Elizabeth Crock: HIV Nurse Practitioner, Bolton Clarke HIV Program/Homeless Persons Program, Melbourne Sandra Gregson: CNC Torres Sexual Health/ Men’s and Women’s Health Acknowledgments to: Yoko Mills, Chenoa Wapau, Marion Assan, Ivy Kaidai Torres Sexual Health/ Men’s and Women’s Health Oscar Morata Ramirez: Royal District Nursing Service, Melbourne (first edition) Shelley Williams: Victorian Aboriginal Health Service (first edition) …
There are relatively low rates of HIV among Aboriginal and Torres Strait Islander people in Australia. This can be attributed to the prevention work done by Aboriginal and Torres Strait Islander people in their communities, and to the development of dedicated sexual health worker and nursing roles in communities, under an inclusive policy and partnership …
Aboriginal and Torres Strait Islander communities continue to be dramatically affected by systemic racism. Its lasting impact can make it hard for individuals to trust health services. It is the responsibility of health services to ensure that they have adequate systems to improve and ensure cultural safety for both staff and patients who are Aboriginal …
The National Aboriginal Community Controlled Health Organisation (NACCHO) and The Torres Model of Care specific to the Torres Strait Islands are two models of care that nurses should familiarise themselves with. For optimal outcomes, care is provided in partnership with the PLHIV. Consideration must always be given to confidentiality, which is more difficult to manage …
An asylum seeker is a person who has fled their own country, applied for protection status, and is awaiting a decision on their refugee application (14). Depending on how they arrived in Australia, their date of arrival and their stage in the asylum claim process, asylum seekers may reside in immigration detention onshore or offshore, …
More recently, it has been recognised that Asian-born men who have sex with men are over-represented in new HIV diagnoses in Australia (24-26). Gay male Asian students face many challenges and opportunities when they come to Australia – they may find that they experience a far greater level of freedom to explore their sexuality (having …
Refugees and asylum seekers may have genuine fears of sharing their health information, especially where HIV is highly stigmatised in their country of origin, and about potential breaches of confidentiality. To gain trust and establish a relationship, it can be useful to provide reassurance about Australian nurses’ and midwives’ legal and ethical duties and responsibility …
Nurses can play an important role in helping people with HIV who inject substances engage in health care. Interventions include: Establishing trust through non-judgmental approaches, non-stigmatising language, and practices Supporting and educating them in harm reduction (45, 46) i.e. safe injecting techniques, access to clean injecting equipment and safe disposal of injecting equipment. This can …
In Australia, sexual contact between men continues to be the most common mode of HIV transmission. In 2021, 68% of the total new HIV infections were among men who have sex with men (MSM) and 90% of all diagnoses were in men (36,37). It is essential for the MSM population to access care and prevention …
People who inject substances (PWIS), those who have done so in the past, or are perceived to inject, and are living with HIV experience severe stigmatisation and discrimination (28). Despite Australia’s proactive stance in developing and implementing harm reduction policies (41), evidence suggests that people who inject drugs still experience reduced access to health care, …
Developing a sustainable HIV, Viral Hepatitis and Sexual Health Workforce
Acknowledgement of Country
We pay our respects to the Aboriginal and Torres Strait Islander peoples of the past, present, and future, including the Gadigal peoples (Sydney office), the Turrbal and Jagera/Yuggera peoples (Brisbane office), and all First Nations people of the nations where we live and work.
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