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NSW STIGMA Syphilis Campaign

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An overview of the NSW STIGMA Syphilis Campaign in 2007 by Nick Corrigan.

An overview of the NSW STIGMA Syphilis Campaign in 2007 by Nick Corrigan.


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  • Transcript

    • 1. Join Me!
      • An overview of the NSW STIGMA Syphilis Campaign
      Nick Corrigan Director, Community Health
    • 2. Overview
      • Local data
      • STI prevention 2004-2007
      • Changes in rates
      • STIGMA response
      • Next steps
    • 3. The rise and fall in NSW
    • 4. STIs or Infection Specific?
    • 5.  
    • 6.  
    • 7. Like a phoenix from the ashes
    • 8. A partnership response
      • From each of the South Eastern Sydney Illawarra Area Health Service, Sydney South West Area Health Service and Northern Sydney Central Coast Area Health Service.
        • Director, Public Health Unit
        • Director, Sexual Health Services
        • Manager, HIV/Sexual Health promotion
        • Manager, HIV/AIDS/Sexual health program
      • Director and a Manager, ACON
      • General Practitioners, Division of General Practice representatives
      • General Practitioner, HIV GP Study Group
      • National Centre in HIV Social Research
      • National Centre in HIV Epidemiology and Clinical Research
      • Manager, People Living with HIV/AIDS (NSW)
      • AIDS/Infectious Diseases Branch, New South Wales Health Department
    • 9. Five complementary aspects of a Syphilis control program
      • Screening
      • Clinical diagnosis
      • Treatment
      • Partner notification
      • Health education
      • Cates, Willard et al (1996)
    • 10. Just one month
    • 11. Highly targeted
    • 12. Screening
      • Encourage health care providers to routinely test all pos gay men for syphilis when conducting regular blood tests between October 2007 and April 2008.
      • Ensure men are aware that there is enhanced access to testing and treatment from 1-30 October 2007.
      • Ensure men are aware that testing at the same time as others in their sexual networks has a greater impact than regular testing alone.
      • Encourage men to present for testing from 1-30 October 2007.
    • 13. Clinical diagnosis
      • Encourage health care providers to explore ways of maximising the number of syphilis tests they can provide in October by enhancing access to clinical services for this target group.
    • 14. Treatment
      • Treatment of diagnosed infection
      • Encourage health care providers to treat according to CDC guidelines
      • Prophylactic treatment or sexual partners of infected individuals
      • Encourage health care providers to treat for syphilis prior to return of positive result after probable exposure.
      • Encourage use of benzathine penicillin (one shot)
      • Mass treatment of communities with high prevalence
      • Not a part of this intervention.
    • 15. Partner notification
      • Encourage health care providers to promote partner notification / contact tracing.
      • Encourage infected and treated individuals to contact their sexual partners.
    • 16. Health education
      • Ensure men are aware that there is a high prevalence rate of syphilis in their networks.
      • Ensure men are aware of the negative health impact of untreated syphilis.
      • Ensure men are aware of the HIV related health impact of syphilis infection.
    • 17. Strategies
      • Contact with individual health care providers.
      • Structural changes to services offered
      • Education through press editorial
      • Social marketing
    • 18. Contact with individual health care providers.
    • 19. Structural changes to services offered
      • Nurse-only clinic (Sanctuary SSW)
      • Sexual Health Service's clinical 'careset' for HIV positive clients (CS)
      • All male clients offered tests (RPAH HIV Outpatients Clinic)
      • Emphasized gay men in triage system
    • 20. Education through press editorial
      • Early involvement of journalist
      • Enabled wider message than social marketing
    • 21. Social marketing
      • Posters (1,500)
      • Post cards (3,000)
      • Press (8 placements)
      • Banners
      • Social networks
    • 22. Real people
    • 23. Targeted messages
    • 24. Venue partnerships
    • 25.  
    • 26. Peer to peer
      • Model’s elists
      • Online chat through sexpigs.com
    • 27.  
    • 28.  
    • 29.  
    • 30. Ongoing promotion
    • 31. Why test update
    • 32. Evaluation
      • Web stats
      • Test requests
      • Syphilis diagnoses
      • Clinical changes
      • Campaign recognition
      • Target audience feedback
      • Model feedback
    • 33. Feedback so far …
      • Pos groups
      • Community members
      • Clinic staff
      • Venues
    • 34. Plans for the future
      • Annual?
      • Cross state?
    • 35. Thank you
      • Questions?
      • Nick Corrigan
      • [email_address]
      • 02 9206 2071

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