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 …
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 …
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).
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, …
Nursing and midwifery strategies for working with key populations: summary Read More »
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 …
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: …
Jane Tomnay: Centre for Excellence in Rural Sexual Health, The University of Melbourne Summary Partner Notification is important to: alert partners of their risk of contracting HIV and encourage them to seek testing. provide an opportunity for prophylaxis, testing and treatment if required prevent unwanted long-term sequelae. prevent inadvertent onward transmission. Partner Notification can be undertaken …
Healthcare providers who diagnose a person with HIV should ensure that they discuss the need for partner notification with that person. If a person is diagnosed with HIV, then they have acquired their infection from another person, and possibly transmitted it to subsequent partners. Consideration of transmission risk in people who have HIV infection should …
The index case is a person newly diagnosed with HIV. The healthcare provider must raise with this person the possibility of notifying their partners of their risk and encouraging the partner/s to test. Partner notification is completely dependent on the index person being prepared to discuss the matter and to identify partners who have been …
Patient referral: the index patient informs the partner/s of their risk and encourages them to undertake HIV testing and/or HIV prophylaxis, if appropriate. Provider referral: a healthcare provider informs the partner/s of their risk of HIV whilst maintaining the confidentiality of the index person and encourages the partner/s to undertake HIV testing. Conditional referral: a …
Developing a sustainable HIV, Viral Hepatitis and Sexual Health Workforce
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