NSW STIGMA Syphilis Campaign


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

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  • NSW STIGMA Syphilis Campaign

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