Health Care Services for men who have sex with men in different Australian states and territories since the emergence of HIV

Sexual Health ◽  
2008 ◽  
Vol 5 (2) ◽  
pp. 161 ◽  
Author(s):  
Cathy Pell ◽  
Simon Donohoe ◽  
Damian Conway
Keyword(s):  
Health Care ◽  
Health Services ◽  
Sexual Health ◽  
Health Care Services ◽  
Post Exposure Prophylaxis ◽  
People Living With Hiv ◽  
Sex With Men ◽  
Sexual Health Clinics ◽  
Living With Hiv ◽  
Hiv Aids

The purpose of this article is to describe sexual health services available in Australia across the different states and territories for gay men and men who have sex with men (MSM) and their utilisation. An assessment of services available in different states is made, then the evidence about how MSM and people living with HIV/AIDS access health care in Australia is presented. This demonstrates that the number and location of sexual health services has changed over time. It also demonstrates that services available differ by state and territory. The availability of non-occupational post-exposure prophylaxis for HIV infection has been different in each state and territory, as has its utilisation. The majority of care for sexual health-related issues and for MSM and people living with HIV/AIDS is delivered in general practice settings in Australia, with hospital outpatient settings, including sexual health clinics, utilised commonly.

A Qualitative Approach to the Mental Health Care Needs of People Living with HIV/AIDS in Victoria

2002 ◽  
Vol 8 (3) ◽  
pp. 30
Author(s):  
Maria Teresa Dawson ◽  
Paul Grech ◽  
Brendan Hyland ◽  
Fiona Judd ◽  
John Lloyd ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Services ◽  
Health Services ◽  
Service Providers ◽  
People Living With Hiv ◽  
Health Care Needs ◽  
Care Needs ◽  
Living With Hiv ◽  
Hiv Aids

This article reports on the findings of the qualitative stage of a larger project on the mental care needs of people with HIV/AIDS and mental illness (Tender T1176 Department of Human Services, Mental Health Branch, Victoria - Research on the Mental Health Care Needs of People with HIV/AIDS and Mental Illness). The purpose of the larger research was to evaluate the needs and treatment requirements of persons with HIV/AIDS, who also suffer from mental health problems, with a view to developing proposals for improving existing service delivery in Victoria, Australia. The qualitative stage was designed to complement and elucidate data obtained through the quantitative stages of the project. Thirty in-depth open-ended interviews were carried out with service providers including HIV physicians, general practitioners, psychiatrists, clinical and managerial staff of Area Mental Health Services, Contact Tracers and forensic mental health services staff, as well as representatives of community groups such as People Living with HIV/AIDS and Positive Women and carers. The interviews explored the perspective of both service providers and users of such services with respect to needs for psychiatric care and service delivery, ease of access or barriers to mental health services, and the perceived strengths and weaknesses in current service provision. This paper presents the main findings and recommendations submitted to the funding body.

scholarly journals Health care services satisfaction and associated factors among people living with HIV/AIDS at Kibuye referral hospital, Rwanda

2021 ◽  
Vol 8 (12) ◽  
pp. 5782
Author(s):  
Nizeyimana Abdou ◽  
Mikael Habtu ◽  
Onesmus Marete ◽  
Monica Mochama ◽  
Erigene Rutayisire ◽  
...  
Keyword(s):  
Health Care ◽  
Service Delivery ◽  
Health Care Services ◽  
Care Service ◽  
Health Care Service ◽  
Referral Hospital ◽  
People Living With Hiv ◽  
Care Services ◽  
Living With Hiv ◽  
Hiv Aids

Background: Patient satisfaction surveys have gained great attention as meaningful parameters for evaluating quality improvement in healthcare organizations. At Kibuye referral hospital, healthcare utilization and health care services for people living with HIV/AIDS (PLWHA) has been low, as attested by poor adherence to medication and weakening of patients due the disease progression. The main objective of this study was to assess healthcare services satisfaction and associated factors among people living with HIV/AIDS Kibuye referral hospital, Rwanda. Methods: An institutional-based cross-sectional design was used to select 277 study participants who were interviewed by use of a structured questionnaire, and the data analyzed quantitatively. Two focus group discussions (FGDs) were performed, after which the interviews were transcribed in verbatim and analyzed thematically.Results: The overall level of PLWHA satisfaction was 95.0%. In multivariate analysis, social class and age were found to be the main predictors of PLWHA satisfaction (AOR=10.218, 95% CI=1.39, 74.88, p=0.002) and (AOR=0.39, CI=0.121 to 1.186, p=0.005), respectively. Qualitative study outcome showed that health care service delivery at Kibuye referral hospital is measured by a number of factors, including timeliness of health care service delivery, meeting needs of clients and paying attention in provision of health care services.Conclusions: The level of patient satisfaction was found to be high. When individual was of high-class status in the society, and were above 20 years of age, his or her satisfaction increased. The study recommends that PLWAs are treated equally so as to improve service delivery, particularly among people living HIV/AIDS.

scholarly journals Oral Health Care for People Living with HIV/AIDS

2012 ◽  
Vol 127 (2_suppl) ◽  
pp. 1-2 ◽  
Author(s):  
Regina M. Benjamin
Keyword(s):  
Health Care ◽  
Oral Health ◽  
Oral Health Care ◽  
People Living With Hiv ◽  
Living With Hiv ◽  
Hiv Aids

scholarly journals Health Status, Health Care Use, Medication Use, and Medication Adherence Among Homeless and Housed People Living With HIV/AIDS

2007 ◽  
Vol 97 (12) ◽  
pp. 2238-2245 ◽  
Author(s):  
Daniel P. Kidder ◽  
Richard J. Wolitski ◽  
Michael L. Campsmith ◽  
Glenn V. Nakamura
Keyword(s):  
Health Care ◽  
Health Status ◽  
Medication Adherence ◽  
Medication Use ◽  
Health Care Use ◽  
People Living With Hiv ◽  
Living With Hiv ◽  
Hiv Aids

Improving Access to Mental Health Services for Racialized Immigrants, Refugees, and Non-Status People Living with HIV/AIDS

2015 ◽  
Vol 26 (2) ◽  
pp. 505-518 ◽  
Author(s):  
Y.Y. Brandon Chen ◽  
Alan Tai-Wai Li ◽  
Kenneth Po-Lun Fung ◽  
Josephine Pui-Hing Wong
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
People Living With Hiv ◽  
Living With Hiv ◽  
Hiv Aids

Sexual and reproductive health services for people living with HIV/AIDS in Germany: are we up to the challenge?

Infection ◽  
2013 ◽  
Vol 41 (4) ◽  
pp. 761-768 ◽  
Author(s):  
M. C. Mueller ◽  
C. Walentiny ◽  
U. Seybold ◽  
C. Nöstlinger ◽  
T. Platteau ◽  
...  
Keyword(s):  
Reproductive Health ◽  
Health Services ◽  
Sexual And Reproductive Health ◽  
People Living With Hiv ◽  
Reproductive Health Services ◽  
Living With Hiv ◽  
Hiv Aids

scholarly journals Chemsex and the city: sexualised substance use in gay bisexual and other men who have sex with men attending sexual health clinics

2016 ◽  
Vol 28 (4) ◽  
pp. 362-366 ◽  
Author(s):  
A Hegazi ◽  
MJ Lee ◽  
W Whittaker ◽  
S Green ◽  
R Simms ◽  
...  
Keyword(s):  
Substance Use ◽  
Hepatitis C ◽  
Drug Use ◽  
Sexual Health ◽  
Clinical Pathways ◽  
Post Exposure Prophylaxis ◽  
Hiv Incidence ◽  
Health Clinics ◽  
Sex With Men ◽  
Sexual Health Clinics

The objective of this study was to analyse associations between sexualised substance use (chemsex), STI diagnoses and sexual behaviour among gay bisexual and other men who have sex with men accessing sexual health clinics to better inform clinical pathways. A retrospective case notes review was undertaken following the introduction of more detailed and holistic profomas for all gay bisexual and other men who have sex with men attending two London sexual health clinics between 1 June 2014 and 31 January 2015. Chemsex status was documented for 655/818. Overall, 30% disclosed recreational drug use of whom 113 (57%) disclosed chemsex and 27 (13.5%) injecting drugs. HIV-positive gay bisexual and other men who have sex with men were more likely to disclose chemsex (AOR 6.68; 95% CI 3.91–11.42; p < 0.001). Those disclosing chemsex had a higher incidence of acute bacterial STIs (AOR 2.83 CI 1.79–4.47; p < 0.001), rectal STIs (AOR 3.10 CI 1.81–5.32; p < 0.001) or hepatitis C (AOR 15.41 CI 1.50–158.17; p = 0.021). HIV incidence in the study period was 1.8% (chemsex) vs. 0.9% (no chemsex) (p = 0.61). Chemsex was associated with having more sexual partners, transactional sex, group sex, fisting, sharing sex toys, injecting drug use, higher alcohol consumption and the use of ‘bareback’ sexual networking applications (p < 0.004). Chemsex participants were also more likely to have accessed post-exposure prophylaxis for HIV in the study period and report sex with a discordant HIV or hepatitis C-infected partner (p < 0.001). Chemsex disclosure is associated with higher risk-taking behaviours, acute bacterial STIs, rectal STIs and hepatitis C incidence. HIV incidence was higher but not significantly so in the study period. Chemsex disclosure in sexual health clinics should prompt an opportunity for prevention, health promotion and wellbeing interventions.

Sign in / Sign up

Export Citation Format

Share Document