Resetting the agenda: the makings of ‘A New Era’ of HIV policy in NSW

Sexual Health ◽  
2016 ◽  
Vol 13 (4) ◽  
pp. 328 ◽  
Author(s):  
Darryl O'Donnell ◽  
Diana Perche

The New South Wales Government’s NSW HIV Strategy 2012–2015: A New Era represented a punctuated shift of policy direction, and was remarkable for its ground-breaking declaration that HIV transmission could be virtually ended by 2020. This significant policy shift occurred after a long period of stability and only incremental change, some of it represented by policy decline as political and public interest in HIV waned. This article uses punctuated equilibrium theory to explore the conditions that allowed for change, and the roles played by new and long-standing actors in the HIV policy subsystem. It explains the importance of challenges to the policy image and the policy venue as key mechanisms that allowed new possibilities, created by advances in the scientific understanding of HIV, to be incorporated rapidly into government policy.


Viruses ◽  
2019 ◽  
Vol 11 (5) ◽  
pp. 482 ◽  
Author(s):  
Francesca Di Giallonardo ◽  
Angie N. Pinto ◽  
Phillip Keen ◽  
Ansari Shaik ◽  
Alex Carrera ◽  
...  

Australia’s response to the human immunodeficiency virus type 1 (HIV-1) pandemic led to effective control of HIV transmission and one of the world’s lowest HIV incidence rates—0.14%. Although there has been a recent decline in new HIV diagnoses in New South Wales (NSW), the most populous state in Australia, there has been a concomitant increase with non-B subtype infections, particularly for the HIV-1 circulating recombinant form CRF01_AE. This aforementioned CRF01_AE sampled in NSW, were combined with those sampled globally to identify NSW-specific viral clades. The population growth of these clades was assessed in two-year period intervals from 2009 to 2017. Overall, 109 NSW-specific clades were identified, most comprising pairs of sequences; however, five large clades comprising ≥10 sequences were also found. Forty-four clades grew over time with one or two sequences added to each in different two-year periods. Importantly, while 10 of these clades have seemingly discontinued, the remaining 34 were still active in 2016/2017. Seven such clades each comprised ≥10 sequences, and are representative of individual sub-epidemics in NSW. Thus, although the majority of new CRF01_AE infections were associated with small clades that rarely establish ongoing chains of local transmission, individual sub-epidemics are present and should be closely monitored.



2017 ◽  
Vol 61 (6) ◽  
pp. 1095-1115 ◽  
Author(s):  
Darren Phillips ◽  
Ahmed Bawa Kuyini

This study in the state of New South Wales, Australia, explored what Specialist Homelessness Services are currently implementing in regard to consumer participation, what is working and what barriers to consumer participation have been encountered by both service users and providers. Three staff members, one consumer volunteer and 10 homeless persons from three services were interviewed. The interviews were analysed using thematic analysis. The study found that while consumers have some opportunities to participate, and that participation is beneficial, there were barriers to participation, such as staff attitudes and the nature of the consumer group. The implications of these findings for staff, consumers and future policy direction are discussed.



2014 ◽  
Vol 201 (5) ◽  
pp. 260-262 ◽  
Author(s):  
Marianne Gale ◽  
Joanne Holden ◽  
Christine Selvey ◽  
Kerry Chant ◽  
Bill Whittaker


2004 ◽  
Vol 32 (1) ◽  
pp. 124-128 ◽  
Author(s):  
Kate Dolan ◽  
David Lowe ◽  
James Shearer

Male to male unprotected anal sex is the main route of HIV transmission in Australia. The Australian Study of Health and Relationships, a large, representative population survey of sexual health behaviors, found that six percent of males in the general population have engaged in homosexual activity. These findings were consistent with studies in Europeand North America. Condoms have been shown to reduce the transmission of HIV in the community. Barriers to the use of condoms include access,stigma,and cost? Nevertheless, increased condom use has been reported among homosexual males, sex workers and injecting drug users although recent declines in condom use among homosexuals has presented new challenges in HIV prevention.The prevalence of male to male sexual activity may be higher in prison than in the general population. Sexual activity in prison can be consensual and non-consensual involving both homosexual / bisexual and heterosexual men.



2011 ◽  
Vol 317-319 ◽  
pp. 2515-2519 ◽  
Author(s):  
Noor A. Ahmed ◽  
John R. Page

Conceptualisation and subsequent validation are essential for future aerospace vehicle design. In this process, theoretical analysis is often constrained imposed by numerical and physical experimentation limitations. This is where the incorporation of flight and other simulation packages as new tools of real-time investigation, for determining design drivers, estimating flight performance, likely operational scenarios and manufacturing strategies can become so useful. For the past few years, we have been exploring the effectiveness of this new tool at the University of New South Wales. The results appear to be highly promising. In this paper, we outline the various stages of the methodology and demonstrate through a test case how the simulation activity can be implemented in the overall design process. It appears that the incorporation of simulation into the design process has the prospect of ushering in a new era for future advanced project aerospace design that will find application far beyond aerospace industries.



2007 ◽  
Vol 31 (1) ◽  
pp. 73-78 ◽  
Author(s):  
Ian Dempsey

This brief report describes recent data on the enrolment of students in New South Wales (NSW) government special schools and special classes. There has been an increase in both special school and special class enrolments since 1998 with large increases among students with emotional disturbance. This pattern is briefly discussed in relation to government policy and legislation, social and political factors as well as the notion that there may be a threshold for the extent of inclusion of students with special needs in NSW government schools.



1995 ◽  
Vol 19 (5) ◽  
pp. 293-295 ◽  
Author(s):  
Bernard Boerma ◽  
Robert Hayes ◽  
Alissa Moen ◽  
Anthony T. Williams

There have been a number of recent changes in mental health care legislation in Australia some of which mirror the changes that have occurred in the UK. These are reviewed within the context of the differing health care system in Australia and with particular reference to the State of New South Wales.







2009 ◽  
Author(s):  
F. Von Mueller


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