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MAKING PROGRESS ON 
HIV AND MOBILITY 
The WA Partnership Response 
Presented by 
Simon Yam and Beth Hodge 
WA AIDS Council...
WA Partnership Response 
• Epidemiology 
• Operational Directive OD 0391/12 - Provision of treatment of 
Medicare ineligib...
HIV EPIDEMIOLOGY IN WA 
OVERSEAS BORN / 
OVERSEAS ACQUISITION 
2.5M
WA HIV notifications by place of birth/acquisition 
2004-2013 
Aus born_Aus acquired Aus born_Overseas acquired 
Overseas ...
WA HIV notifications, 2004-2013: 
Overseas-acquired cases by place of birth 
Europe, 
17, 13% 
South- 
East Asia, 
73, 57%...
WA HIV Notifications by Place of Birth 
2004-2013 
60 
50 
40 
30 
20 
10 
0 
80 
70 
60 
50 
40 
30 
20 
10 
0 
2004 2005...
WA HIV Notifications by Place of Acquisition 
2004-2013 
60.0 
50.0 
40.0 
30.0 
20.0 
10.0 
0.0 
80 
70 
60 
50 
40 
30 
...
Provision of treatment of 
Medicare ineligible patients in 
WA Public Hospitals 
Operational Directive OD 0391/12 
Issued ...
Operational Directive OD 0391/12 
•Patients requiring emergency treatments will be provided 
care regardless of Medicare e...
Sexual Health Resources for the CaLD 
Communities (WA Health)
WA AIDS Council’s 
End to HIV in WA Strategy
Sex on the Table – Creating Sexual 
Health Champions 
• GP Information and Networking Cocktail 
Function on the 25th Novem...
SEX IN OTHER CITIES
WA AIDS Council’s Sex In Other Cities 
Project Aim: 
This project aims to address the growing trend of overseas acquired 
...
WA AIDS Council’s Sex In Other Cities 
• Target Population: 
• Men travelling overseas for 
work/expatriates (both heteros...
WA AIDS Council’s Sex In Other Cities 
• Airports 
• Travel companies 
• Travel Doctors and 
STI clinics 
• Social media 
...
Sex In Other Cities 
Health Promotion Strategy 
www.sexinothercities.com 
•Create supportive environments – the promotion ...
Additional Health Promotion Strategies 
•Advocating for healthy public policy in neighbouring countries – The WA AIDS 
Cou...
AFRICAN DIASPORA
Top 10 countries: People living with HIV 
Rank Country % of people with 
HIV in the world 
1 South Africa 18% 
2 Nigeria 9...
MMRC: Your Cultural Lens
AIDS 2014 : Global Village 
(Photo credit: AFAO)
Acknowledgements 
• Lisa Bastian, Sue Laing and Sean Brennan, Sexual Health and Blood 
Borne Virus Program, CDCD, WA Depar...
Websites 
• OD 0391/12 - Provision of treatment of Medicare ineligible 
patients in WA Public Hospitals 
www.health.wa.gov...
The WA partnership response to HIV
The WA partnership response to HIV
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The WA partnership response to HIV

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Simon Yam and Bethwyn Hodge from the WA AIDS Council discuss the impact of HIV on migrant and mobile populations in Western Australia, and the health promotion programs that have been developed to address the issues.

This presentation was given at the AFAO National HIV Forum in Sydney, 17 October 2014.

Published in: Health & Medicine
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The WA partnership response to HIV

  1. 1. MAKING PROGRESS ON HIV AND MOBILITY The WA Partnership Response Presented by Simon Yam and Beth Hodge WA AIDS Council in conjunction with the WA Department of Health
  2. 2. WA Partnership Response • Epidemiology • Operational Directive OD 0391/12 - Provision of treatment of Medicare ineligible patients in WA Public Hospitals • WA Health’s Sexual Health Resources for CaLD Communities • WA AIDS Council (WAAC) Initiatives • End to HIV in WA Strategy • Sex on the Table : GP’s Information And Networking Cocktail Function • Sex in Other Cities • WAAC – Metropolitan Migrant Resource Centre (MMRC) Partnership • African Diaspora in WA • Your Cultural Lens : Online Cultural Competency Training
  3. 3. HIV EPIDEMIOLOGY IN WA OVERSEAS BORN / OVERSEAS ACQUISITION 2.5M
  4. 4. WA HIV notifications by place of birth/acquisition 2004-2013 Aus born_Aus acquired Aus born_Overseas acquired Overseas born_Aus acquired Overseas born_Overseas acqured 1.3 : 1 5.3 : 1 11.9 : 1 5.8 : 1 60 50 40 30 20 10 0 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 Number of notifications Year of notifications Male : Female ratio
  5. 5. WA HIV notifications, 2004-2013: Overseas-acquired cases by place of birth Europe, 17, 13% South- East Asia, 73, 57% Other, 23, 18% Sub- Saharan Africa, 16, 12% Europe, 33, 10% SE Asia, 124, 36% Sub- Saharan Africa, 146, 42% Other, 41, 12% Australian-born overseas-acquired HIV (n=129) Overseas-born overseas-acquired HIV (n=344)
  6. 6. WA HIV Notifications by Place of Birth 2004-2013 60 50 40 30 20 10 0 80 70 60 50 40 30 20 10 0 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 % Overseas born Number of notifications Year of notification Australian born Overseas born % Overseas born From 2007, overseas-born > Aus-born cases 15 52
  7. 7. WA HIV Notifications by Place of Acquisition 2004-2013 60.0 50.0 40.0 30.0 20.0 10.0 0.0 80 70 60 50 40 30 20 10 0 Australia acquired Overseas acquired % Overseas acquired Year 15 52 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013
  8. 8. Provision of treatment of Medicare ineligible patients in WA Public Hospitals Operational Directive OD 0391/12 Issued : 4 October 2012
  9. 9. Operational Directive OD 0391/12 •Patients requiring emergency treatments will be provided care regardless of Medicare eligibility status. •Aim is to assist and support access to treatments during migration processes, and /or until partial Medicare is granted or full access achieved. •Each hospital has differing processes, but work within the directive guidelines. Quite a grey area of practice and is always tailored for the individual. There is some flexibility within the directive. •Clients can be exempted from costs for HIV consultancy, pathology & medications up to $10,000 •If this is in excess of $10,000, Clinical Director of hospital will have to provide written authorisation.
  10. 10. Sexual Health Resources for the CaLD Communities (WA Health)
  11. 11. WA AIDS Council’s End to HIV in WA Strategy
  12. 12. Sex on the Table – Creating Sexual Health Champions • GP Information and Networking Cocktail Function on the 25th November 2014 • Engage with the personal experiences and challenges of GPs who work closely with population target groups at risk of HIV and/or STIs, especially with people from Culturally and Linguistically Diverse backgrounds • Promotion of our Pre and Post Test Informed Consent Discussion; Edith Cowan University’s online STI learning program; and the Metropolitan Migrant Resource Centre’s Your Cultural Lens – the training resource for cross-cultural communication for sexual health and blood-born viruses.
  13. 13. SEX IN OTHER CITIES
  14. 14. WA AIDS Council’s Sex In Other Cities Project Aim: This project aims to address the growing trend of overseas acquired notifications of HIV in Western Australia. Project objectives: •Raise awareness by 10% of the overseas epidemic and prevention methods amongst Australian travellers aged 18+ by the year 2016. •Increase the uptake of packing condoms by 10% amongst Australian travellers aged 18+ by the year 2016. •Increase the usage of condoms whilst travelling by 10% amongst Australian travellers aged 18+ by the year 2016. •Increase sexual health testing before travelling by 10% amongst Australian travellers aged 18+ by the year 2016. •Increase sexual health testing after travelling by 10% amongst Australian travellers aged 18+ by the year 2016.
  15. 15. WA AIDS Council’s Sex In Other Cities • Target Population: • Men travelling overseas for work/expatriates (both heterosexual and gay/MSM) • Tourists (young men and women); Middle aged single men (and women); Sex tourists (heterosexual and gay/MSM); Backpackers travelling in Australia • Visa holders visiting countries of origin (Permanent residents; Refugees; Temporary workers; students).
  16. 16. WA AIDS Council’s Sex In Other Cities • Airports • Travel companies • Travel Doctors and STI clinics • Social media • FIFO living zones • SIOC Website
  17. 17. Sex In Other Cities Health Promotion Strategy www.sexinothercities.com •Create supportive environments – the promotion of local and international sexual health clinics to build an environment that supports pre & post travel testing through targeted social media and SIOC website. •Create supportive environments – enabling people to learn to prepare themselves for travel and safe sex with up to date information and tips. This will be achieved through the SIOC website and SIOC print advertising in a range of settings.
  18. 18. Additional Health Promotion Strategies •Advocating for healthy public policy in neighbouring countries – The WA AIDS Council identifies public policy as an enabler to the adoption of safe sex practices overseas ie; standardising condom use amongst bar girls. This will be achieved by building partnerships with relevant international travel and sexual health organisations and companies. (planned) •Strengthen community actions – drawing on community champions; existing expats and Australian bar owners overseas (in places like Indonesia) to enhance self-help and social support, and to develop a system for traveller’s participation in safe sex practices. This will require full and continuous access to information and condom distribution. (proposed) •Create supportive environments – facilitating sexual health discussions in the online forum settings. (proposed) •Reorient health services – Directing travel doctor’s/health services increasingly towards sexual health promotion, beyond its responsibility for providing clinical and curative services like travel vaccinations. This will be achieved through professional education and training plus on going support with SIOC promotional resources and print advertising. This will also be achieved by building partnerships with relevant international travel and sexual health organisations and companies. (planned)
  19. 19. AFRICAN DIASPORA
  20. 20. Top 10 countries: People living with HIV Rank Country % of people with HIV in the world 1 South Africa 18% 2 Nigeria 9% 3 India 6% 4 Kenya 5% 5 Mozambique 4% 6 Uganda 4% 7 Tanzania 4% 8 Zimbabwe 4% 9 USA 4% 10 Malawi 3% Remaining countries 39% 61% Zambia Source: UNAIDS Global Report 2014 33%
  21. 21. MMRC: Your Cultural Lens
  22. 22. AIDS 2014 : Global Village (Photo credit: AFAO)
  23. 23. Acknowledgements • Lisa Bastian, Sue Laing and Sean Brennan, Sexual Health and Blood Borne Virus Program, CDCD, WA Department of Health • Carolien Giele, Byron Minas, Epidemiology and Surveillance Program, CDCD, WA Department of Health • Anne Sorenson, Project Coordinator, Metropolitan Migrant Resource Centre (MMRC) • ConAds Australia • All stakeholders involved in, and contributing to our programs listed within our An End To HIV In WA Strategy. • AFAO for this opportunity to present at the HIV Forum 2014.
  24. 24. Websites • OD 0391/12 - Provision of treatment of Medicare ineligible patients in WA Public Hospitals www.health.wa.gov.au/circularsnew/circular.cfm?Circ_ID=12895 • WA Health’s Sexual Health Resources for CaLD Communities www.public.health.wa.gov.au/2/1716/2/multicultural_sexual_he alth.pm • Sex in Other Cities www.sexinothercities.com.au • Your Cultural Lens www.mmrcwa.org.au/ycl • What an AFAO member learned Under the Baobab Tree (African Diaspora) http://bit.ly/1w7GP6F

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