The Australian Gay Community Periodic Survey (1998-2010) tells us that 1 in 8 sexually active gay men have never tested. Michael Atkinson (WA AIDS Council) talks about a strategy to address barriers to testing and to promote testing culture - the MClinic. This presentation was given at the AFAO/NAPWA Gay Men's HIV Health Promotion Conference in May 2012.

1. The Role of Peer
Educators
In Addressing Barriers and
Motivation to Testing
Michael Atkinson

2. Community Testing Objectives
1.Access
2.Access
3.Access

3. Standard Testing Process
• Make an appointment
• Get to the clinic
• Talk about sexual behaviour
• Provide specimens
• Return for results
• Schedule next appointment
• And on it goes…

4. Psycho-social Barriers
• Stigma and discrimination (HIV & sexuality)
• Anxiety
• Guilt & shame
• Relationship dynamics (notions of trust)
• Internalised homophobia
• Lifestyle - people are busier than ever
• Fear – for example needles

5. M Clinic – Access Features
• Community setting
• Gay Friendly
• Staffed by a mix of peer and
clinical staff
• Same day appointments
• Convenient open times and
location
• Free & quick service
• Neutral setting - increase MSM
comfort
• Good parking and public transport
• Confidential

6. Principles of approach
• Integrated approach: combines medical,
public health and peer models to reduce
acquisition of HIV and STIs
• Provides an opportunity for guys to talk
openly about their sexual behaviour allowing
for tailored education and support
• High quality and authentic pre and post test
discussion reduces possibility of associated
trauma of a positive diagnosis

7. Role of Peer Educator
Involved in all aspects of service:
• Clinic coordination
• Service delivery
– Reception: greet clients, triage, informal education
– Pre test discussion: hand over to nurse/doctor
– Post test discussion: education and referral
– Give positive results: HIV & STIs
• Administration and Data Collection
• Clinical Governance including research