HIV Management Guide for Clinical Care and ARV Guidelines

HIV Management Guide for Clinical Care and ARV Guidelines

Nurses & Midwives

Multidisciplinary care

Effective care coordination for a WLWHIV is paramount. A coordinated, cohesive model enhances engagement in care and avoids difficulties in navigating a complex health system and the potential for loss of follow-up, suboptimal adherence to ART and risking transmission of the virus to the unborn child. (11). For these reasons, a multidisciplinary model is the …

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Useful resources

Recommendations for the Use of Antiretroviral Drugs During Pregnancy and Interventions to Reduce Perinatal HIV Transmission in the United States The 2023 PENTA Guidelines for the use of antiretroviral therapy in paediatric HIV infection. ASHM The Optimal Scenario & Context of Care ASHM Guidance for Healthcare Providers regarding Infant Feeding Options for People Living with …

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References

WHO. Mother to child transmission of HIV. Global HIV Programme [Internet]. Available from: https://www.who.int Australian Government Department of Health and Aged Care. Pregnancy Care Guidelines [Internet]. Available from: https://www.health.gov.au/resources/pregnancy-care-guidelines UNSW The Kirby Institute. HIV, viral hepatitis and sexually transmissible infections in Australia: Annual surveillance report 2022 [Internet]. Available from: https://www.kirby.unsw.edu.au/sites/default/files/documents/Annual-Surveillance-Report-2022_HIV.pdf Jean J, Coll A, Monda …

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Key Affected Populations

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)  …

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Asylum seekers and refugees

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, …

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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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Privacy and confidentiality

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 …

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Men who have sex with men

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 …

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People who inject substances

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, …

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Nursing considerations

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 …

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