIV </li></ul><ul><ul><li>1985: Guiding principles, activities and strategies (Hlth Minister: Neal Blewett) </li></ul></ul><ul><ul><li>1989: 1 st National HIV/AIDS Strategy (International Best Practice) </li></ul></ul><ul><li>Since 2005: Four separate 3-year strategies: </li></ul><ul><ul><li>5 th National HIV/AIDS Strategy 2005-2008 (Revitalising Australia’s response) </li></ul></ul><ul><ul><li>2 nd National Aboriginal & Torres Strait Islander Sexual Health and Blood Borne Virus Strategy 2005-2008 </li></ul></ul><ul><ul><li>1 st National Sexually Transmissible Infections Strategy 2005-2008 </li></ul></ul><ul><ul><li>2 nd National Hepatitis C Strategy 2005-2008 </li></ul></ul>
    4. 4. National Strategies <ul><li>Due to expire 30 June 2008 </li></ul><ul><ul><li>Evaluation yet to commence </li></ul></ul><ul><ul><li>Strategies extended for 12 months (30 June 2009) </li></ul></ul><ul><ul><ul><li>allow adequate time for evaluation of current strategies and development of new national strategies </li></ul></ul></ul><ul><ul><li>Future Strategies for 5-years? </li></ul></ul><ul><ul><ul><li>Time for better planning and evaluation </li></ul></ul></ul><ul><ul><ul><li>Span electoral cycles (non-partisan) </li></ul></ul></ul>
    5. 5. State & Territory HIV & BBV Strategies <ul><li>Largely in line with the National strategies’ priorities </li></ul><ul><ul><li>Some variation (e.g. priority populations: NT = ATSI; Vic = gay men) </li></ul></ul><ul><ul><li>Sometime combine disease areas (e.g. HIV & STIs) </li></ul></ul><ul><ul><li>Tend to have a greater focus on on-the-ground implementation </li></ul></ul><ul><li>Report to the Commonwealth </li></ul><ul><ul><li>Currently: Public Health Outcome Funding Agreements (PHOFAs) </li></ul></ul><ul><ul><li>From 1 July 2009: Australian Health Care Agreements (AHCAs) </li></ul></ul><ul><ul><ul><li>Challenge: competing for attention with other public health issues (e.g. hospitals, diabetes, cardio-vascular) </li></ul></ul></ul><ul><ul><li>No financial reporting benchmarks - high level outcomes only </li></ul></ul><ul><ul><li>Additional HIV funding at the discretion of the State/Territory </li></ul></ul><ul><li>State/Territory Strategies’ time-spans not always in alignment with National Strategies’ time-spans </li></ul>
    6. 6. Commonwealth Ministerial Advisory Structures <ul><li>Ministerial advisory group structure and membership is currently on hold </li></ul>Commonwealth Department of Health & Ageing Previous (Tony Abbott’s) Structure Hepatitis C Subcommittee HIV & Sexually Transmissible Infections Subcommittee (HASTI) Indigenous Australians’ Sexual Health Committee (IASH) Ministerial Advisory Committee on AIDS, Sexual Health and Hepatitis (MACASHH)
    7. 7. Commonwealth - State/Territory Government Intersection <ul><li>Blood Borne Virus and STIs Subcommittee (BBVSS) </li></ul><ul><ul><li>Reps from all jurisdictional health departments as well as HIV/hepatitis infected and affected communities ( AFAO, NAPWA, Hep Aust, Scarlet Alliance, AIVL) </li></ul></ul><ul><ul><ul><li>Parent : Australian Population Health Development Principal Committee (APHDPC) </li></ul></ul></ul><ul><ul><ul><li>Grandparent : Australian Health Ministers’ Advisory Conference (AHMAC) </li></ul></ul></ul><ul><ul><ul><li>Dowager Duchess : Australian Health Ministers’ Conference (AHMC) </li></ul></ul></ul><ul><ul><li>Cross-jurisdictional HIV, STIs and hepatitis policy, strategy, coordination and implementation </li></ul></ul>
    8. 8. The HIV/AIDS Partnership affectionately referred to as “ The Partnership” <ul><li>UN General Assembly Declaration of Commitment on HIV/AIDS (2000) </li></ul><ul><ul><li>Multi-sectoral response to HIV, including: </li></ul></ul><ul><ul><ul><li>Government </li></ul></ul></ul><ul><ul><ul><li>Civil society </li></ul></ul></ul><ul><ul><ul><li>People living with HIV and AIDS </li></ul></ul></ul><ul><ul><ul><li>Vulnerable groups </li></ul></ul></ul><ul><li>Australian HIV Partnership </li></ul><ul><ul><ul><li>Governments (Federal, States/Territories, Local) </li></ul></ul></ul><ul><ul><ul><li>Health providers [s.100s drs & GPs (ASHM); sexual health sector, ancillary hlth] </li></ul></ul></ul><ul><ul><ul><li>Researchers (social/behavioural, scientific/medical/epi) </li></ul></ul></ul><ul><ul><ul><li>People living with HIV and AIDS (NAPWA, PLWHA orgs) </li></ul></ul></ul><ul><ul><ul><li>Affected communities ( AFAO, AIDS councils, drug user orgs, sex worker orgs) </li></ul></ul></ul>
    9. 9. National HIV Research Centres <ul><li>Clinical & Scientific </li></ul><ul><ul><li>National Centre in HIV Epidemiology and Clinical Research (NCHECR) </li></ul></ul><ul><ul><li>Australian Centre for HIV and Hepatitis Virology Research (ACH 2 ) </li></ul></ul><ul><li>Social & Behavioural </li></ul><ul><ul><li>National Centre in HIV Social Research (NCHSR) </li></ul></ul><ul><ul><li>Australian Research Centre in Sex, Health and Society (ARCSHS) </li></ul></ul>
    10. 10. Who is AFAO? and What does AFAO do?
    11. 13. Australian Federation of AIDS Organisations <ul><li>AFAO is the peak non-government organisation representing Australia's community-based response to HIV/AIDS </li></ul><ul><li>AFAO’s Vision: Living in a world with AIDS, working for a world without AIDS </li></ul><ul><li>AFAO Board: </li></ul><ul><ul><li>Meets ~6 times per year </li></ul></ul><ul><ul><li>Members: </li></ul></ul><ul><ul><ul><li>Five ordinary members from AFAO membership and the HIV sector </li></ul></ul></ul><ul><ul><ul><ul><li>liaison with AIDS councils/GLBTI health orgs </li></ul></ul></ul></ul><ul><ul><ul><li>Reps from the National Organisations: NAPWA, AIVL, Scarlet Alliance </li></ul></ul></ul><ul><ul><ul><ul><li>soon to ‘officially’ include the Anwernekenhe National A&TSI HIV/AIDS Alliance (ANA) </li></ul></ul></ul></ul><ul><ul><ul><li>AFAO Staff Representative </li></ul></ul></ul><ul><ul><li>Input and advice from and to members: </li></ul></ul><ul><ul><ul><li>AFAO members’ meetings: 2 General Meetings per year - April and November (AGM) </li></ul></ul></ul><ul><ul><ul><li>Consultation undertaken by Board members and secretariat staff </li></ul></ul></ul><ul><ul><ul><li>Through working groups </li></ul></ul></ul><ul><ul><ul><ul><li>e.g. Serosorting Policy Reference Group, Education Managers Forum (EMF), Treatment Policy Advisory Group, HIV Testing Policy Reference Group </li></ul></ul></ul></ul>
    12. 14. What does AFAO do? <ul><li>AFAO's work includes: </li></ul><ul><li>Representing interests of the affected communities at the federal level </li></ul><ul><ul><ul><li>Government and Departmental committees (MACASHH / BBV & STIs Subcommittee) </li></ul></ul></ul><ul><ul><ul><li>Scientific Advisory Committees of the National Research Centres </li></ul></ul></ul><ul><ul><ul><li>Research and other project advisory groups </li></ul></ul></ul><ul><ul><ul><ul><li>e.g. NCHSR’s e-Male Study, ARCSHS’ Futures Study, AIDS Treatment Project Australia (ATPA) </li></ul></ul></ul></ul><ul><li>Policy analysis and advocacy </li></ul><ul><ul><ul><li>Policy advice to AFAO Board, Ministerial Advisory bodies and Dept. of Health & Ageing, AFAO members </li></ul></ul></ul><ul><ul><ul><li>Submissions on pertinent policy issues to government </li></ul></ul></ul><ul><ul><ul><ul><li>e.g. National HIV Testing Policy </li></ul></ul></ul></ul><ul><ul><ul><li>Publications </li></ul></ul></ul><ul><ul><ul><ul><li>e.g. HIV Australia, AFAO Briefing Papers, Discussion Papers </li></ul></ul></ul></ul><ul><ul><ul><li>National forums on current strategy, policy and advocacy issues </li></ul></ul></ul><ul><ul><ul><ul><li>e.g. Positive Services Forum, National Forum on Gay Men and HIV Infections </li></ul></ul></ul></ul>
    13. 15. What does AFAO do? <ul><li>HIV and sexual health education and health promotion (policy, best practice, campaigns, resources) </li></ul><ul><ul><ul><li>Gay men and MSM </li></ul></ul></ul><ul><ul><ul><li>People living with HIV/AIDS </li></ul></ul></ul><ul><ul><ul><li>Aboriginal & Torres Strait Islander people </li></ul></ul></ul><ul><li>HIV Sector Capacity Building </li></ul><ul><ul><ul><li>Biennial HIV Educators’ Conference </li></ul></ul></ul><ul><ul><ul><li>Annual ATSIPON Forum </li></ul></ul></ul><ul><ul><ul><li>ANET Institutes: best practice and skills building </li></ul></ul></ul><ul><ul><ul><li>Issues-based discussion and briefing papers </li></ul></ul></ul><ul><li>International projects (focus in Asia-Pacific Region) </li></ul><ul><ul><ul><li>AFAO Small Grants Scheme (private donor $) </li></ul></ul></ul><ul><ul><ul><li>International policy, advocacy and strategy, capacity development </li></ul></ul></ul>
    14. 16. ANET Staff <ul><li>Phillip Keen </li></ul><ul><li>Dean Murphy </li></ul><ul><li>Jenny Duggan </li></ul><ul><li>Ben Wilcock </li></ul><ul><li>Joe Elias </li></ul>
    15. 17. Thanks for your attention Enjoy the conference