NSW STI Programs Unit  UPDATE  September 2011 Southern & Murrumbidgee LHD
Organisational Setting Esther Chau -  part time - administration support ADVISORY GROUP SESIH Financial and  Business mana...
WORKING WITH GENERAL PRACTICE  <ul><li>Support sexual health service provision by GPs by ensuring access to education and ...
WORKING WITH GENERAL PRACTICE <ul><li>Support sexual health service provision by GPs by ensuring ready access to informati...
WORKING WITH GENERAL PRACTICE    MASTER CLASS  “ SEX...NEED A  HAND” <ul><li>3 Improve communication of Area Health Servic...
HEALTH PROMOTION RESOURCE PROJECT  <ul><ul><li>Increase awareness of HIV/AIDS and reduce HIV related stigma & discriminati...
HEALTH PROMOTION RESOURCE PROJECT  <ul><li>Increase general awareness of STIs, including the asymptomatic nature of many  ...
HEALTH PROMOTION RESOURCE PROJECT  <ul><li>Social Research </li></ul><ul><ul><li>Understanding barriers to STI testing amo...
PUBLICLY FUNDED SEXUAL HEALTH SERVICES PROJECT <ul><li>1. Improving access to sexual health clinics for priority populatio...
PUBLICLY FUNDED SEXUAL HEALTH SERVICES PROJECT <ul><li>2. Strengthen local partnerships with general practice </li></ul><u...
PUBLICLY FUNDED SEXUAL HEALTH SERVICES PROJECT <ul><li>3 . Promote best practice standards within publicly funded sexual h...
STI CONTACT TRACING & GP RESEARCH <ul><li>1. GP Research - To support the development of research into general practice ST...
STI CONTACT TRACING & GP RESEARCH <ul><li>2 . To strengthen contact tracing measures across the state including Sexual Hea...
STI CONTACT TRACING & GP RESEARCH
 
 
 
NSW SEXUAL HEALTH INFOLINE <ul><li>Aims: </li></ul><ul><li>1.  To educate and promote the sexual health of the community. ...
  NSW SEXUAL HEALTH INFOLINE <ul><li>2009/2010: 6, 200 calls in NSW </li></ul><ul><li>GSAHS: </li></ul><ul><ul><li>86 comm...
<ul><li>Provide triage and administration support (freecall  transfer). </li></ul><ul><li>Info and support to STI contacts...
www.stipu.nsw.gov.au/shil
<ul><li>Discussion </li></ul><ul><li>What have been your experiences with triage and priority populations? </li></ul><ul><...
 
 
 
 
 
 
 
 
 
 
Fact sheets
Core Business Statement
Core Business cont ’
Mail out to GPs  1 & 2
Getting STIs on the Agenda <ul><li>MEDICAL UPDATE  Dr Chris Bourne , Head, New South Wales Sexually Transmissible Infectio...
 
 
 
 
Website banners
Special Feature
Self collection of specimens
DRAFT REVIEW  <ul><li>Aboriginal and  </li></ul><ul><li>Torres strait islander </li></ul><ul><li>Communities </li></ul><ul...
 
 
 
 
 
 
 
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2011 southern and murrumbidgee lhd stipu sept teleconference

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  • From the NSW STI Strategy 2006-2010
  • From the NSW STI Strategy 2006-2010
  • From the NSW STI Strategy 2006-2010
  • Early 2009 Ms Kim Stewart (A/Director Health Protection, NSW Health) sent the attached letter requesting all NSW public and private laboratories to add referral notes to all sexually transmissible infections (STI) and HIV results. This initiative was endorsed by the NSW Microbiology Laboratory Network  and aimed to support patients and their doctors by providing timely information when receiving test results for STI and HIV.   Some laboratories have added the information to their pathology test results prompting calls to the NSW Sexual Health Information Line.
  • Summary of changes this year C3 - Contact tracing – when to offer provider referral C4 – Contraception - new chapter added C6 - HIV monitoring – holistic management C7 - HIV testing – information on counsellor’s role expanded P2 – STI prevention - counselling guidelines – referral P3 – MSM guidelines STIGMA 2010 G6 – Protecting children and young people MRG G7 – Sexual Health Outreach A4 - Student placement – current documentation requirements
  • Process -how the resources were planned, delivered and received by the target audience. Impact -what outcomes were achieved and the extent to which the GP Project aims were achieve Researcher are evaluating the educational resources developed through the GP Project (clinical guides, educational modules in text, image and audio formats) Who developed, used, and perhaps did not use the resources
  • Articles in GP (med ob, AFP, Aus Doc in 2011) and PN publications Partnering with ASHM on cross promotion of CT resources Development of online CT GP education program Developing CT FAQ section on GP NSW website for GP Including CT key messages in any GP/PN education initiatives – GP ALM example Quality Assurance Activies Survey of PFSHS re: CT Data collection and any QA activities undertaken as this varies widely across state Update of Contact Tracing SOP Exploration of Contact Tracing Quality Assurance Activities Supporting clinics in providing STI education to general practice
  • Operating since 1989- state wide since 2005 Member of Helplines Australia (not for profit association-produce national best practice guidelines)
  • M:F ratio 2:1, 29-35 years, Most HRPC and symptomatic for STI, 1:5 not priority. STI testing, HSV, Syphilis Chlamydia, Phone book or internet BMJ 2009;339;b2534
  • Clubs, bars, sporting, and racing events.
  • Info provided on the phone line is referenced in the Referral Manual Has local, state, national HIV, sexual health and viral hepatitis resources. (contents reviewed twice yearly by TOR). Accessible to all health professionals by clicking on Blue phone. Accredited by Health On the Net (not for profit organisation based in Geneva-endorses medical websites)
  • Place: opportunistic advertising..
  • Condoms…. 15 000 over 26 nights – evidence that free Condom distribution is effective – 2/3 wil be used as intended. High acceptance.
  • 2011 southern and murrumbidgee lhd stipu sept teleconference

    1. 1. NSW STI Programs Unit UPDATE September 2011 Southern & Murrumbidgee LHD
    2. 2. Organisational Setting Esther Chau - part time - administration support ADVISORY GROUP SESIH Financial and Business management NSW AIDB Funding and strategic direction Head Dr Chris Bourne Project Manager Publicly Funded Sexual Health Service Leng Boonwaat A/Manager Carolyn Murray Project Manager General Practice Carolyn Murray Project Manager HIV/STI Health Promotion Resource Liz Story NSW Sexual Health Information Line Margy Ewing NSW Sexual Health Website NSW Sexual Health Medical Directors Group Project Manager STI Contact Tracing and GP Research Programs Leanne Burton
    3. 3. WORKING WITH GENERAL PRACTICE <ul><li>Support sexual health service provision by GPs by ensuring access to education and training programs . </li></ul><ul><ul><li>Practice Nurse STI training program </li></ul></ul><ul><ul><li>Active Learning Module for GPs </li></ul></ul><ul><ul><li>Think GP training- GP STI testing tool </li></ul></ul><ul><ul><li>Direct advertising to GPs </li></ul></ul>
    4. 4. WORKING WITH GENERAL PRACTICE <ul><li>Support sexual health service provision by GPs by ensuring ready access to information and education resources. </li></ul><ul><ul><ul><li>GP STI Testing tool </li></ul></ul></ul><ul><ul><ul><li>Practice Nurse Postcard ‘s </li></ul></ul></ul><ul><ul><ul><li>Contributing to revision 7 th RACGP Prevention Care (Red Book) </li></ul></ul></ul><ul><ul><ul><li>Fact sheets and website </li></ul></ul></ul><ul><ul><ul><ul><li>Other resources </li></ul></ul></ul></ul>
    5. 5. WORKING WITH GENERAL PRACTICE MASTER CLASS “ SEX...NEED A HAND” <ul><li>3 Improve communication of Area Health Service referral pathways and options available to GPs </li></ul><ul><ul><li>Core business statement </li></ul></ul><ul><ul><li>Partnerships with RACGP, GPNSW and ASHM </li></ul></ul><ul><ul><li>Practice Nurse Conference </li></ul></ul>
    6. 6. HEALTH PROMOTION RESOURCE PROJECT <ul><ul><li>Increase awareness of HIV/AIDS and reduce HIV related stigma & discrimination in the general community </li></ul></ul><ul><li>World AIDS Day campaign </li></ul><ul><ul><li>Community grants program </li></ul></ul><ul><ul><li>State-wide and local media campaign </li></ul></ul><ul><ul><li>HIV training for healthcare workers </li></ul></ul>
    7. 7. HEALTH PROMOTION RESOURCE PROJECT <ul><li>Increase general awareness of STIs, including the asymptomatic nature of many and the range of prevention strategies to reduce the transmission of STI, including condom use with new and casual partners </li></ul><ul><li>Extending the NSW Get Tested Play Safe Campaign </li></ul><ul><li>Sydney Festival </li></ul><ul><li>Sexual Health Week </li></ul>
    8. 8. HEALTH PROMOTION RESOURCE PROJECT <ul><li>Social Research </li></ul><ul><ul><li>Understanding barriers to STI testing among young people </li></ul></ul><ul><ul><li>Using new media technologies to provide sexual health information to young people </li></ul></ul><ul><li>Social Marketing training pilot </li></ul><ul><li>Social Marketing Summary (SMS) and STIPU Mail </li></ul>
    9. 9. PUBLICLY FUNDED SEXUAL HEALTH SERVICES PROJECT <ul><li>1. Improving access to sexual health clinics for priority populations </li></ul><ul><li>Snapshot of SHS data across NSW </li></ul><ul><li>Priority Populations Calculator </li></ul><ul><li>Training needs analysis http://www.wdp.org.au </li></ul><ul><li>Triage training http://stiprojects.info/triagecourse </li></ul><ul><li>Social media discussion paper </li></ul>
    10. 10. PUBLICLY FUNDED SEXUAL HEALTH SERVICES PROJECT <ul><li>2. Strengthen local partnerships with general practice </li></ul><ul><li>Core business statements for SHS, GPs and Public Health Units </li></ul><ul><li>Discussions with Medical Directors, HPOs and Sexual Health Counsellors re: how STIPU can help PFSHS support GPs </li></ul><ul><li>Work with laboratories to add referral notes to STI test results </li></ul>
    11. 11. PUBLICLY FUNDED SEXUAL HEALTH SERVICES PROJECT <ul><li>3 . Promote best practice standards within publicly funded sexual health services </li></ul><ul><li>Secretariat to Senior Nurse Technical Group </li></ul><ul><ul><li>NSW SOP / clinical guidelines / medication training package </li></ul></ul><ul><ul><li>Sexual Health Nursing Course </li></ul></ul><ul><ul><li>Support ASHHNA re: sexual health competencies </li></ul></ul><ul><li>STI Project register </li></ul><ul><li>STIPU Website </li></ul><ul><li>Secretariat to NSW SH Medical Directors </li></ul>
    12. 12. STI CONTACT TRACING & GP RESEARCH <ul><li>1. GP Research - To support the development of research into general practice STI testing </li></ul><ul><li>Conducting a process and impact evaluation of STIPU resources for GPs and Practice Nurses </li></ul><ul><li>Consult individuals & stakeholders through online surveys, interviews and focus groups. </li></ul>
    13. 13. STI CONTACT TRACING & GP RESEARCH <ul><li>2 . To strengthen contact tracing measures across the state including Sexual Health Services and General Practice </li></ul><ul><li>Promotion, distribution and in some cases development of Contact Tracing Resources for General Practice </li></ul><ul><ul><li>STI Contact Tracing Tool For General Practice </li></ul></ul><ul><ul><li>Let Them Know </li></ul></ul><ul><ul><li>GP NSW Contact Tracing Webpage </li></ul></ul><ul><li>Supporting Publicly Funded Sexual Health Clinic </li></ul><ul><li>Participating and contributing to the review of NSW Contact Tracing Guidelines for STI and BBV policy directive </li></ul>
    14. 14. STI CONTACT TRACING & GP RESEARCH
    15. 18. NSW SEXUAL HEALTH INFOLINE <ul><li>Aims: </li></ul><ul><li>1. To educate and promote the sexual health of the community. </li></ul><ul><li>2. To facilitate efficient use of public funded sexual health clinics. </li></ul><ul><li>Staffed by team of 4 nurses: </li></ul><ul><ul><li>sexual health clinical experience (CNS) </li></ul></ul><ul><ul><li>Phone competency assessed </li></ul></ul><ul><ul><li>Annual phone line training </li></ul></ul><ul><li>Computerised database and web based resources. </li></ul><ul><li>Database of SHC business hours and skill mix. </li></ul>
    16. 19. NSW SEXUAL HEALTH INFOLINE <ul><li>2009/2010: 6, 200 calls in NSW </li></ul><ul><li>GSAHS: </li></ul><ul><ul><li>86 community calls </li></ul></ul><ul><ul><li>21 health professionals </li></ul></ul><ul><ul><ul><li>5 doctors, 9 nurses, 7 allied health </li></ul></ul></ul>
    17. 20. <ul><li>Provide triage and administration support (freecall transfer). </li></ul><ul><li>Info and support to STI contacts/partners. </li></ul><ul><li>Extend clinical support: new GPs, doctors and nurses, allied </li></ul><ul><li>health staff. </li></ul><ul><li>Training courses –schools, TAFE, uni, allied health, GP. </li></ul><ul><li>Commercial outlets-entertainment, fashion, hair and beauty, </li></ul><ul><li>pharmacies, tourism. </li></ul><ul><li>Business schools-trades, mining, industry, hospitality. </li></ul><ul><li>Use number to add on to media releases. </li></ul><ul><li>Outreach to youth, aboriginal, welfare and corrective </li></ul><ul><li>services. </li></ul>NSW SEXUAL HEALTH INFOLINE HOW CAN WE HELP YOU?
    18. 21. www.stipu.nsw.gov.au/shil
    19. 22. <ul><li>Discussion </li></ul><ul><li>What have been your experiences with triage and priority populations? </li></ul><ul><li>How can SLHD help support General Practice to undertake contact tracing within the work the clinic currently undertakes with GPs? </li></ul><ul><li>How are social marketing techniques/tools currently used in SLHD in activities that you develop? Can these be further enhanced? </li></ul>
    20. 33. Fact sheets
    21. 34. Core Business Statement
    22. 35. Core Business cont ’
    23. 36. Mail out to GPs 1 & 2
    24. 37. Getting STIs on the Agenda <ul><li>MEDICAL UPDATE Dr Chris Bourne , Head, New South Wales Sexually Transmissible Infections Programs Unit, and Senior Staff Specialist, Sydney Sexual Health Centre, Sydney Hospital…supported by New South Wales STI Programs Unit. To obtain a copy of the STI testing tool please visit: http://www.stipu.nsw.gov.au/ click on highlights </li></ul>
    25. 42. Website banners
    26. 43. Special Feature
    27. 44. Self collection of specimens
    28. 45. DRAFT REVIEW <ul><li>Aboriginal and </li></ul><ul><li>Torres strait islander </li></ul><ul><li>Communities </li></ul><ul><li>PLWHA </li></ul><ul><ul><ul><ul><ul><li>Slide 3 </li></ul></ul></ul></ul></ul>

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