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Priority actions for Addressing HIV among mobile and migrant communities

HIV diagnoses in Australia have been increasing among people travelling to and from high HIV prevalence countries. The Seventh National HIV Strategy (2014- 2017) states people and their partners who travel to or from high HIV prevalence countries, as well as travellers and mobile workers as priority populations in Australia.

In 2014, the HIV and Mobility: Road Map for Action, was the first attempt to capture what we know about HIV and mobility. It proposed 71 strategies across a range of stakeholders to operationalise the recommendations from the Seventh National HIV Strategy (2014-2017). A Community of Practice for Action on HIV and Mobility (CoPAHM) was born in 2015 to keep HIV and mobility on the national agenda and to monitor momentum. While some progress has been made, some key strategies are yet to be met.

The key goal in the current National HIV Strategy is to virtually end HIV transmissions by 2020, ensuring no one is left behind. Despite many successes, there remains challenges we need to resolve to see this achieved. While other key documents outline approaches to addressing HIV more broadly, there is a need for strategies that specifically addresses migrants and travellers. These sub-groups have different contexts, and thus, require approaches that are considerate of their diversity.

Where are we heading to?

This work seeks to identify priority actions for addressing HIV among mobile and migrant communities living in and travelling to and from Australia and create an operational plan for federal and state governments, non-government organisations, community groups and research institutes to work together. We hope to achieve a document with consensus from organisations working in HIV that demonstrates a shared commitment to the priority actions and the activity required to address them.

Proposed strategies

• Local solutions: Relevant jurisdictions to plan and implement state-specific responses to HIV in migrant and mobile populations
• Health literacy: Increase health literacy and know how to access combination prevention strategies available
• Test: Understand and reduce barriers to HIV testing and make new testing technologies widely available
• Treatment and prevention medication: Advocate for the inception of a policy mechanism to provide access to HIV treatment and PrEP for temporary visa holders who are ineligible for Medicare
• Inform: Harmonise surveillance data reporting for both migrant and mobile populations, including sexual behaviour, testing rates, notifications, treatment initiation and PrEP
• Evaluate: Develop core indicators to assess effectiveness of HIV programs for mobile and migrant populations

What are we asking for?

We are now asking individuals and organisations to endorse the document. 

A draft is available here

To sign on as an organisation, please email copahm@curtin.edu.au with your organisation's logo.

To sign on as an individual, please provide your first and last name here

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