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Co-designing an intervention to increase HIV testing uptake with women from Indonesia at-risk of HIV
2018 - present.
Approved by the Curtin Human Research Ethics Committee (HRE2018-0790).
Corie Gray, Bruce Maycock, Gemma Crawford and Roanna Lobo.
In the last decade, Human Immunodeficiency Virus (HIV) notifications in Australia have been increasing among people born overseas, predominately from sub-Saharan Africa (SSA) and South East Asia (SEA). For women from SEA, over two thirds are diagnosed late, meaning they have lived with the virus for four or more years before diagnosis. In comparison, less than a third of Australian-born women have a late diagnosis. Late HIV diagnosis increases the risk of onwards HIV transmission, likelihood of subsequent morbidity and mortality and increases health care costs.
Culturally and linguistically diver people from high HIV prevalence countries are a priority population in Australia’s Eighth National HIV Strategy. Previous research in Australia has focused on the barriers to sexual health services and HIV testing for people born overseas. Little information is available on how to increase testing among migrants more broadly, with limited evidence of what interventions work.
Using a participatory action research (PAR) methodology, this project will design an intervention to increase HIV testing uptake among women from Indonesia. This project will involve community researchers, representatives from relevant organisations and community women born in Indonesia. Three PAR cycles will be conducted in this project. Phase one will use focus groups to understand enablers for HIV testing among community members. In phase two, the focus group data will be presented back to members of the participating communities who will be invited to co-design an intervention to increase HIV testing. In the final cycle, the intervention will be implemented and evaluated.
The objectives of this study are to:
- Identify and assess the pathways and enablers to HIV testing among women from Indonesia
- Record and synthesis the use of co-design process in developing an intervention
- Determine the critical elements of a co-designed intervention to increase HIV testing uptake among women from Indonesia
- Implement and evaluate a co-designed intervention to increase HIV testing uptake among women from Indonesia
- Review the utility of a participatory action research approach in addressing HIV with women from Indonesia
- Synthesise findings of the intervention and provide recommendations on appropriate strategies to prevent and manage HIV among women from Indonesia
This research is supported by an Australian Government Research Training Program (RTP) Scholarship.
SiREN has supported the project via supervision.
Project outputs and impacts
This project will work with Indonesian women to develop a multistrategic intervention to increase HIV testing. Working with organisations will support changes in organisational practice to ensure sustainability of the intervention. The results of the project will further add to the literature on what interventions work with migrant communities and why. It is likely to have relevance to other jurisdictions, and other community groups, as a process of working with community. Additionally, this work is in line with the Australian Government’s goal of virtual elimination of new HIV transmissions by 2022 with a focus on a population that has not been at the forefront of the response to HIV.
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