Where do they go for health problems; the role of private providers in development of comprehensive health care for FSWs in Bali.
Australasian HIV/AIDS Conference 2011
23rd Annual Conference of the
Australasian Society for HIV Medicine
Canberra | 26-28 September 2011
2011 CONFERENCE HANDBOOK
Australasian HIV/AIDS Conference
26–28 September 2011
National Convention Centre, Canberra ACT Australia
Supported by:
Australian Government
Department of Health and Ageing
AusAID
The ACT Health Directorate
Queensland Health
Department of Health Victoria
Collaborating Research Centres
Australian Centre in HIV and
Hepatitis Virology Research (ACH2)
Australian Research Centre in Sex,
Health and Society (ARCSHS)
The Kirby Institute
National Centre in HIV Social
Research (NCHSR)
www.hivaidsconference.com.au
POSTER
NUMBER LAST NAME
28
Ghosh
158
FIRST NAME
niladri
29
Giola
Massimo
30
holmes
Sean
31
hull
Peter
32
33
hunter
Januraga
Michael
Pande Putu
34
Kaan
Ian
35
36
Kanapathipillai
Kea
rupa
Chettra
37
Kelly
Mark
38
Kelly
Mark
39
Kelly
Mark
40
Khol
Vohith
41
Koelmeyer
rachel
42
Koh
Yin ling
43
Komari
nurul
44
latigo
Melissa
45
lee
evelyn
46
47
libertino
Mahoney
Samantha
Andrew
48
Maki
Priscilla
49
McMahon
James
50
51
Millard
Mulya
tanya
deshinta
52
53
Murray
needham
Ken
Kate
54
niggl
Maxwell
55
Perera
roshnal
56
57
Pham
Philips
Quang
Vicky
SPEAKERS PAPER TITLE
tenofoVIr dISoProXIl fuMArAte IS ASSoCIAted WIth ChronIC KIdneY
dISeASe In An AGeInG AuStrAlIAn hIV Cohort
IMMune reConStItutIon InflAMMAtorY SYndroMe In An AIdS PAtIent
WIth CrYPtoCoCCAl MenInGItIS
the eVolutIon on eleCtronIC heAlth And ItS IMPACt on PAtIentS
WIth ChronIC And CoMPleX heAlth CAre needS
dIfferenCeS BetWeen hIV-PoSItIVe GAY Men thAt tAKe AntIretroVIrAl
treAtMent (Art) And thoSe thAt don’t: AnAlYSIS of the GAY
CoMMunItY PerIodIC SurVeYS, 2000-/1 to 2008/9
lAte dIAGnoSIS of hIV In PAtIentS WIth VIrAl hePAtItIS: A CASe SerIeS
Where do theY Go for heAlth ProBleMS; the role of PrIVAte ProVIderS
In deVeloPMent of CoMPrehenSIVe heAlth CAre for fSWS In BAlI
doeS SeXuAl IdentItY IMPACt on ClIentS’ eXPerIenCeS of StIGMA And
dISCrIMInAtIon? A ClIent SerVICeS SnAPShot
hIV ASSoCIAted PlASMABlAStIC lYMPhoMA: A rAPIdlY-ProGreSSIVe CASe
fACtorS ASSoCIAted WIth delAYed ACCeSS to hIV ClInICAl SerVICeS
AMonG Adult PAtIentS In PhnoM Penh
tenofoVIr ASSoCIAted ProteInurIA: A retroSPeCtIVe StudY eXAMInInG
PreVAlenCe, PredICtorS And outCoMe
K103r: A non-nuCleoSIde reVerSe trAnSCrIPtASe InhIBItor (nnrtI)ASSoCIAted PolYMorPhISM thAt MAtterS!
delIVerInG ConSIStent And CoMPrehenSIVe hIV ClInICAl CAre:
the deVeloPMent of ConSenSuS AlGorIthMS for the SCreenInG
And MAnAGeMent of Co-MorBId CondItIonS In hIV PoSItIVe PAtIentS
In QueenSlAnd
fACtorS ASSoCIAted WIth loSS to folloW-uP In PAtIentS AttendInG
hIV treAtMent SerVICeS In CAMBodIA
If It AIn’t BroKe, don’t fIX It: the IMPACt of PAtIent And doCtor
ConCernS on CoMMenCInG And ChAnGInG AntIretroVIrAl treAtMent
the utIlItY of fIBroSCAn for the ASSeSSMent of lIVer fIBroSIS In hIV
MonoInfeCtIon (fIlM StudY: fIBroSCAn of lIVer In hIV MonoInfeCtIon)
CYtoMeGAloVIruS enCePhAlItIS In CIPto MAnGunKuSuMo hoSPItAl
JAKArtA: A CASe SerIeS
do heAlth SYSteM delAYS IMPACt reCeIPt of teSt reSultS? eVIdenCe
froM hIV eArlY InfAnt dIAGnoSIS ProGrAM In uGAndA
the ChAnGInG ProfIle of hIV-PoSItIVe GAY Men In AuStrAlIA: AnAlYSIS
of the GAY CoMMunItY PerIodIC SurVeYS, 2000-2009
Peer eduCAtIon And SuPPort In A ClInICAl SettInG
ACute hePAtItIS C Co-InfeCtIon In VICtorIAn Men Who hAVe SeX WIth Men:
InVeStIGAtIon Into An outBreAK WIth SuSPeCted SeXuAl trAnSMISSIon
A CASe StudY of hIV In the WeStern hIGhlAndS of PAPuA neW GuIneA
(PnG) – the IMPACt on A fAMIlY
rePeAted ASSeSSMentS of food SeCurItY PredICt Cd4 ChAnGe In the
SettInG of AntIretroVIrAl therAPY
Self MAnAGeMent needS of Men lIVInG WIth hIV In AuStrAlIA 2011
fACtorS ASSoCIAted SurVIVAl AMonG tB-hIV PAtIent In rS SArdJIto
reffered hoSPItAl YoGYAKArtA: A retroSPeCtIVe Cohort StudY
ASSISted ACCeSS to SCulPtrA treAtMent
Who IS BeInG teSted for hIV In our hoSPItAlS? A reVIeW of hIV teStInG
And doCuMentAtIon leVelS At CAnBerrA hoSPItAl
eVAluAtInG the IMPACt of PlhIV SPeAKerS on fIrSt YeAr MedICAl StudentS
to InforM future PrACtICe - A QuAntItAtIVe And QuAlItAtIVe AnAlYSIS
dIAGnoSIS of orAl And CutAneouS KAPoSI’S SArCoMA In AfrICA:
ChAllenGeS InVolVInG hIStoloGY And MoleCulAr deteCtIon
trAnSMItted druG reSIStAnCe AMonG reCentlY hIV InfeCted PAtIentS
‘fIt And fIrM’: IMPleMentAtIon of A SuPerVISed WAlKInG And StrenGth
eXerCISe GrouP In PeoPle lIVInG WIth hIV
AUSTRALASIAN HIV/AIDS CONFERENCE 2011 | 23rd AnnuAl ConferenCe of the AuStrAlASIAn SoCIetY for hIV MedICIne
POSTER ABSTRACTS
POSTER NUMBER: 33
PAPER NUMBER: 504
WHERE DO THEY GO FOR HEALTH PROBLEMS; THE ROLE OF PRIVATE PROVIDERS IN
DEVELOPMENT OF COMPREHENSIVE HEALTH CARE FOR FSWS IN BALI
Kumala d1, Januraga PP1
Background: female sex workers (fSWs) is a group that have high vulnerabilities in getting hIV-AIdS,
therefore they need comprehensive health care services to prevent the transmission In Bali this
group has been provided health care in some Stds and hIV-AIdS dedicated clinics which provided
by government and nGo, but still limited known about how they seek health care facilities if got
diseases the objective of this research was to describe the health seeking behavior of fSWs in
denpasar, Bali
1
School of Public health, udayana
university, Bali Indonesia
Method: this was a descriptive cross sectional study with 84 samples which randomly taken from
Padanggalak area, one of the biggest brothel complexes in denpasar data was collected using
questioner in April 2011
Results: All of fSWs have health problems in the last six months and most of them (86 9%) have
general problem while only 13 1% have Stds related problems regarding health seeking behaviors,
85 7% were actively tried to solve their problems and 55 6% of them looked for formal health care
facilities Among those who looked for health care facilities, 62 5% chose private physicians while
the rest chose health centers, hospital clinics, and private nurses Among those who went to formal
health care providers, 62 5% of them went to provider from outside Padanggalak area this becomes
interesting since most of the respondents (85 7%) were not covered by health insurance system
Conclusion: the fSWs showed interest in seeking health care facilities even to private providers
that usually more expensive compare to government facilities Involvement of private providers
should be considered in developing comprehensive health care services for fSWs More research
and upgrading skill of those providers in order to respond the health needs of fSWs should be
conducted
Keywords: sex workers, health care, Bali
POSTER NUMBER: 34
PAPER NUMBER: 482
DOES SEXUAL IDENTITY IMPACT ON CLIENTS’ EXPERIENCES OF STIGMA AND
DISCRIMINATION? A CLIENT SERVICES SNAPSHOT.
Kaan 11, hunter t2, Shepherd
B1, Martin C2
Background. It is widely accepted that the implications of stigma and discrimination faced by
people living with hIV correlates to poorer health outcomes (both physical and psychological)
We asked the question, ‘does sexual identity impact on clients’ experiences of stigma and
discrimination?’
1 hIV and related Programs health
Promotion unit – northern Sydney
local health district, Sydney, nSW,
Australia
2
northern Sydney Sexual health
Service, royal north Shore hospital,
Sydney, nSW, Australia
A study at a local publicly funded specialist clinic in northern Sydney was conducted to review
current clients’ perspectives regarding service provision, experiences of discrimination, current
access to hIV support services and perceived needs
Methods. from June to december 2010, 79 hIV positive clients attending a local publicly funded
clinic were recruited to take part in a survey
Results. of the respondents, 27 identiied as heterosexual, 7 as bisexual, and 43 as gay (two did
not respond) the median age was 47 years there were observable diferences between heterosexual
and gay respondents Compared with the gay respondents, heterosexuals were less likely to disclose
their hIV status, less likely to access hIV based organisations and more likely to report experiences
of discrimination and negative attitudes from healthcare providers
Conclusion. While the numbers in this study were lower than expected, the diferences indicated
that we need to respond by providing targeted services and support this highlights the need to
address discrimination and negative attitudes of healthcare providers through advocating and
encouraging the wider hIV sector to actively market their services, in particular to those who
identify as heterosexual
AUSTRALASIAN HIV/AIDS CONFERENCE 2011 | 23rd AnnuAl ConferenCe of the AuStrAlASIAn SoCIetY for hIV MedICIne
183
THEME B
THEME B: MANAGING HIV: CLINICAL MANAGEMENT AND THE LIVED EXPERIENCE OF HIV.
23rd Annual Conference of the
Australasian Society for HIV Medicine
Canberra | 26-28 September 2011
2011 CONFERENCE HANDBOOK
Australasian HIV/AIDS Conference
26–28 September 2011
National Convention Centre, Canberra ACT Australia
Supported by:
Australian Government
Department of Health and Ageing
AusAID
The ACT Health Directorate
Queensland Health
Department of Health Victoria
Collaborating Research Centres
Australian Centre in HIV and
Hepatitis Virology Research (ACH2)
Australian Research Centre in Sex,
Health and Society (ARCSHS)
The Kirby Institute
National Centre in HIV Social
Research (NCHSR)
www.hivaidsconference.com.au
POSTER
NUMBER LAST NAME
28
Ghosh
158
FIRST NAME
niladri
29
Giola
Massimo
30
holmes
Sean
31
hull
Peter
32
33
hunter
Januraga
Michael
Pande Putu
34
Kaan
Ian
35
36
Kanapathipillai
Kea
rupa
Chettra
37
Kelly
Mark
38
Kelly
Mark
39
Kelly
Mark
40
Khol
Vohith
41
Koelmeyer
rachel
42
Koh
Yin ling
43
Komari
nurul
44
latigo
Melissa
45
lee
evelyn
46
47
libertino
Mahoney
Samantha
Andrew
48
Maki
Priscilla
49
McMahon
James
50
51
Millard
Mulya
tanya
deshinta
52
53
Murray
needham
Ken
Kate
54
niggl
Maxwell
55
Perera
roshnal
56
57
Pham
Philips
Quang
Vicky
SPEAKERS PAPER TITLE
tenofoVIr dISoProXIl fuMArAte IS ASSoCIAted WIth ChronIC KIdneY
dISeASe In An AGeInG AuStrAlIAn hIV Cohort
IMMune reConStItutIon InflAMMAtorY SYndroMe In An AIdS PAtIent
WIth CrYPtoCoCCAl MenInGItIS
the eVolutIon on eleCtronIC heAlth And ItS IMPACt on PAtIentS
WIth ChronIC And CoMPleX heAlth CAre needS
dIfferenCeS BetWeen hIV-PoSItIVe GAY Men thAt tAKe AntIretroVIrAl
treAtMent (Art) And thoSe thAt don’t: AnAlYSIS of the GAY
CoMMunItY PerIodIC SurVeYS, 2000-/1 to 2008/9
lAte dIAGnoSIS of hIV In PAtIentS WIth VIrAl hePAtItIS: A CASe SerIeS
Where do theY Go for heAlth ProBleMS; the role of PrIVAte ProVIderS
In deVeloPMent of CoMPrehenSIVe heAlth CAre for fSWS In BAlI
doeS SeXuAl IdentItY IMPACt on ClIentS’ eXPerIenCeS of StIGMA And
dISCrIMInAtIon? A ClIent SerVICeS SnAPShot
hIV ASSoCIAted PlASMABlAStIC lYMPhoMA: A rAPIdlY-ProGreSSIVe CASe
fACtorS ASSoCIAted WIth delAYed ACCeSS to hIV ClInICAl SerVICeS
AMonG Adult PAtIentS In PhnoM Penh
tenofoVIr ASSoCIAted ProteInurIA: A retroSPeCtIVe StudY eXAMInInG
PreVAlenCe, PredICtorS And outCoMe
K103r: A non-nuCleoSIde reVerSe trAnSCrIPtASe InhIBItor (nnrtI)ASSoCIAted PolYMorPhISM thAt MAtterS!
delIVerInG ConSIStent And CoMPrehenSIVe hIV ClInICAl CAre:
the deVeloPMent of ConSenSuS AlGorIthMS for the SCreenInG
And MAnAGeMent of Co-MorBId CondItIonS In hIV PoSItIVe PAtIentS
In QueenSlAnd
fACtorS ASSoCIAted WIth loSS to folloW-uP In PAtIentS AttendInG
hIV treAtMent SerVICeS In CAMBodIA
If It AIn’t BroKe, don’t fIX It: the IMPACt of PAtIent And doCtor
ConCernS on CoMMenCInG And ChAnGInG AntIretroVIrAl treAtMent
the utIlItY of fIBroSCAn for the ASSeSSMent of lIVer fIBroSIS In hIV
MonoInfeCtIon (fIlM StudY: fIBroSCAn of lIVer In hIV MonoInfeCtIon)
CYtoMeGAloVIruS enCePhAlItIS In CIPto MAnGunKuSuMo hoSPItAl
JAKArtA: A CASe SerIeS
do heAlth SYSteM delAYS IMPACt reCeIPt of teSt reSultS? eVIdenCe
froM hIV eArlY InfAnt dIAGnoSIS ProGrAM In uGAndA
the ChAnGInG ProfIle of hIV-PoSItIVe GAY Men In AuStrAlIA: AnAlYSIS
of the GAY CoMMunItY PerIodIC SurVeYS, 2000-2009
Peer eduCAtIon And SuPPort In A ClInICAl SettInG
ACute hePAtItIS C Co-InfeCtIon In VICtorIAn Men Who hAVe SeX WIth Men:
InVeStIGAtIon Into An outBreAK WIth SuSPeCted SeXuAl trAnSMISSIon
A CASe StudY of hIV In the WeStern hIGhlAndS of PAPuA neW GuIneA
(PnG) – the IMPACt on A fAMIlY
rePeAted ASSeSSMentS of food SeCurItY PredICt Cd4 ChAnGe In the
SettInG of AntIretroVIrAl therAPY
Self MAnAGeMent needS of Men lIVInG WIth hIV In AuStrAlIA 2011
fACtorS ASSoCIAted SurVIVAl AMonG tB-hIV PAtIent In rS SArdJIto
reffered hoSPItAl YoGYAKArtA: A retroSPeCtIVe Cohort StudY
ASSISted ACCeSS to SCulPtrA treAtMent
Who IS BeInG teSted for hIV In our hoSPItAlS? A reVIeW of hIV teStInG
And doCuMentAtIon leVelS At CAnBerrA hoSPItAl
eVAluAtInG the IMPACt of PlhIV SPeAKerS on fIrSt YeAr MedICAl StudentS
to InforM future PrACtICe - A QuAntItAtIVe And QuAlItAtIVe AnAlYSIS
dIAGnoSIS of orAl And CutAneouS KAPoSI’S SArCoMA In AfrICA:
ChAllenGeS InVolVInG hIStoloGY And MoleCulAr deteCtIon
trAnSMItted druG reSIStAnCe AMonG reCentlY hIV InfeCted PAtIentS
‘fIt And fIrM’: IMPleMentAtIon of A SuPerVISed WAlKInG And StrenGth
eXerCISe GrouP In PeoPle lIVInG WIth hIV
AUSTRALASIAN HIV/AIDS CONFERENCE 2011 | 23rd AnnuAl ConferenCe of the AuStrAlASIAn SoCIetY for hIV MedICIne
POSTER ABSTRACTS
POSTER NUMBER: 33
PAPER NUMBER: 504
WHERE DO THEY GO FOR HEALTH PROBLEMS; THE ROLE OF PRIVATE PROVIDERS IN
DEVELOPMENT OF COMPREHENSIVE HEALTH CARE FOR FSWS IN BALI
Kumala d1, Januraga PP1
Background: female sex workers (fSWs) is a group that have high vulnerabilities in getting hIV-AIdS,
therefore they need comprehensive health care services to prevent the transmission In Bali this
group has been provided health care in some Stds and hIV-AIdS dedicated clinics which provided
by government and nGo, but still limited known about how they seek health care facilities if got
diseases the objective of this research was to describe the health seeking behavior of fSWs in
denpasar, Bali
1
School of Public health, udayana
university, Bali Indonesia
Method: this was a descriptive cross sectional study with 84 samples which randomly taken from
Padanggalak area, one of the biggest brothel complexes in denpasar data was collected using
questioner in April 2011
Results: All of fSWs have health problems in the last six months and most of them (86 9%) have
general problem while only 13 1% have Stds related problems regarding health seeking behaviors,
85 7% were actively tried to solve their problems and 55 6% of them looked for formal health care
facilities Among those who looked for health care facilities, 62 5% chose private physicians while
the rest chose health centers, hospital clinics, and private nurses Among those who went to formal
health care providers, 62 5% of them went to provider from outside Padanggalak area this becomes
interesting since most of the respondents (85 7%) were not covered by health insurance system
Conclusion: the fSWs showed interest in seeking health care facilities even to private providers
that usually more expensive compare to government facilities Involvement of private providers
should be considered in developing comprehensive health care services for fSWs More research
and upgrading skill of those providers in order to respond the health needs of fSWs should be
conducted
Keywords: sex workers, health care, Bali
POSTER NUMBER: 34
PAPER NUMBER: 482
DOES SEXUAL IDENTITY IMPACT ON CLIENTS’ EXPERIENCES OF STIGMA AND
DISCRIMINATION? A CLIENT SERVICES SNAPSHOT.
Kaan 11, hunter t2, Shepherd
B1, Martin C2
Background. It is widely accepted that the implications of stigma and discrimination faced by
people living with hIV correlates to poorer health outcomes (both physical and psychological)
We asked the question, ‘does sexual identity impact on clients’ experiences of stigma and
discrimination?’
1 hIV and related Programs health
Promotion unit – northern Sydney
local health district, Sydney, nSW,
Australia
2
northern Sydney Sexual health
Service, royal north Shore hospital,
Sydney, nSW, Australia
A study at a local publicly funded specialist clinic in northern Sydney was conducted to review
current clients’ perspectives regarding service provision, experiences of discrimination, current
access to hIV support services and perceived needs
Methods. from June to december 2010, 79 hIV positive clients attending a local publicly funded
clinic were recruited to take part in a survey
Results. of the respondents, 27 identiied as heterosexual, 7 as bisexual, and 43 as gay (two did
not respond) the median age was 47 years there were observable diferences between heterosexual
and gay respondents Compared with the gay respondents, heterosexuals were less likely to disclose
their hIV status, less likely to access hIV based organisations and more likely to report experiences
of discrimination and negative attitudes from healthcare providers
Conclusion. While the numbers in this study were lower than expected, the diferences indicated
that we need to respond by providing targeted services and support this highlights the need to
address discrimination and negative attitudes of healthcare providers through advocating and
encouraging the wider hIV sector to actively market their services, in particular to those who
identify as heterosexual
AUSTRALASIAN HIV/AIDS CONFERENCE 2011 | 23rd AnnuAl ConferenCe of the AuStrAlASIAn SoCIetY for hIV MedICIne
183
THEME B
THEME B: MANAGING HIV: CLINICAL MANAGEMENT AND THE LIVED EXPERIENCE OF HIV.