HIV Management Guide for Clinical Care and ARV Guidelines

HIV Management Guide for Clinical Care and ARV Guidelines

Key Affected Populations

Nursing considerations

As for members of other key populations, trust is important to engagement in health care for refugees and asylum seekers, migrants, and international students.  Members of these groups may mistrust health professionals because, in their country of origin, some health professionals have been involved in the administration of torture or may use instruments that remind …

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Women with HIV

Although women make up a small proportion of people with HIV in Australia, they suffer disproportionate levels of blame, ostracism, and stigmatisation, with assumptions being made about their sexual or drug-using behaviour (51, 52). In fact, most women with HIV have contracted HIV from a regular sexual partner (53).   An HIV diagnosis can raise complicated …

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People experiencing homelessness

Homelessness can be defined as:  Primary homelessness – people without conventional accommodation, sleeping rough or in improvised dwellings.  Secondary homelessness – people frequently moving from one temporary shelter to another.  Tertiary homelessness – those staying in substandard accommodation (caravan parks, boarding houses) (58).  Internationally and within Australia, there are high rates of homelessness among people …

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Violence and key populations

People with HIV, and especially members of key populations, often experience gender-based and gender or sexual identity-based violence.  Screening protocols should be in place within all sections of the health care system to assess for the risk of violence (63).  Local referral pathways then be provided (see Respect). 

Nursing and midwifery strategies for working with key populations: summary

Nurses and midwives play important roles in providing and coordinating the care of individuals belonging to key populations and assisting them to navigate services. A holistic initial assessment can identify issues that affect an individual’s care. A multidisciplinary approach is important to support the most vulnerable to remain engaged in care.  At an individual level, …

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Summary

Members of the nursing and midwifery professions have a special responsibility to provide health care and to advocate for the groups most vulnerable in any health setting (19) and to ensure that key affected populations receive the best care.  In HIV nursing this responsibility is amplified, largely due to the long history of stigma associated …

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References

UNAIDS. The Gap Report. Geneva: UNAIDS; 2014.  Israel E, Laudari C, Simonetti C. HIV Prevention among vulnerable populations: The Pathfinder Approach. Technical Guidance Series No. 6. Pathfinder International, Watertown, MA; 2008, June.  Longbloed K, Thomas V, Pearce ME, Christian KW, Zhang H, Oviedo-Joekes E, Chechter MT, Spittal PM, The Cedar Project Partnership. The Cedar Project: …

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