Mind the Gap is a rural and regional community engagement project delivered in partnership by Family Planning Victoria (FPV) and Victorian Aboriginal Community Controlled Health Organisation (VACCHO) from 2009 to 2012. The focus was on the prevention of HIV, Sexually transmissible Infections (STIs) and Blood Borne Viruses (BBVs) in Aboriginal and non-Aboriginal Gay, Lesbian, Bisexual, Transgender, Intersex and Queer (GLBTIQ) young people and their social networks.
The Mind the Gap model has three arms, Sexual Health and Diversity Enterprise (SHADE), a community grants project; Q&A Emerging Young Leaders Program, an adaptive leadership program for GLBTIQ young people and the Mind the Gap social networking site to connect alumni from Q&A. These projects used community development and self-determination as the guiding principles to connect and remain engaged through the life of the project. These interconnected strategies were designed to address specific aspects of engagement and capacity building within rural Aboriginal and sexually diverse young people.
Specific programs included “Deadly Sex Factor” Aboriginal talent show, Koori youth camps and a Guinness World record attempt for the most Chlamydia tests in one day. The success of the Mind the Gap project relied on engaging Aboriginal communities, with the support of VACCHO acting as ‘cultural brokers’ between FPV staff and community leaders. The FPV and VACCHO partnership developed over the three years, culminating in the signing of memorandum of understanding and on-going collaborations. Partnership development and capacity building within the participating Aboriginal Community Controlled Organisations was a key focus of the project.
This presentation will focus on the outcomes of the program evaluation and showcase how these partnerships and strategies promoted an Aboriginal community led response to sexual health and diversity in rural Victoria.
Background: STI prevalence is changing. With society aging, life expectancy increasing and changes in sexual practices, STIs in senior citizens are of interest from economic, health related and social burden perspectives. Few studies on STIs in older men greater than 60 years of age exist, hence, a need to obtain further information about this subpopulation.
Conducting clinical audits in the context of continuous quality improvement (CQI) programs in Aboriginal Community Controlled Health Services (ACCHS) has provided valuable information regarding what factors facilitate or create challenges to improving outcomes in sexual health service delivery.
Homosexual men are at increased risk of anal cancer. Screening and treatment of the precursor, HSIL, has been advocated by some, but screening is not recommended in widely-accepted guidelines. We aimed to describe the prevalence, incidence, and clearance rates of anal HSIL, and association with human papillomavirus (HPV) status, in a community-recruited cohort of homosexual men.
We investigated the association between chlamydia detection and stage in the menstrual cycle to investigate whether chlamydia detection was higher at different stages of the cycle. Electronic medical records for women attending Melbourne Sexual Health Centre March 2011 - 31st December 2012, who were tested for chlamydia by nucleic acid amplification of high vaginal, cervical, or urinary samples, and who recorded a date of last normal menstrual period (LNMP) between 0-28 days were included in the analysis. Logistic regression was used to calculate OR (95%CI) for the association of chlamydia with menstrual cycle adjusted by demographics and behavioural variables.
Chlamydia is prevalent among young Australians. The latest national surveillance report (2011) shows a rate of diagnosis of 1400 per 100,000 population aged 15-29 years. In Victoria, the number of notifications in 2011 was 19,238; 81% in 15-29 year olds; however notifications continue to rise in all age groups. International evidence suggests chlamydia reinfection is responsible for a substantial burden of infections. Given the associated health risks, monitoring reinfection in the population is important to understand disease burden and evaluate interventions. We describe the rate of reinfection and time between infections in Victoria, 2004-2011.
Based on evidence of the success of utilising online campaigns to access MSM, RPA Sexual Health, a publically funded sexual health service (PFSHS) in the inner-west of Sydney, trialled two clinic advertising campaigns over a three year period. Both campaigns were developed with community consultation, targeting MSM and were predominantly online. They were evaluated and compared to measure their success and the effectiveness of advertising a PFSHS online.