Lea Narciso from SA Health discusses the changing epidemic in South Australia, which now includes an increasing number of people born overseas, and the government's policy response. This presentation was given at the AFAO Community Hub at the ASHM 2015 conference.

1. South Australian Policy
Response to HIV and Mobility
Lea Narciso
STI and BBV Section
Communicable Disease Control Branch, SA Health
September 2015
Public-I1-A1

2. SA Health
SA HIV notifications, 2010-2015
> In 2015, to date, there are 37 notifications of HIV
infection in South Australia.
> A gradual increase in the
number of overseas born
cases over the past five
years is evident in the
dataset.
> In 2015, 57 per cent of
notifications were persons
born outside Australia.
Number of HIV cases notified
Year Total
2010 48
2011 68
2012 43
2013 69
2014 55
2015 37

3. SA Health
Exposure categories by location,
2014

4. SA Health
HIV notifications among women,
2010-2014
Year Number Percentage
2010 8 17
2011 18 26
2012 10 23
2013 17 25
2014 19 35

5. SA Health
HIV notifications and country of
birth, 2014
> In 2014, Australia was the most frequent country of birth
recorded with 28 (51%) of cases.
> Of the remaining cases, 26 (47%) were born overseas
(and country of birth was not stated for one case).
> The various regions or countries of birth identified were
Africa (n=11), Asia (n=9), the Americas (n=3), United
Kingdom (n=2) and the Middle East (n=1) .

6. SA Health
HIV notifications and CALD
communities, 2014
> An average of 41 per cent of annual HIV notifications in
South Australia were people of CALD backgrounds.
• In 2014, 23 cases (43%) comprised of people of CALD
backgrounds.
> Nineteen (83 per cent) of those born overseas acquired
HIV overseas whilst four (17 per cent) cases acquired
HIV in Australia.
> Amongst the nine male cases from CALD backgrounds,
six reported they acquired the infection overseas and
five reported the source of the infection to be a same
sex partner.
> There were fourteen females from CALD backgrounds
and eleven (79 per cent) reported sexual activity
overseas as their only risk factor.

7. SA Health
CALD communities strategic
document, 2012-2016
> HIV Prevention in CALD Communities in SA 2012-2016
strategic document emerged from SA HIV Action Plan
2009-2012.
> Developed in partnership with government and non
government organisations:
• to improve quality of life of people from priority CALD
backgrounds* who are living with HIV
• to reduce onwards transmission of HIV.
> Focus on:
• facilitating prevention, testing and treatment; addressing
stigma and discrimination; engaging in culturally
appropriate health promotion; and building the capacity of
existing services.
*Based on incidence of HIV and SA migration data in 2012: Sub Saharan African and South East Asian
populations in SA.

8. SA Health
Funding and service plan,
2014-2019
> Review of HIV and viral hepatitis non-government
services in 2013
> Identified new and emerging priorities for HIV and viral
hepatitis services in South Australia
> Strategic priorities for non-government services
included:
• investment in a dedicated community HIV and viral
hepatitis prevention project for African communities
• establishment of a peer support and community
development program for women living with HIV.

9. SA Health
2015-2016
> Funding and service plan strategic priorities have been
implemented
> New Community of Practice for Action on HIV and
Mobility SA (CoPAHM SA) has been established
> SA HIV Implementation and Evaluation Plan 2015-2016
to address the 7th National HIV Strategy and the 4th
National Aboriginal and Torres Strait Islander BBV
Strategy has been finalised.