australia’s domestic hiv strategy: 2014 and beyond
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Australia’s domestic HIV Strategy: 2014 and beyond. Professor Chris Baggoley Chief Medical Officer Australian Government Department of Health Elise Newton Assistant Director, Department of Health AIDS 2014 Special Session Tuesday 22 July, 2014. Introduction. HIV in Australia - PowerPoint PPT PresentationTRANSCRIPT
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Australia’s domestic HIV Strategy: 2014 and beyond
Professor Chris Baggoley
Chief Medical Officer
Australian Government Department of Health
Elise Newton
Assistant Director, Department of Health
AIDS 2014 Special SessionTuesday 22 July, 2014
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Introduction
• HIV in Australia• 7th National HIV Strategy
2014 – 2017
- key features
- priority actions• Reflections on the future
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HIV in Australia
• 26 800 people living with HIV in 2013• Prevalence
- Gay community attached MSM: 8-12%
- People who inject drugs: 2.1%
- Female sex workers: <0.1%
- Aboriginal and Torres Strait Islander: 0.15% • Mother-to-child transmission rare
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Newly diagnosed HIV infection in Australia
0
500
1000
1500
2000
2500
1984 1986 1988 1990 1992 1994 1996 1998 2000 2002 2004 2006 2008 2010 2012
Nu
mb
er
Year HIV diagnoses
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National BBV and STI Strategies 2014 - 2017
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National BBV and STI Strategies 2014 - 2017
• Prevention• Testing• Management, care and support• Workforce• Enabling environment• Surveillance, research, evaluation
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7th National HIV Strategy 2014 - 2017
GOAL:
Work towards the virtual elimination of HIV transmission in Australia by 2020
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7th National HIV Strategy 2014 - 2017
TARGETS: – Reduce sexual transmission by 50% by 2015– Increase treatment uptake to 90%– Sustain low rates in the Aboriginal and Torres
Strait Islander population– Sustain virtual elimination amongst sex
workers, people who inject drugs and MTCT– Maintain prevention programs for sex workers
and people who inject drugs
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PREVENTION
• Target - Reducing sexual transmission of HIV
• Risk behaviours increasing• Reinvigorating cultures of safe sex
practices• Treatment as prevention
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TESTING
• Target – increasing treatment uptake to 90 per cent
• Late diagnoses, 3.4 years between infection and diagnosis, undiagnosed HIV
• Increasing options- laboratory based - rapid testing- home self-testing
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MANAGEMENT, CARE AND SUPPORT
• Linking to care and retention in care• Increasing role for primary health care• Support for primary care workforce• Easier access to treatments in the
community • Eliminating stigma and discrimination
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BEYOND 2014 – TOWARDS 2020
Meaningful engagement
Partnerships
Responsive communication
Long term commitment
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Thank you to all those who contributed to the development of the strategies
• Ministerial Advisory Committee on Blood Borne Viruses and Sexually Transmissible Infections (Chair – Prof Michael Kidd)
• Blood Borne Viruses and Sexually Transmissible Infections Standing Committee (Chair – Dr Kerry Chant)
• State and Territory government representatives• Peak bodies – Australian Federation of AIDS Organisations (AFAO),
National Association of People With HIV Australia (NAPWHA), Australian Injecting and Illicit Drug Users League (AIVL), Scarlet Alliance, Hepatitis Australia, Anwernekenhe National HIV Alliance (ANA)
• Research centres• Professional organisations• Clinicians• Individuals