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NSW STI Programs Unit
      UPDATE

      May 2011

     Southern &
  Murrumbidgee LHD
Organisational Setting
                                                    NSW AIDB                         SESIH
                 ADVISORY GROUP
                                                   Funding and                   Financial and
                                                strategic direction          Business management




                                                                                                         NSW Sexual Health
                                                      Head
                                                                                                             Website
                                                 Dr Chris Bourne


                                                                                                         NSW Sexual Health
                                                                                                          Information Line

                                                  A/Manager                                                  Margy Ewing
                                                 Carolyn Murray

                                                                                                         NSW Sexual Health
                                                                                                        Medical Directors Group




   Project Manager                 Project Manager                                                     Project Manager
STI Contact Tracing and                                               Project Manager
                                    Publicly Funded                                                HIV/STI Health Promotion
 GP Research Programs                                                 General Practice
                                  Sexual Health Service                                                    Resource
     Leanne Burton                                                     Carolyn Murray
                                     Leng Boonwaat                                                         Liz Story




                            Esther Chau - part time - administration support
WORKING WITH GENERAL PRACTICE

1    Support sexual health service provision by GPs
     by ensuring access to education and training
     programs.

    • Practice Nurse STI training program

    • Active Learning Module for GPs

    • Think GP training- GP STI testing tool

    • Direct advertising to GPs
WORKING WITH GENERAL PRACTICE
2   Support sexual health service provision by GPs
    by ensuring ready access to information and
    education resources.

      •   GP STI Testing tool

      •   Practice Nurse Postcard ‘s

      •   Contributing to revision 7th RACGP Prevention
          Care (Red Book)

      •   Fact sheets and website

     •    Other resources
WORKING WITH GENERAL PRACTICE
3    Improve communication of Area Health Service
     referral pathways and options available to GPs
    • Core business statement
    • Partnerships with RACGP, GPNSW and ASHM
    • Practice Nurse Conference


  MASTER
   CLASS
“SEX...NEED
 A HAND”
HEALTH PROMOTION RESOURCE
           PROJECT
Increase general awareness of STIs, including
the asymptomatic nature of many and

the range of prevention strategies to reduce
the transmission of STI,

including condom use with new and casual
partners.
ACTIVITIES FOR 2011
• NSW HIV/STI Education campaign extenders
  – TAFE campaign
  – Sydney Festival:       opportunistic advertising,
                           condom distribution
• Social Research
  – barriers & facilitators to STI testing in young people
  – new media & sexual health information for young
    people


• Social Marketing Training

• SMS & STIPU MAIL
ACTIVITIES FOR 2011


• Sexual Health Week

• World AIDS Day: HIV Is Still Here
                Community Grants
                Training in HIV Discrimination
PUBLICLY FUNDED SEXUAL HEALTH
         SERVICES PROJECT

1. Improving access to sexual health clinics for priority
   populations


• Snapshot of SHS data across NSW
• Priority Populations Calculator
• Review of population health knowledge
  and skills       http://wdp.org.au
• Triage training http://stiprojects.info/triagecourse
• Social media discussion paper
PUBLICLY FUNDED SEXUAL HEALTH
        SERVICES PROJECT

2. Strengthen local partnerships with general practice


• Core business statements for SHS, GPs and Public
  Health Units
• Discussions with Medical Directors, HPOs and Sexual
  Health Counsellors re: how STIPU can help PFSHS
  support GPs
• Work with laboratories to add referral notes to STI test
  results
PUBLICLY FUNDED SEXUAL HEALTH
         SERVICES PROJECT
3. Promote best practice standards within publicly funded
   sexual health services


• Secretariat to Senior Nurse Technical Group
   •   NSW SOP / clinical guidelines / standing orders
   •   Sexual Health Nursing Course
   •   Support ASHHNA re: sexual health competencies

• STI Project register

• STIPU Website

• Secretariat to NSW SH Medical Directors
STI CONTACT TRACING & GP RESEARCH
GP Research - To support the development of research into
  general practice STI testing

Key Project
•    University of Western Sydney researchers
•    Conducting a process and impact evaluation of STIPU
     resources for GPs and Practice Nurses
•    Process
    –      how the resources were planned, delivered and received by the target
           audience,
•       Impact
    –      what outcomes were achieved and the extent to which the GP Project
           aims were achieved.
•       Consult individuals & stakeholders through online surveys,
        interviews and focus groups.
STI CONTACT TRACING & GP RESEARCH
STI Contact Tracing - To strengthen contact tracing measures
  across the state including Sexual Health Services and General
  Practice

Key Project Areas
• Promotion, distribution and in some cases development of
  Contact Tracing Resources for General Practice
• Supporting Publicly Funded Sexual Health Clinic
   – Update of Contact Tracing SOP
   – Exploration of Contact Tracing Quality Assurance Activities
   – Supporting clinics in providing STI education to general practice
• Participating and contributing to the review of NSW Contact
  Tracing Guidelines for STI and BBV policy directive
STI CONTACT TRACING & GP RESEARCH
NSW SEXUAL HEALTH INFOLINE
Aims:
• To educate and promote the
  sexual health of the community.
• To facilitate efficient use of public
  funded sexual health clinics.

• Staffed by team of 4 nurses:
   – sexual health clinical
     experience (CNS)
   – Phone line training

• Computerised database and web
  based resources.
• Database of SHC business hours
  and skill mix.
NSW SEXUAL HEALTH INFOLINE

2009/2010: 6, 200 calls in NSW
GSAHS:
   • 86 community calls
   • 21 health professionals
      • 5 doctors, 9 nurses, 7 allied health
                  6
                                    NSW Health Get
                  5                 Tested campaign
  Calls/100,000




                  4

                  3                                   GSAHS
                                                      GWAHS
                  2
                                                      NCAHS
                  1                                   Linear (GSAHS)
                  0



                            July 2008 - March 2011
NSW SEXUAL HEALTH INFOLINE
               HOW CAN WE HELP YOU?
• Provide triage and administration support (freecall
   transfer).

• Info and support to STI contacts/partners.
• Extend clinical support: new GPs, doctors and nurses, allied
  health staff.
• Training courses –schools, TAFE, uni, allied health, GP
• Commercial outlets-entertainment, fashion, hair and beauty,
  pharmacies, tourism
• Business schools-trades, mining, industry.
• Add to media releases.
• Outreach to youth, aboriginal, welfare and corrective
  services.
www.stipu.nsw.gov.au/shil
Discussion

1. What have been your experiences with triage and
   priority populations?

2. How can SLHD help support General Practice to
   undertake contact tracing within the work the
   clinic currently undertakes with GPs?

3. How are social marketing techniques/tools
   currently used in SLHD in activities that you
   develop? Can these be further enhanced?
Fact sheets
Core Business Statement
Core Business cont’
Mail out to GPs 1
       &2
Getting STIs on the Agenda

MEDICAL UPDATE
 Dr Chris Bourne, Head, New South Wales Sexually
 Transmissible Infections Programs Unit, and Senior Staff
 Specialist, Sydney Sexual Health Centre, Sydney
 Hospital…supported by New South Wales STI Programs
 Unit. To obtain a copy of the STI testing tool please
 visit: http://www.stipu.nsw.gov.au/ click on highlights
Website banners
Special Feature
Self collection of specimens
DRAFT REVIEW
Aboriginal and
Torres strait islander
Communities

PLWHA
                           Slide 3
Southern and  Murrumbidgee LHD Teleconference with STIPU
Southern and  Murrumbidgee LHD Teleconference with STIPU

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Southern and Murrumbidgee LHD Teleconference with STIPU

  • 1. NSW STI Programs Unit UPDATE May 2011 Southern & Murrumbidgee LHD
  • 2. Organisational Setting NSW AIDB SESIH ADVISORY GROUP Funding and Financial and strategic direction Business management NSW Sexual Health Head Website Dr Chris Bourne NSW Sexual Health Information Line A/Manager Margy Ewing Carolyn Murray NSW Sexual Health Medical Directors Group Project Manager Project Manager Project Manager STI Contact Tracing and Project Manager Publicly Funded HIV/STI Health Promotion GP Research Programs General Practice Sexual Health Service Resource Leanne Burton Carolyn Murray Leng Boonwaat Liz Story Esther Chau - part time - administration support
  • 3. WORKING WITH GENERAL PRACTICE 1 Support sexual health service provision by GPs by ensuring access to education and training programs. • Practice Nurse STI training program • Active Learning Module for GPs • Think GP training- GP STI testing tool • Direct advertising to GPs
  • 4. WORKING WITH GENERAL PRACTICE 2 Support sexual health service provision by GPs by ensuring ready access to information and education resources. • GP STI Testing tool • Practice Nurse Postcard ‘s • Contributing to revision 7th RACGP Prevention Care (Red Book) • Fact sheets and website • Other resources
  • 5. WORKING WITH GENERAL PRACTICE 3 Improve communication of Area Health Service referral pathways and options available to GPs • Core business statement • Partnerships with RACGP, GPNSW and ASHM • Practice Nurse Conference MASTER CLASS “SEX...NEED A HAND”
  • 6. HEALTH PROMOTION RESOURCE PROJECT Increase general awareness of STIs, including the asymptomatic nature of many and the range of prevention strategies to reduce the transmission of STI, including condom use with new and casual partners.
  • 7. ACTIVITIES FOR 2011 • NSW HIV/STI Education campaign extenders – TAFE campaign – Sydney Festival: opportunistic advertising, condom distribution • Social Research – barriers & facilitators to STI testing in young people – new media & sexual health information for young people • Social Marketing Training • SMS & STIPU MAIL
  • 8. ACTIVITIES FOR 2011 • Sexual Health Week • World AIDS Day: HIV Is Still Here Community Grants Training in HIV Discrimination
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  • 12. PUBLICLY FUNDED SEXUAL HEALTH SERVICES PROJECT 1. Improving access to sexual health clinics for priority populations • Snapshot of SHS data across NSW • Priority Populations Calculator • Review of population health knowledge and skills http://wdp.org.au • Triage training http://stiprojects.info/triagecourse • Social media discussion paper
  • 13. PUBLICLY FUNDED SEXUAL HEALTH SERVICES PROJECT 2. Strengthen local partnerships with general practice • Core business statements for SHS, GPs and Public Health Units • Discussions with Medical Directors, HPOs and Sexual Health Counsellors re: how STIPU can help PFSHS support GPs • Work with laboratories to add referral notes to STI test results
  • 14. PUBLICLY FUNDED SEXUAL HEALTH SERVICES PROJECT 3. Promote best practice standards within publicly funded sexual health services • Secretariat to Senior Nurse Technical Group • NSW SOP / clinical guidelines / standing orders • Sexual Health Nursing Course • Support ASHHNA re: sexual health competencies • STI Project register • STIPU Website • Secretariat to NSW SH Medical Directors
  • 15. STI CONTACT TRACING & GP RESEARCH GP Research - To support the development of research into general practice STI testing Key Project • University of Western Sydney researchers • Conducting a process and impact evaluation of STIPU resources for GPs and Practice Nurses • Process – how the resources were planned, delivered and received by the target audience, • Impact – what outcomes were achieved and the extent to which the GP Project aims were achieved. • Consult individuals & stakeholders through online surveys, interviews and focus groups.
  • 16. STI CONTACT TRACING & GP RESEARCH STI Contact Tracing - To strengthen contact tracing measures across the state including Sexual Health Services and General Practice Key Project Areas • Promotion, distribution and in some cases development of Contact Tracing Resources for General Practice • Supporting Publicly Funded Sexual Health Clinic – Update of Contact Tracing SOP – Exploration of Contact Tracing Quality Assurance Activities – Supporting clinics in providing STI education to general practice • Participating and contributing to the review of NSW Contact Tracing Guidelines for STI and BBV policy directive
  • 17. STI CONTACT TRACING & GP RESEARCH
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  • 21. NSW SEXUAL HEALTH INFOLINE Aims: • To educate and promote the sexual health of the community. • To facilitate efficient use of public funded sexual health clinics. • Staffed by team of 4 nurses: – sexual health clinical experience (CNS) – Phone line training • Computerised database and web based resources. • Database of SHC business hours and skill mix.
  • 22. NSW SEXUAL HEALTH INFOLINE 2009/2010: 6, 200 calls in NSW GSAHS: • 86 community calls • 21 health professionals • 5 doctors, 9 nurses, 7 allied health 6 NSW Health Get 5 Tested campaign Calls/100,000 4 3 GSAHS GWAHS 2 NCAHS 1 Linear (GSAHS) 0 July 2008 - March 2011
  • 23. NSW SEXUAL HEALTH INFOLINE HOW CAN WE HELP YOU? • Provide triage and administration support (freecall transfer). • Info and support to STI contacts/partners. • Extend clinical support: new GPs, doctors and nurses, allied health staff. • Training courses –schools, TAFE, uni, allied health, GP • Commercial outlets-entertainment, fashion, hair and beauty, pharmacies, tourism • Business schools-trades, mining, industry. • Add to media releases. • Outreach to youth, aboriginal, welfare and corrective services.
  • 25. Discussion 1. What have been your experiences with triage and priority populations? 2. How can SLHD help support General Practice to undertake contact tracing within the work the clinic currently undertakes with GPs? 3. How are social marketing techniques/tools currently used in SLHD in activities that you develop? Can these be further enhanced?
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  • 39. Mail out to GPs 1 &2
  • 40. Getting STIs on the Agenda MEDICAL UPDATE Dr Chris Bourne, Head, New South Wales Sexually Transmissible Infections Programs Unit, and Senior Staff Specialist, Sydney Sexual Health Centre, Sydney Hospital…supported by New South Wales STI Programs Unit. To obtain a copy of the STI testing tool please visit: http://www.stipu.nsw.gov.au/ click on highlights
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  • 47. Self collection of specimens
  • 48. DRAFT REVIEW Aboriginal and Torres strait islander Communities PLWHA Slide 3

Notes de l'éditeur

  1. From the NSW STI Strategy 2006-2010
  2. Help extend the campaign and also support it locally. Eg TAFE –endorsement from TAFE H/oFestivals: Sydney Festival – 15 000 condoms.. NSW Health – looking at a festival strategy for NSWCondom distribution – very effective and highly acceptable – condom dispensersSocial Research – will disseminate findings in a format user friendly – for consistent messages – interesting & exciting findings - Social marketing training – with WDP – fit with the HP training SMS – source of ideas/ theory case studies -
  3. Greater Sydney – Check it Out 2008 – resources could be available..World AIDS Day – congrats to Janine esp for project – Training will be the focus with community grants.
  4. Place: opportunistic advertising..
  5. Condoms…. 15 000 over 26 nights – evidence that free Condom distribution is effective – 2/3 wil be used as intended.High acceptance.
  6. Early 2009 Ms Kim Stewart (A/Director Health Protection, NSW Health) sent the attached letter requesting all NSW public and private laboratories to add referral notes to all sexually transmissible infections (STI) and HIV results. This initiative was endorsed by the NSW Microbiology Laboratory Network  and aimed to support patients and their doctors by providing timely information when receiving test results for STI and HIV. Some laboratories have added the information to their pathology test results prompting calls to the NSW Sexual Health Information Line.
  7. Summary of changes this yearC3 - Contact tracing – when to offer provider referralC4 – Contraception - new chapter addedC6 - HIV monitoring – holistic managementC7 - HIV testing – information on counsellor’s role expandedP2 – STI prevention - counselling guidelines – referralP3 – MSM guidelines STIGMA 2010 G6 – Protecting children and young people MRGG7 – Sexual Health OutreachA4 - Student placement – current documentation requirements
  8. are evaluating the educational resources developed through the GP Project (clinical guides, educational modules in text, image and audio formats) Who developed, used, and perhaps did not use the resources
  9. Articles in GP (med ob, AFP, Aus Doc in 2011) and PN publicationsPartnering with ASHM on cross promotion of CT resources Development of online CT GP education program Developing CT FAQ section on GP NSW website for GPIncluding CT key messages in any GP/PN education initiatives – GP ALM exampleQuality Assurance Activies Survey of PFSHS re: CT Data collection and any QA activities undertaken as this varies widely across state
  10. M:F ratio 2:1, 29-35 years, Most HRPC and symptomatic for STI, 1:5 not priority. STI testing, HSV, Syphilis Chlamydia, Phone book or internet
  11. Clubs, bars, sporting, and racing events.