Geoff Honnor (ACON) redefines wellness in an evolving HIV epidemic, as well as discussing the context of the UN Goals for reducing HIV transmission 2010-2015 and the ACON response.
This presentation was given at the AFAO Positive Services Forum 2012.
MRC/info4africa KZN Community Forum | July 2012info4africa
Zukiswa Fipaza of the International Centre for AIDS Care and Treatment Programmes (ICAP) highlighted the activities of the Centre's MOSAIC Men’s Health Initiative and its role in supporting the Implementation of the National Strategic Plan for HIV and AIDS, STIs and TB (NSP). MOSAIC utilises an integrated and co-ordinated approach that aims to provide a tailored package of prevention, treatment, care and support services for men who have sex with men (MSM). By scaling up HIV-related services and support mechanisms for the MSM community, MOSAIC contributes towers South Africa’s national goal of reducing new HIV infections and strengthens health, whilst providing a model for expansion to other districts and service areas.
South Region CCG Mental Health Masterclass - EIP Preparedness ProgrammeSarah Amani
The Early Intervention in Mental Health Network's mission is to improve health and social outcomes for young people with first episode psychosis, including symptom reduction and engagement with education and employment.
This document is the beginning of a programme to help people work together in preparation of the regions task to achieve the above mission.
These posters were presented by Sydney Sexual Health Centre staff at the 2017 Australasian HIV & AIDS Conference in Canberra.
Topics included:
- Joint Care Planning in an Urban Publically Funded Sexual Health Centre: A New Case Management Model
- The Sexual Health Counsellors Association of NSW (SCAN): a Statewide Organisation for Sexual Counsellors in Publically Funded Sexual Health Centres
- Co-production as Model for the Facilitation of Learning About Challenges Faced by Those with Diverse Genders, Sexes and Sexualities
- Difficulties in Engaging Thai and Chinese Sex Workers in Smoking Cessation: a Cautionary Tale
- Unnecessary Examinations: What Would Be Missed if we Avoid Genital Exams for Women with Uncomplicated Vaginal Discharge?
Innovations conference 2014 catherine adams integrating a multidisciplinary...Cancer Institute NSW
Catherine Adams - Integrating a Multidisciplinary Stepped Care Model of Psychosocial Care for Cancer Survivors and Families into routine Clinical Practice in Rural and Remote Regions
Global launch: Delivering prevention in an ageing worldILC- UK
It’s never too late to prevent ill health. And the health and economic costs of failing to invest in preventative interventions across the life course are simply too high to ignore.
At this event, we launched two new reports on what works in delivering a preventative approach to health in an ageing world; how we can improve take-up and adherence to preventative interventions; what we have learned from COVID-19; and how policymakers across the world need to act to ensure prevention becomes a priority as countries build back from the damage inflicted by the pandemic.
We were joined by a panel of experts from across the world to discuss the findings and what needs to happen next so we can move from consensus to action on prevention.
MRC/info4africa KZN Community Forum | July 2012info4africa
Zukiswa Fipaza of the International Centre for AIDS Care and Treatment Programmes (ICAP) highlighted the activities of the Centre's MOSAIC Men’s Health Initiative and its role in supporting the Implementation of the National Strategic Plan for HIV and AIDS, STIs and TB (NSP). MOSAIC utilises an integrated and co-ordinated approach that aims to provide a tailored package of prevention, treatment, care and support services for men who have sex with men (MSM). By scaling up HIV-related services and support mechanisms for the MSM community, MOSAIC contributes towers South Africa’s national goal of reducing new HIV infections and strengthens health, whilst providing a model for expansion to other districts and service areas.
South Region CCG Mental Health Masterclass - EIP Preparedness ProgrammeSarah Amani
The Early Intervention in Mental Health Network's mission is to improve health and social outcomes for young people with first episode psychosis, including symptom reduction and engagement with education and employment.
This document is the beginning of a programme to help people work together in preparation of the regions task to achieve the above mission.
These posters were presented by Sydney Sexual Health Centre staff at the 2017 Australasian HIV & AIDS Conference in Canberra.
Topics included:
- Joint Care Planning in an Urban Publically Funded Sexual Health Centre: A New Case Management Model
- The Sexual Health Counsellors Association of NSW (SCAN): a Statewide Organisation for Sexual Counsellors in Publically Funded Sexual Health Centres
- Co-production as Model for the Facilitation of Learning About Challenges Faced by Those with Diverse Genders, Sexes and Sexualities
- Difficulties in Engaging Thai and Chinese Sex Workers in Smoking Cessation: a Cautionary Tale
- Unnecessary Examinations: What Would Be Missed if we Avoid Genital Exams for Women with Uncomplicated Vaginal Discharge?
Innovations conference 2014 catherine adams integrating a multidisciplinary...Cancer Institute NSW
Catherine Adams - Integrating a Multidisciplinary Stepped Care Model of Psychosocial Care for Cancer Survivors and Families into routine Clinical Practice in Rural and Remote Regions
Global launch: Delivering prevention in an ageing worldILC- UK
It’s never too late to prevent ill health. And the health and economic costs of failing to invest in preventative interventions across the life course are simply too high to ignore.
At this event, we launched two new reports on what works in delivering a preventative approach to health in an ageing world; how we can improve take-up and adherence to preventative interventions; what we have learned from COVID-19; and how policymakers across the world need to act to ensure prevention becomes a priority as countries build back from the damage inflicted by the pandemic.
We were joined by a panel of experts from across the world to discuss the findings and what needs to happen next so we can move from consensus to action on prevention.
Early Intervention: Improving Access to Mental Health by 2020 [Presentations]Sarah Amani
Most mental illnesses begin in adolescence or early adulthood – the vital time in life when we establish our independence. Mental illness can derail this process with long-lasting effects. We know that the earlier we can engage a young person in treatment the better their outcomes – but young people are the least likely to seek help from mental health services. This is not helped by the separation of services at age 18.
The good news is that we know that early intervention makes a difference in getting young people well and keeping them well. Early intervention teams have been established for psychosis in England for the last 12 years. Psychosis is a serious mental illness affecting 1-2% of the population, with about 500 new cases every year in the Oxford AHSN area.
Early intervention in psychosis is a specialist, community-based service providing medical, psychological and family-based treatments. It helps get young people back to work or education and keeps an eye out for any early signs of relapse so that they can be prevented. Early intervention teams are highly valued by young people and their families. They also save the health service money by keeping people well and getting them back to work.
The Early intervention in mental health network will make sure that this best practice is in place across the Oxford AHSN region with the highest standard of care provided everywhere. We also aim to spread this early intervention model across other conditions (such as eating disorders, personality disorder, autistic spectrum conditions) to help more young people.
World class research is being undertaken in Oxford AHSN and across England into early psychosis – both into the causes and to trial new treatments. We aim to make this research available to every patient being seen by our early intervention teams. We will also look to develop new innovations and technologies that could improve the experience of young people receiving mental healthcare.
This presentation was part of a discussion at Sheffield's Health and Wellbeing Board on 25 June 2015.
Gregor Henderson from Public Health England attended the Board meeting to help discussions on the topic.
Read the papers from the Board meeting: http://sheffielddemocracy.moderngov.co.uk/ieListDocuments.aspx?MId=5993.
2017 has been, mostly, a successful year for the PMHP with some
major achievements. We have seen our strategic model realised in
concrete terms in many of the arenas where we work: we identify
key service gaps, conduct research, develop policy and support
widespread implementation by others.
Community Wellbeing - What has Social Prescribing got to offer Public Health
IPH, Open, Conference, Belfast, Northern, Ireland, Dublin, Titanic, October, 2014, Public, Health
Lessons Learned in Providing Reproductive Health and HIV Prevention program f...John Bako
About 3.4million people are living with HIV in Nigeria
Estimated AIDS related deaths in Nigeria moved from 141,225 in 2000 to 233,604 in 2013.
This is associated with ignorance, poor access to health and social services, poverty, gender issues, stigma and discrimination.
According to NARHS, 2012, the current HIV prevalence in the general population is 3.4%.
There was a slight decline from the previous estimates of 2007 which was 3.6%
Practical mental health commissioning explains the changing commissioning environment and how commissioners can make the most of available resources to improve the quality and outcomes of mental health and social care services in their area.
Webinar: Healthy ageing and adult vaccination in Singapore and Hong KongILC- UK
As part of the ILC Global Alliance’s 30th anniversary celebrations, ILC-UK and ILC Singapore held a webinar to discuss how Hong Kong and Singapore are responding to the challenges of an ageing society.
Both Singapore and Hong Kong are finding their health systems are coming under increasing pressure due to an ageing population. But how well are they coping? And what more could be done?
In 2019, ILC-UK and ILC Singapore teamed up to produce Healthier for longer: Improving adult immunisation uptake in Singapore. Alongside this work, ILC-UK also produced a report on Healthy ageing in Hong Kong.
During this webinar, we shared findings from our work in Singapore and Hong Kong, highlighting how things have changed over the past year in the context of COVID-19, and debated the similarities and differences between the situation in Hong Kong and Singapore.
Chair: Susana Harding, Senior Director, ILC Singapore
Speakers included:
Dr Ng Wai Chong, Clinical Programme Consultant, Tsao Foundation
Yeo Wan Ling, Director of Women and Family Unit, National Trades Union Congress (NUTC)
David Sinclair, Director, ILC-UK
Pamela Tin, Senior Researcher / Head of Healthcare & Social Development, Our Hong Kong Foundation
We are grateful to Pfizer for providing a charitable grant to support our projects in Hong Kong and Singapore.
Health Equity into Action: Building on Partnerships and CollaborationsWellesley Institute
This presentation offers insight on how to put health equity into action by building on partnerships and collaborations.
Bob Gardner, Director of Policy
www.wellesleyinstitute.com
Follow us on twitter @wellesleyWI
Better outcomes, better value: integrating physical and mental health into clinical practice and commissioning
Tuesday 24 June 2014: 15 Hatfields, Chadwick Court, London
Developing a working relationship: embracing the prevention agenda and integr...UKFacultyPublicHealth
Developing a working relationship: embracing the prevention agenda and integrated care - presentation at the Faculty of Public Health annual conference 2016
Guidance for commissioners of drug and alcohol servicesJCP MH
This guide has been written to provide practical advice on developing and delivering local plans and strategies to commission the most effective and efficient drug and alcohol services for adults.
Based upon clinical best practice guidance and drawing upon the range of available evidence, it describes what should be expected of a modern drug and alcohol service in terms of effectiveness, outcomes and value for money.
Guidance for commissioners of mental health services for people from black an...JCP MH
This guide describes what ‘good’ mental health services for people from Black and Minority Ethnic (BME) communities look like.
While all of the JCP-MH commissioning guides apply to all communities, there are good reasons (see P9) why additional guidance is required on commissioning mental health services for people from BME communities.
This guide focuses on services for working age adults. However, it could also be interpreted for commissioning specialist mental health services, such as CAMHS, secure psychiatric care, and services for older adults.
Finn O'Keefe (AFAO) highlights the value of HIV Australia - AFAO's flagship publication - in highlighting key and emerging issues, providing a snapshot of current thinking, and as a tool for advocacy and education.
This presentation was given at AFAO's Positive Services Forum 2012.
Early Intervention: Improving Access to Mental Health by 2020 [Presentations]Sarah Amani
Most mental illnesses begin in adolescence or early adulthood – the vital time in life when we establish our independence. Mental illness can derail this process with long-lasting effects. We know that the earlier we can engage a young person in treatment the better their outcomes – but young people are the least likely to seek help from mental health services. This is not helped by the separation of services at age 18.
The good news is that we know that early intervention makes a difference in getting young people well and keeping them well. Early intervention teams have been established for psychosis in England for the last 12 years. Psychosis is a serious mental illness affecting 1-2% of the population, with about 500 new cases every year in the Oxford AHSN area.
Early intervention in psychosis is a specialist, community-based service providing medical, psychological and family-based treatments. It helps get young people back to work or education and keeps an eye out for any early signs of relapse so that they can be prevented. Early intervention teams are highly valued by young people and their families. They also save the health service money by keeping people well and getting them back to work.
The Early intervention in mental health network will make sure that this best practice is in place across the Oxford AHSN region with the highest standard of care provided everywhere. We also aim to spread this early intervention model across other conditions (such as eating disorders, personality disorder, autistic spectrum conditions) to help more young people.
World class research is being undertaken in Oxford AHSN and across England into early psychosis – both into the causes and to trial new treatments. We aim to make this research available to every patient being seen by our early intervention teams. We will also look to develop new innovations and technologies that could improve the experience of young people receiving mental healthcare.
This presentation was part of a discussion at Sheffield's Health and Wellbeing Board on 25 June 2015.
Gregor Henderson from Public Health England attended the Board meeting to help discussions on the topic.
Read the papers from the Board meeting: http://sheffielddemocracy.moderngov.co.uk/ieListDocuments.aspx?MId=5993.
2017 has been, mostly, a successful year for the PMHP with some
major achievements. We have seen our strategic model realised in
concrete terms in many of the arenas where we work: we identify
key service gaps, conduct research, develop policy and support
widespread implementation by others.
Community Wellbeing - What has Social Prescribing got to offer Public Health
IPH, Open, Conference, Belfast, Northern, Ireland, Dublin, Titanic, October, 2014, Public, Health
Lessons Learned in Providing Reproductive Health and HIV Prevention program f...John Bako
About 3.4million people are living with HIV in Nigeria
Estimated AIDS related deaths in Nigeria moved from 141,225 in 2000 to 233,604 in 2013.
This is associated with ignorance, poor access to health and social services, poverty, gender issues, stigma and discrimination.
According to NARHS, 2012, the current HIV prevalence in the general population is 3.4%.
There was a slight decline from the previous estimates of 2007 which was 3.6%
Practical mental health commissioning explains the changing commissioning environment and how commissioners can make the most of available resources to improve the quality and outcomes of mental health and social care services in their area.
Webinar: Healthy ageing and adult vaccination in Singapore and Hong KongILC- UK
As part of the ILC Global Alliance’s 30th anniversary celebrations, ILC-UK and ILC Singapore held a webinar to discuss how Hong Kong and Singapore are responding to the challenges of an ageing society.
Both Singapore and Hong Kong are finding their health systems are coming under increasing pressure due to an ageing population. But how well are they coping? And what more could be done?
In 2019, ILC-UK and ILC Singapore teamed up to produce Healthier for longer: Improving adult immunisation uptake in Singapore. Alongside this work, ILC-UK also produced a report on Healthy ageing in Hong Kong.
During this webinar, we shared findings from our work in Singapore and Hong Kong, highlighting how things have changed over the past year in the context of COVID-19, and debated the similarities and differences between the situation in Hong Kong and Singapore.
Chair: Susana Harding, Senior Director, ILC Singapore
Speakers included:
Dr Ng Wai Chong, Clinical Programme Consultant, Tsao Foundation
Yeo Wan Ling, Director of Women and Family Unit, National Trades Union Congress (NUTC)
David Sinclair, Director, ILC-UK
Pamela Tin, Senior Researcher / Head of Healthcare & Social Development, Our Hong Kong Foundation
We are grateful to Pfizer for providing a charitable grant to support our projects in Hong Kong and Singapore.
Health Equity into Action: Building on Partnerships and CollaborationsWellesley Institute
This presentation offers insight on how to put health equity into action by building on partnerships and collaborations.
Bob Gardner, Director of Policy
www.wellesleyinstitute.com
Follow us on twitter @wellesleyWI
Better outcomes, better value: integrating physical and mental health into clinical practice and commissioning
Tuesday 24 June 2014: 15 Hatfields, Chadwick Court, London
Developing a working relationship: embracing the prevention agenda and integr...UKFacultyPublicHealth
Developing a working relationship: embracing the prevention agenda and integrated care - presentation at the Faculty of Public Health annual conference 2016
Guidance for commissioners of drug and alcohol servicesJCP MH
This guide has been written to provide practical advice on developing and delivering local plans and strategies to commission the most effective and efficient drug and alcohol services for adults.
Based upon clinical best practice guidance and drawing upon the range of available evidence, it describes what should be expected of a modern drug and alcohol service in terms of effectiveness, outcomes and value for money.
Guidance for commissioners of mental health services for people from black an...JCP MH
This guide describes what ‘good’ mental health services for people from Black and Minority Ethnic (BME) communities look like.
While all of the JCP-MH commissioning guides apply to all communities, there are good reasons (see P9) why additional guidance is required on commissioning mental health services for people from BME communities.
This guide focuses on services for working age adults. However, it could also be interpreted for commissioning specialist mental health services, such as CAMHS, secure psychiatric care, and services for older adults.
Finn O'Keefe (AFAO) highlights the value of HIV Australia - AFAO's flagship publication - in highlighting key and emerging issues, providing a snapshot of current thinking, and as a tool for advocacy and education.
This presentation was given at AFAO's Positive Services Forum 2012.
(ATS4-PLAT10) Planning your deployment for a 64 bit worldBIOVIA
Pipeline Pilot 9.0 requires 64-bit server deployments. For those planning to migrate from existing 32-bit deployments this session will outline the key differences between Linux and Windows, 32-bit-specific vs 64-bit functionality on Windows, and explore using the Component Reader to help identify and assess published protocols and components that might require modifications when deployed to a new platform.
Rebekah Israel discusses how the African American HIV University Science and Treatment College helps community-based HIV organisations and Health Departments improve their performance in the treatment cascade.
Ele Morrison from AIVL outlines the extreme impact of criminalisation on the lives of people who use drugs.
This presentation was given at the AFAO National HIV Forum, 17 October 2014.
HIV Today is an initiative of the AIDS Action Council of the ACT that targets human service providers - in the community, public and private sectors. It is specifically designed to enhance the quality of life of people affected by HIV through appropriate mainstream service responses founded on a sound knowledge base. This presentation was given by Nada Ratcliffe, (Manager, Client Services, AIDS Action Council of the ACT), at the AFAO Positive Services Forum 2012.
The mission of the Sexually Transmitted Diseases (STD) Control Program is to reduce the occurrence of STDs through disease surveillance, case and outbreak investigation, screening, preventive therapy, outreach, diagnosis, case management, and education.
Chief Allied Health Professions Officer’s Conference 2016
Workshop 5: Population based service re-design – Chair Shelagh Morris
Embedding a health promotion strategy across MSK physiotherapy services in Salford. Gillian Rawlinson, MSK Advanced Practitioner and Senior Lecturer. Salford and UCLAN
The intersection of opioid use and HIV is well documented. More than one-third of all AIDS cases in the U.S. are directly or indirectly linked to injection drug use. Additionally, dependence and abuse of pain relievers is on the rise; people living with HIV/AIDS who suffer from chronic pain may be at particular risk. Opioids are highly addictive and mortality among illicit opioid users is estimated at 13 times that of the general population. The SPNS Buprenorphine Initiative investigated the effectiveness of integrating buprenorphine opioid abuse treatment into HIV primary care settings.
This Webcast is the first in a series under the new SPNS Integrating HIV Innovative Practices project (www.careacttarget.org/ihip) to assist providers in replicating SPNS work in their sites. This Webcast will introduce providers to the SPNS Buprenorphine Initiative, its findings, its synergy with the National HIV/AIDS Strategy, and provide an overview of opioid use and HIV.
The subsequent Webcast in the series will examine the clinical aspects of buprenorphine therapy, best practices, and implementation guidance. See also Integrating Buprenorphine Therapy Into HIV Primary Care Settings, a monograph on best practices, available at: https://careacttarget.org/content/integrating-buprenorphine-therapy-hiv-primary-care-settings.
Presentación en la que Gina Perigo hace una brillante exposición de como los Enfermeros de Práctica Avanzada y más concretamente los Nurse Practitioners pueden jugar un papel fundamental a la hora de potenciar y generar un cambio en los comportamientos en la población de salud que contribuyen al mantenimiento del estado de salud de la población y de la comunidad
All Our Health - A Call to Action to All Healthcare ProfessionalsViv Bennett
A Public Health England programme - All Our Health is a call to action for all healthcare professionals, individually and collectively, to close the health and wellbeing gap,
contribute to a radical upgrade in prevention and public health and develop a social movement for health
Health Care Reform and Harm Reduction: Laura Hanen, Rachel McLean - HRC 2010Harm Reduction Coalition
A presentation by Laura Hanen (NASTAD) and Rachel McLean (California Department of Public Health) on what health care reform means for harm reduction and drug user health. Presented at the Harm Reduction Coalition's 8th National Conference, November 18-21, 2010 in Austin, Texas.
Bristol - building a truly healthy city, pop up uni, 12.00, 3 september 2015NHS England
Expo is the most significant annual health and social care event in the calendar, uniting more NHS and care leaders, commissioners, clinicians, voluntary sector partners, innovators and media than any other health and care event.
Expo 15 returned to Manchester and was hosted once again by NHS England. Around 5000 people a day from health and care, the voluntary sector, local government, and industry joined together at Manchester Central Convention Centre for two packed days of speakers, workshops, exhibitions and professional development.
This year, Expo was more relevant and engaging than ever before, happening within the first 100 days of the new Government, and almost 12 months after the publication of the NHS Five Year Forward View. It was also a great opportunity to check on and learn from the progress of Greater Manchester as the area prepares to take over a £6 billion devolved health and social care budget, pledging to integrate hospital, community, primary and social care and vastly improve health and well-being.
More information is available online: www.expo.nhs.uk
SYNCing Government Agencies with NHAS and VHAP healthhiv
Warren W. Hewitt, Jr. DrPH, M.S.
Center for Substance Abuse Treatment
Substance Abuse Mental Health Services Administration
U.S. Department of Health & Human Services
Where's the hope? Dialogues for Solidarity - Session 4ReShape
This session explored current work experiences in HIV care from a specialist point of view and looked at how current conditions impacted related care providers. Reflecting on the changing nature of HIV care and the changing needs of people living with HIV, the session examined the policy implications of a fragmented system and the patients' perspective on HIV care.
The Care Providers session was expected to lay the groundwork for a future session on the failing Health Economy as a leading issue.
Marilyn Wise (Health Public Policy Centre for Health Equity Training and Evaluation) delivered the keynote address at the AFAO/NAPWA Gay Men's HIV Health Promotion Conference in May 2012.
She reflected on what she described as the 'system' of complex, multiple responses, that has evolved in Australia to contain HIV, and what we can learn from our successes in order to address the goals of the UN Political declaration on HIV and meet Australia's targets for HIV prevention and treatment.
This presentation on AFAO's recent work with Culturally and Linguistically Diverse (CALD) communities was given by Michael Frommer at the SiREN Symposium in Perth, June 2016.
Scott McGill discusses ASHM's plan for developing online health promotion resources for people from CALD backgrounds. This presentation was given at AFAO's HIV and Mobility Forum in May 2016.
Darryl O’Donnell, Executive Director of AFAO, outlines changes to the organisation and sets out its priorities for 2016/17. In this context, he invited input on AFAO's future policy work from from participants at AFAO's HIV and Mobility Forum on 30 May 2016.
This presentation on key strategies for addressing HIV among people from CALD communities and people who travel to high prevalence countries was given by Corie Gray from Curtin University and CoPAHM at AFAO'S HIV and Mobility Forum on 30 May 2016.
This presentation on a directory of HIV health promotion programs and resources that engage with people from CALD communities was given by Jill Sergeant from AFAO at AFAO'S HIV and Mobility Forum on 30 May 2016.
This presentation on findings from a trial of providing HIV medication to people not eligible for Medicare was given by Tony Maynard from the National Association of People With HIV Australia (NAPWHA) at AFAO'S HIV and Mobility Forum on 30 May 2016.
This presentation on HIV diagnoses among people from CALD communities was given by Praveena Gunaratnam from the Kirby Institute at AFAO'S HIV and Mobility Forum on 30 May 2016.
Drawing upon HIV surveillance data and the Seroconversion Study, this presentation explores reasons for late diagnosis of HIV and barriers to testing among gay men and other MSM in Australia. The presentation was given by Phillip Keen from the Kirby Institute at AFAO's National Gay Men's HIV Health Promotion Conference in April 2016.
In 2015, AFAO developed a directory of health promotion programs and resources related to HIV and culturally and linguistically diverse communities. This presentation outlines how the directory was developed and can be used. This presentation was given by Jill Sergeant at AFAO's National Gay Men's HIV Health Promotion Conference in April 2016.
A report on findings from the AHOD Temporary Resident Access Study, which looked at access to HIV treatments for people not eligible for Medicare. This presentation was given at the AFAO Community Hub at the ASHM 2015 conference.
Lea Narciso from SA Health discusses the changing epidemic in South Australia, which now includes an increasing number of people born overseas, and the government's policy response. This presentation was given at the AFAO Community Hub at the ASHM 2015 conference.
This Report Card provides an overview of national momentum on HIV and mobility, highlighting areas with strong momentum and areas that are limited. This presentation was given at the AFAO Community Hub at the ASHM 2015 conference.
ComePrepd is the Queensland AIDS Councils (QuAC) new campaign for pre-exposure prophylaxis (PrEP) which aims to encourage open discussion in the gay community. This presentation discusses the design of the campaign and its various stages. This presentation was given at the AFAO Community Hub at the ASHM 2015 conference.
Alison Coelho from the Centre for Culture, Ethnicity and Health describes a program which partnered with faith & community leaders around preventing BBV/STI transmission in migrant and refugee communities. This presentation was given at the AFAO Community Hub at the ASHM 2015 conference.
An overview of how the 2 Spirits Program at the Queensland AIDS Council adapts a western health promotion framework into a cultural framework to engage Aboriginal & Torres Strait Islander communities around HIV and sexual health. This presentation was given at the AFAO Community Hub at the ASHM 2015 conference.
This presentation on the priorities and challenges for the HIV response in Aboriginal and Torres Strait Islander communities was given by Michael Costello-Czok (Executive Officer – Anwernekenhe National HIV Alliance - ANA) at the AFAO Members Forum - May 2015.
This presentation on the expansion of AFAO's African communities project to encompass other CALD and mobile populations was given by Jill Sergeant, AFAO Project Officer, at the AFAO Members Forum - May 2015.
This presentation on using a systems approach to improve understandings of peer-based health promotion programs was given by Dr Graham Brown, Australian Research Centre for Sex, health and Society (ARCSHS), at the AFAO Members Forum - May 2015.
This presentation on what social research indicates will be effective anti-stigma interventions was given by Prof John de Wit, Centre for Social REsearch in Health (CSRH), at the AFAO Members Forum - May 2015.
More from Australian Federation of AIDS Organisations (20)
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The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
Anti ulcer drugs and their Advance pharmacology ||
Anti-ulcer drugs are medications used to prevent and treat ulcers in the stomach and upper part of the small intestine (duodenal ulcers). These ulcers are often caused by an imbalance between stomach acid and the mucosal lining, which protects the stomach lining.
||Scope: Overview of various classes of anti-ulcer drugs, their mechanisms of action, indications, side effects, and clinical considerations.
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
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Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
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The Prevention Revolution
1. Aux Armes Citoyens!
The Prevention Revolution
…and redefining wellness in an
evolving HIV epidemic dynamic..
Geoff Honnor
Director, HIV/Sexual Health
2.
3. Disclaimer!
• The content of this presentation should not be
interpreted as an officially endorsed ACON
position.
• The opinions and views are those of the
presenter and are aimed at provoking discussion
and reflection……..
4. Outline
• The Prevention Revolution
• The ACON Response
• Organisational Restructure
• New Prevention Priorities
• What‟s Wellness Got To Do With It?
• Redefining HIV Health Promotion
• Challenges, Possibilities and Potential
5. UN Strategy Goals 2010-2015
• Sexual transmission of HIV reduced by half, including
among young people, men who have sex with men and
transmission in the context of sex work
• Vertical transmission of HIV eliminated, and AIDS-related
maternal mortality reduced by half
• All new HIV infections prevented among people who use
drugs
• Universal access to antiretroviral therapy for people living
with HIV who are eligible for treatment
• TB deaths among people living with HIV reduced by half
6. UN Strategy Goals 2010-2015 (cont)
• People living with HIV and households affected by HIV are
addressed in all national social protection strategies and
have access to essential care and support .
• Countries with punitive laws and practices around HIV
transmission, sex work, drug use or homosexuality that
block effective responses reduced by half.
• HIV-related restrictions on entry, stay and residence
eliminated in half of the countries that have such restrictions
• HIV-specific needs of women and girls are addressed in at
least half of all national HIV responses Zero tolerance for
gender-based violence
7. The June 2011 Moment…..
• Thirty years into the AIDS epidemic, and 10 years since the
landmark UN General Assembly Special Session on
HIV/AIDS, leaders came together at the 2011 UN General
Assembly High Level Meeting on AIDS from 8–10 June
2011 in New York.
• They reviewed progress and adopted a new Political
Declaration that includes new commitments and bold new
targets which will create momentum in the AIDS response.
• Australia took a lead role in achieving General Assembly
endorsement for the targets
8. UN Global HIV Prevention Targets
“By 2015 we will………………………..
• Reduce sexual transmission of HIV by 50 per
cent
• Reduce HIV transmissions through injecting drug
use by 50 per cent
• Eliminate mother-to-child HIV transmissions
9. “For a prevention revolution, we need to
combat public hypocrisy on sexual matters,
build AIDS competencies and systematically
promote sexual and reproductive health and
rights.”
Michel Sidibe, UNAIDS Executive Director
10. The Australian Response
Momentum building through 2010 -11 as new research
findings emerge:
Pre-exposure prophylaxis (iPrEx)
Treatment as prevention (HPTN 052)
„The validation of the Swiss Consensus Statement‟
The San Francisco Experience
And Bill Whittaker offers a challenge to the Australian HIV
sector at the Australasian HIV/AIDS Conference in
September 2011……
11. “Now is the opportunity for us to embrace
"combination prevention", re-double our efforts and
set bold HIV prevention targets aligned with the 2011
UN Declaration, to include:
• Reducing sexual transmission of HIV among men who have
sex with men by 80 per cent by 2015.
• Eliminating HIV transmission from injecting drug use by
2015.
• Eliminating HIV transmission among sex workers and
clients by 2015.
• Commit to achieving a 90% ARV treatment uptake rate by
2013
12. ACON Response
• The ACON Board fully endorsed the “Canberra
Challenge” in November 2011 and committed the
agency to reorient towards the program priorities
required
• NB: The Board committed to, “ambitious targets,” noting that
they would need to be developed in collaboration with
Australian and NSW HIV prevention partnership
stakeholders.
13. Draft NSW Goals and Targets
• Vision: To achieve the virtual elimination of HIV
transmission by 2018.
• Targets. By 2015,
– To sustain the virtual elimination of mother to child HIV
transmission
– To sustain the virtual elimination of HIV transmission
among people who inject drugs
– To sustain the virtual elimination of HIV transmission in
the sex industry in NSW
– To sustain the virtual elimination of HIV transmission
among Aboriginal Populations
14. Draft NSW Goals and Targets
• Targets (continued). By 2015,
– To reduce the sexual transmission of HIV by 50%
• Gay and homosexually active men.
• And, by 2015:
– To achieve 90% of people diagnosed with HIV on
treatment
– To increase median CD4 count at HIV dx to 640 cells/µl
– To increase the no. of needles / syringes distributed by
40%
– Other? Needle sharing? Late diagnosis? Heterosexual
transmission? Service access for priority populations?
15. Opportunities Presenting.
• Emerging combination prevention options, in conjunction
with appropriate infrastructure support, offer the best
chance since the protease moment to drive infections down
• Current/new prevention priorities largely in alignment with
current priorities – increase in emphasis, sharper focus and
additional approaches required
• We have to seize the moment – „wait and see‟ isn‟t an
option
• Signing up to ambitious – but achievable - 2015 targets will
provide the mobilising factor
And everything changes……………………….
16. Opportunities into Action……. 2011-12
Feb – Nov 2011
Organisational review/restructure process
Nov 2011
ACON commitment to UN Goals and program priorities
Nov 2011 – June 2012
Planning/implementing agency and sector response
July 2012 - New era delivery commences
17. Organisational Review/Restructure = Fit for purpose
• First - re-energising Gay Men‟s Prevention (GMP) then
agency-wide
• New structure launched 4 Jan 2012
• HIV/Sexual Health Division - all NSW Health funded
HIV/STI health promotion programs managed in one
divisional frame – cross communication is key.
• Development/delivery of entire GMP/health promotion
response (across serostatus) now from one
management/team structure entity
• New agency structure = greater flexibility for - and
responsiveness to - service reorientation and/or program
redeployment when/if required
18. 3 Key Drivers for delivery
• In the short-to-medium term we need to focus on 3 priorities
1. Increase Testing
2. Rethink, reconsider, reinvent our gay men‟s health
promotion response
3. More PLHIV on treatment, earlier
What else …
19. Reinventing our gay men’s health promotion
response
If most HIV+ gay men in NSW can identify
little or no need for – or value in -regular
engagement with our programs and
services…. they’re probably right
20. What do we need to do?
• Celebrate gay men and being gay men
• Deliver on our commitment
• Question what we do, invite and enable internal discussion
and debate
• Conceptualise and develop new education and health
promotion models; and
• Reflectively consider our own sexual practice, lived
experiences of serostatus, resilience and vulnerability,in
developing new program models
• Less “provider/client” points of difference focus; more „gay
men‟ similarities focus
• Renew and redefine interactive community engagement –
what can/does community give us?
21. Key program renewal tasks
• Reorient the gay men‟s HIV prevention response so
services and programs align with prevention goals and
targets.
• Implement our new program engagement commitment to
sexually adventurous gay men
• Specific focus on undiagnosed men in primary infection
• Deliver on commitment to explore beyond diagnosis linkage
to identify the drivers and agency that enable HIV+ gay men
to live well in self-defined terms
23. What must change?
• More flexibility in clinical guidelines and practice
• The dominant mid 90‟s treatment narrative –
debilitating, toxicity, side effects…”for your
health‟s sake, delay starting for as long as
possible”
24. How Must It Change?
• Greater flexibility within guidelines to enable earlier
commencement of treatment
• Prioritise developments/benefits of treatment educational/social
marketing to/with/for PLHIV
• Conceptualise, build and deliver a more effective and dynamic
health promotion relationship with PLHIV: requires significant –
and honest - rethinking across the whole sector –
25. Challenges to Change
• Health benefit first, prevention benefit second
• The primacy of individual choice
• Discomfort with making treatment too sound „easy‟
• Ease of access to dispensed medication
• Cost
26. The Living Well Conundrum:
• The majority of GMHIV in NSW have little or no regular
contact with the community-based health promotion
response in place to engage them.
• Variations on „improved quality and life and wellbeing‟
provide standard strategic and program delivery framing for
HIV health promotion.
• However, the practice focus – continually conflated and
confused with the sector understanding of care and support
– is largely constrained to achieving judicious alignment of
HIV clinical indicators.
27. The LWC Questioned
• Yet, two areas where we do have proven HP traction and
appeal, are the Genesis Project and the work (initially
conceptualised and developed by Kathy Triffitt at Positive
Life) acknowledging and responding to issues of GMHIV
sexual practice; and specifically, within an energised and
sometimes serostatus-privileged sexual sub-culture.
• The ethos in both instances is decidedly post-clinical
markers, so what might this tell us?.
28. “There is a fundamental flaw in the debate about HIV these days
that is never discussed. The public discussion about living with
HIV is pretty much always about what an awful thing it is, when,
for most gay men who seroconverted in the last ten years, life
has gone on as usual, they haven’t been sick, they haven’t
stopped work, they haven’t had side effects from their meds, but
if you try to say that, it’s ‘sending the wrong message’, on some
assumption that people are stupid and have to be scared into
looking after themselves. Meanwhile, thousands of gay men with
HIV are working out for themselves how to live their life and plan
a future.”
(Comment at Dr George Forgan-Smith‟s „The Healthy Bear Blog‟ 2011)
Editor's Notes
This began and concludes with delivery on commitment. Delivery requires - inter alia - a reinvention of the prevalent treatments discourse which, I'd argue, is still pretty much the mid 90's narrative of toxic treatment and corrosive side effects, which, in turn, positions treatment initiation as 'descent into disease' rather than as wellness generating and hence, ideally delayed for as long as possible. In order to present an earlier initiation case to our community, we have to reach them and I'd argue that the community-based response isn't best-placed to do that currently. I can only speak for NSW obviously, but in Sydney, it seems to me that PLHIV tend to use the distance they can create, between themselves and the community-based engagement in place to ostensibly engage them (largely unchanged, in structural terms, since the beginning of the epidemic), as a self-assessed indicator of 'wellness.' This isn't of course universally the case. Positive Life and PLWHA (Vic) are both delivering innovative and engaging health promotion programs and resources and the Genesis Workshop model, developed initially by ACON here in Sydney, and now used in a number of states, is a standout example of sustained health outcome provision from a 3 day workshop - and also, ironically enough, might well exacerbate the 'distance= wellness ' point by empowering the participants not to need us on an ongoing basis. It also operates (rather than simply being designated) as a peer-delivered program - increasingly a rarity. I should also mention that, Positive Life (in its earlier PLWHA framing) initiated an Australian sector discussion about sexually adventurous gaypoz men and the sexual privileging that can attach to diagnosis in sexual subcultures, through its 'Sex Pigs' campaign. It was thought to be deeply dangerous at the time but it initiated a new frame of engagement and understanding that continues. And of course the treatments advocacy/info/support core component activity continues albeit with sector knowledge and expertise increasingly concentrated in a smaller number of individuals. However, I'd argue that in NSW, our HIV+ health promotion program service provision - still pretty much delivered from the complex, uncoordinated mosaic of government and non-government agencies constructed as early epidemic response - is largely consumed by the 20%-30% of PLHIV who do remain engaged with us - they're largely DSP-reliant, often present with a range of life challenges (HIV - optimally suppressed in most cases - tends not to be among the most significant of these) are more likely to be older and more likely to access the direct assistance programs that organisations like BGF originally set up to provide support for men dying from AIDS. The service provision needs here are real and pressing and the clinical/care and support services and programs in place (often confused with health promotion) do represent optimal alignment with them. But whether these service provision needs are optimally met by diagnosis-centric health promotion programs aimed at PLHIV-generic 'wellness,' is to say the least, debatable. A debate we're not having it seems to me. It's the case, I think, that the population 'snapshot' in the service delivery frame tends to become understood as 'the population' and hence the notion of PLHIV tends to shape solely in the context of pathology and health deficiency. This in turn, I'd suggest, offers up a public face of HIV lived experience that is at odds with the extraordinary span of the reality. I'd argue that this one-dimensional take is informed and enabled by both the 'worst case scenario' framing of living with HIV that has historically 'worked' in policy and advocacy and fundraising settings and the inability to discuss 'living well with HIV," in a public sense, in anything other than passing reference terms - always heavily qualified by reflexive reference to the much greater degree of difficulty encountered by others. The gay men's prevention imperative is also relevant here in that an evolving epidemic dynamic, satisfactory ‘successor’ to the perfect prevention paradigm encapsulated in the pre-treatment rendering of, diagnosis = death (itself never clearly owned as a spent force) has never really emerged. Attempts to secure risk reduction adherence via florid depictions of lived HIV experience have limited traction with the target demographic and also play into the 'current moment' conundrum for community-based gay men's health promotion response that shapes as inevitable darkness and disaster on one side of diagnosis and the ability/skills to effectively manage diagnosis within a normative life experience that eschews any need for the assumption of 'disease identity' I'd suggest that overwrought prophecies of PLHIV being drowned in a tidal wave of HIV-related premature onset aging, (based on very early/preliminary research findings), were able to gain traction and dominate sector discourse - pretty much to zero effect in terms of health promotion program ROI- for two years because they played directly into the preferred public rendering of HIV lived reality and were often offered by PLHIV who self-identified with the syndrome. It's a brave individual who would challenge that rendering given the circumstances. Later research findings certainly confirm the reality of the POA syndrome, but suggest that POA is not as prevalent as was earlier suggested and is subject to the significant degree of individual case variability that's always characterised HIV. It seems to be concentrated in the cohort of heavily treated (often monotherapy-initiated) long term survivors - particularly in the context of presentation with one or more comorbidities. The degree to which disease progression, long-term Rx impact and lifestyle factors intersect is unclear but current research is ascribing more prominence to lifestyle factors than was previously the case. So, given this context, if there is a potential health promotion initiative or program shaping from the experiences of 'living well' - what does it mean? How is it formed? How is it sustained when it’s pretty much in a 'no go' zone? Equally, the circumstances of many PLHIV who do engage seem to have [unconsciously]fostered a culture of 'them and us' between the HIV positive gay men who work in the HIV sector (probably in larger numbers now than at any time in the epidemic) and the HIV positive gay men who comprise the significant number of service recipients. Broadly, the former are largely living the 'wellness' experience (though without any public acknowledgement, or perhaps even awareness, of that being the case), the latter are less likely to be doing so. The latter are not only termed ‘clients’ but also it seems increasingly referenced completely as 'clients' rather than 'peers' and distanced from the providers by an increasingly patient-framed engagement Yet, interestingly, (and possibly ironically) we seemingly have no problem constructing forms of HIV+ program engagement based on the assumption that a positive diagnosis automatically creates a shared sense of perspective, outlook and community that transcends all else. As an aside, when I inherited responsibility for the successor service model to the former Luncheon Club in January this year, it struck me that the guys attending the meal services - far from being the high dependence, complex needs 'high maintenance' service provision ask of sector legend (though it's certainly in the mix) were in fact pretty much like me: - gay men, HIV positive, of middle years, guys I'd lived and loved with and shared experience. The only significant point of separation between us probably amounts to about 3 paydays. The LC was never the population level response to poverty that its founder asserted. It was and is a 'club' of people who - meal services aside - find a health promoting sense of place and belonging in being there. The 'search' questions that emerge from all of this seem to shape as: To what extent can/does the currently framed community- based HIV+ health promotion program response deliver effectively against the improved quality of life/wellbeing, 'standard' strategic indicators? If it doesn't, what needs to change? What does 'living well' with HIV actually mean in any shared sense and is/should that understanding (and the on flow health outcome benefits and impacts) [be] integral to health promotion program development. If it is, how do we speak about and accommodate it, honestly and openly, in the context of public health, advocacy and prevention imperatives.