Southern and Murrumbidgee LHD Teleconference with STIPU


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  • From the NSW STI Strategy 2006-2010
  • Help extend the campaign and also support it locally. Eg TAFE –endorsement from TAFE H/oFestivals: Sydney Festival – 15 000 condoms.. NSW Health – looking at a festival strategy for NSWCondom distribution – very effective and highly acceptable – condom dispensersSocial Research – will disseminate findings in a format user friendly – for consistent messages – interesting & exciting findings - Social marketing training – with WDP – fit with the HP training SMS – source of ideas/ theory case studies -
  • Greater Sydney – Check it Out 2008 – resources could be available..World AIDS Day – congrats to Janine esp for project – Training will be the focus with community grants.
  • 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.
  • 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 yearC3 - Contact tracing – when to offer provider referralC4 – Contraception - new chapter addedC6 - HIV monitoring – holistic managementC7 - HIV testing – information on counsellor’s role expandedP2 – STI prevention - counselling guidelines – referralP3 – MSM guidelines STIGMA 2010 G6 – Protecting children and young people MRGG7 – Sexual Health OutreachA4 - Student placement – current documentation requirements
  • 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 publicationsPartnering with ASHM on cross promotion of CT resources Development of online CT GP education program Developing CT FAQ section on GP NSW website for GPIncluding CT key messages in any GP/PN education initiatives – GP ALM exampleQuality Assurance Activies Survey of PFSHS re: CT Data collection and any QA activities undertaken as this varies widely across state
  • 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
  • Clubs, bars, sporting, and racing events.
  • Southern and Murrumbidgee LHD Teleconference with STIPU

    1. 1. NSW STI Programs Unit UPDATE May 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 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.
    7. 7. ACTIVITIES FOR 2011 <ul><li>NSW HIV/STI Education campaign extenders </li></ul><ul><ul><li>TAFE campaign </li></ul></ul><ul><ul><li>Sydney Festival: opportunistic advertising, condom distribution </li></ul></ul><ul><li>Social Research </li></ul><ul><ul><li>barriers & facilitators to STI testing in young people </li></ul></ul><ul><ul><li>new media & sexual health information for young people </li></ul></ul><ul><li>Social Marketing Training </li></ul><ul><li>SMS & STIPU MAIL </li></ul>
    8. 8. ACTIVITIES FOR 2011 <ul><li>Sexual Health Week </li></ul><ul><li>World AIDS Day: HIV Is Still Here </li></ul><ul><ul><li>Community Grants Training in HIV Discrimination </li></ul></ul>
    9. 12. 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>Review of population health knowledge </li></ul><ul><li>and skills </li></ul><ul><li>Triage training </li></ul><ul><li>Social media discussion paper </li></ul>
    10. 13. 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. 14. 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 / standing orders </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. 15. STI CONTACT TRACING & GP RESEARCH <ul><li>GP Research - To support the development of research into general practice STI testing </li></ul><ul><li>Key Project </li></ul><ul><li>University of Western Sydney researchers </li></ul><ul><li>Conducting a process and impact evaluation of STIPU resources for GPs and Practice Nurses </li></ul><ul><li>Process </li></ul><ul><ul><li>how the resources were planned, delivered and received by the target audience, </li></ul></ul><ul><li>Impact </li></ul><ul><ul><li>what outcomes were achieved and the extent to which the GP Project aims were achieved. </li></ul></ul><ul><li>Consult individuals & stakeholders through online surveys, interviews and focus groups. </li></ul>
    13. 16. STI CONTACT TRACING & GP RESEARCH <ul><li>STI Contact Tracing - To strengthen contact tracing measures across the state including Sexual Health Services and General Practice </li></ul><ul><li>Key Project Areas </li></ul><ul><li>Promotion, distribution and in some cases development of Contact Tracing Resources for General Practice </li></ul><ul><li>Supporting Publicly Funded Sexual Health Clinic </li></ul><ul><ul><li>Update of Contact Tracing SOP </li></ul></ul><ul><ul><li>Exploration of Contact Tracing Quality Assurance Activities </li></ul></ul><ul><ul><li>Supporting clinics in providing STI education to general practice </li></ul></ul><ul><li>Participating and contributing to the review of NSW Contact Tracing Guidelines for STI and BBV policy directive </li></ul>
    15. 21. NSW SEXUAL HEALTH INFOLINE <ul><li>Aims: </li></ul><ul><li>To educate and promote the sexual health of the community. </li></ul><ul><li>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 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. 22. 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. 23. <ul><li>Provide triage and administration support (freecall </li></ul><ul><li>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. </li></ul><ul><li>Add 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. 24.
    19. 25. <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. 36. Fact sheets
    21. 37. Core Business Statement
    22. 38. Core Business cont ’
    23. 39. Mail out to GPs 1 & 2
    24. 40. 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: click on highlights </li></ul>
    25. 45. Website banners
    26. 46. Special Feature
    27. 47. Self collection of specimens
    28. 48. 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>