ACTION PLAN HIV QUEENSLAND - Queensland Health - AWS
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Queensland Health QUEENSLAND HIV ACTION PLAN 2016–2021
Foreword HIV
at a glance
In the past few years, there has been
unprecedented progress in the prevention
elimination of HIV transmission. Consultation with
primary healthcare providers, community-based
HIV AIDS
and treatment of HIV across the world and the organisations, specialised sexual health and HIV
The human immunodeficiency virus (HIV) is the
ability to end the world-wide epidemic is services, and key stakeholder communities has virus that can result in Acquired Immune Deficiency
identified the following priority actions: Syndrome (AIDS) if left untreated. People who are
now a real possibility.
infected with HIV are said to be HIV positive,
even if their infection has not resulted in AIDS.
• transforming HIV prevention by taking a
This action plan reflects the Queensland
combined approach of promoting safer
Government’s commitment to the new
HIV prevention practices, together with
overarching goal, endorsed by the Australian
Health Ministers’ in the 20th International
AIDS Conference Legacy Statement, of working
improving access to HIV medication as a
preventive measure 17%
decrease in new
towards the virtual elimination of new HIV • prioritising voluntary testing, including diagnoses in 2015
transmissions in Australia by 2020. To achieve community based testing
In 2015, there were 203 new diagnoses of HIV in
this, the Queensland Government is committing • providing support for those newly diagnosed Queensland, representing a 17 per cent decrease
to a comprehensive approach to prevention, with HIV to engage in treatment and care from 245 new diagnoses in 2014.
testing and treatment focused on meeting the • promoting access to immediate treatment
United Nations 90-90-90 targets that: 90% of after an HIV diagnosis and support to adhere
people living with HIV know their status, 90% of to treatment
The majority of the
people diagnosed with HIV are on treatment and
• taking a zero approach to stigma and recently acquired HIV+
90% of people on treatment have a suppressed infections in 2015 were
discrimination. in men who have sex with
viral load so their immune system remains strong
men or bisexual men.
and minimises the risk of transmitting HIV. This action plan will be enhanced by statewide
campaigns and supported by research and
As community ownership is essential for this surveillance. It aligns with both the Queensland
fast-track approach to the 90-90-90 targets, Sexual Health Strategy 2016–2021 and the
the Queensland Government is committed to Seventh National HIV Strategy 2014–2017 to
supporting strong relationships between partner improve health outcomes for all Queenslanders.
agencies in order to achieve the goal of the virtual
Modern antiretroviral treatment (ART) is so
The Hon Cameron Dick MP effective at suppressing HIV within a person’s
body, that people consistently using ART are
Minister for Health and unlikely to ever develop AIDS.
Minister for Ambulance Services
Success factors
Achieving the United Nations 90-90-90 targets:
• 90 per cent of all people living with HIV (PLHIV) will know their HIV status
• 90 per cent of all people diagnosed with HIV will receive sustained antiretroviral therapy
90-90-90
• 90 per cent of all people receiving antiretroviraltherapy will have durable viral suppression.QUEENSLAND HIV
ACTION PLAN 2016–2021
Working with the community to minimise the personal and social impact of HIV and
GOAL achieve the virtual elimination of new HIV transmissions in Queensland.
Outcome 1. Implement a 2. Increase voluntary 3. Increase treatment uptake 4. Increase awareness 5. Improve surveillance,
comprehensive preventive testing for HIV by people with HIV of HIV transmission and monitoring, research and
approach address stigma and evaluation
discrimination
Target Gay men and men who have sex with men, Gay men and men who have sex with men All people living with HIV, including people Gay men and men who have sex with men Queensland HIV action plan stakeholders,
including sexually adventurous men. including sexually adventurous men. ineligible for Medicare. including sexually adventurous men. HIV/STI workforce, national HIV/STI strategy
populations Other target populations: Aboriginal and Other target populations: Women, Other target populations: GPs, whole-of- stakeholders.
Torres Strait Islander people, culturally and Aboriginal and Torres Strait Islander people, population, Aboriginal and Torres Strait
linguistically diverse people, people who culturally and linguistically diverse people, Islander people, culturally and linguistically
inject drugs, sex workers, young people, people who inject drugs, sex workers, diverse people, people who inject drugs,
people ineligible for Medicare, people in young people, people in custodial settings, sex workers, young people, people in
custodial settings, travellers and mobile travellers and mobile workers, and people custodial settings, travellers and mobile
workers, and people living with HIV. ineligible for Medicare. workers and people living with HIV.
Key Community, healthcare and PHNs, general practitioners (GPs), PHNs, GPs, authorised s100 Community and healthcare settings Community and healthcare settings
custodial settings authorised s100 prescribers, Hospital and prescribers, HHSs, pharmacies and
settings Health Services (HHSs), pharmacies and community-based sites
community-based sitesQueensland HIV Action plan 2016–2021
Outcome 1. Implement a 2. Increase voluntary 3. Increase treatment uptake 4. Increase awareness 5. Improve surveillance,
comprehensive preventive testing for HIV by people with HIV of HIV transmission and monitoring, research and
approach address stigma and evaluation
discrimination
Priority 1.1. Promote and encourage provision and 2.1. Increase access to and uptake of 3.1. Investigate options to improve timely delivery 4.1. Address stigma and discrimination 5.1. Develop and implement a monitoring
uptake of HIV medication as a preventive voluntary HIV and other STI testing that of baseline HIV testing results to improve through implementing whole-of- and surveillance plan aligned with the
actions measure for those at high risk of facilitates early diagnosis, including access to early treatment. population and targeted HIV awareness National HIV Strategy.
contracting HIV, through the provision of conventional and point-of-care testing 3.2. Improve uptake of HIV treatment by newly campaigns with a focus on:
5.2. Develop and implement a
pre-exposure prophylaxis (PrEP). across the healthcare system and diagnosed PLHIV through: targeted education
community-based sites to encourage • awareness of HIV transmission coordinated Queensland HIV and
1.2. Promote and improve timely access to HIV campaigns that promote the individual
regular testing for HIV and STIs as • prevention and testing with STI research strategy across all
medication for those who may have been health benefits and reduced risk of further
clinically indicated. high risk groups relevant disciplines including social,
exposed to HIV through the provision of transmission, promotion of training to
post-exposure prophylaxis (PEP). 2.2. Increase the number of health become authorised s100 prescribers and • LGBTI communities behavioural, epidemiological and
practitioners and peer educators able to associated training and mentoring programs, clinical disciplines.
1.3. Increase access to and promote and • Aboriginal and Torres Strait
encourage other HIV preventive carry out HIV and STI testing. and implementation of PLHIV peer-based Islander related issues 5.3. Identify and improve data for key
activities, including the use of condoms 2.3. Promote regular HIV testing of those navigation models. populations, such as rural and remote
• promotion of treatment with PLHIV
and water based lubricants and sterile at high risk of HIV to encourage early 3.3. Support newly diagnosed PLHIV and their and healthcare professionals. areas and Aboriginal and Torres Strait
injecting equipment. detection and address barriers, in line primary care providers through: information, Islander people.
1.4. Implement evidence-based HIV and STI with the Australian Sexually Transmitted clinical education, contact tracing, referral 4.2. Support implementation of resilience
building programs for PLHIV. 5.4. Extend surveillance systems
awareness campaigns. Infection and HIV Testing Guidelines 2014. for HIV specialist assessment, case
management/care coordination and to accommodate scientific and
1.5. Implement comprehensive evidence- 2.4. Implement routine HIV testing in targeted 4.3. Provide information and support for
peer-based support. technological advances and
based peer education and outreach HIV GP settings in areas of high prevalence. people who have experienced HIV-
related stigma and discrimination. innovation.
and STI risk-reduction programs, and 2.5. Investigate access to testing models 3.4. Examine and advocate the removal of
activities for key populations. which address the wide diversity of barriers to HIV treatment access. 4.4. Support improvement of the legal 5.5. Explore improved and innovative
cultural and sexual behavioural needs, 3.5. Examine and improve models of treatment literacy of PLHIV. approaches to measuring testing
1.6. Implement peer-based strategies to
enable sexually adventurous men to including among Aboriginal and Torres and care to support the management of HIV 4.5. Address barriers to evidence-based and treatment rates among priority
maintain personal health and safety, Strait Islander people. in the community by: continuing existing prevention, treatment and care populations.
including addressing the interaction 2.6. Promote personal and public health specialist HIV capacity through sexual strategies. 5.6. Investigate and implement systems
between alcohol and other drug use and benefits of early diagnosis and the health and infectious disease clinics while
4.6. Support improved awareness of HIV for monitoring treatment uptake,
risky behaviours to support safer sexual testing options available through reviewing case management and shared care
and associated legal issues among ongoing clinical monitoring and viral
decision making. targeted health promotion, marketing arrangements between the treating clinician,
PLHIV, healthcare providers, police, suppression.
activities and clinical engagement. GPs, other medical specialists, nurse
1.7. Promote the public and personal health lawyers, HIV and legal support
practitioners, pharmacists and community- 5.7. Investigate research to measure
benefits of HIV testing and early treatment 2.7. Promote routine HIV testing for all organisations and media.
based organisations. the health impact of stigma and
as a prevention strategy. pregnant women.
3.6. Implement strategies to improve the health discrimination on priority populations.
and well-being of PLHIV to: increase the
number of PLHIV who are under the care of
a primary care health team, increase the
number of PLHIV engaged in specialist HIV
care, adherent to treatment and maintain
an undetectable viral load, re-engage those
PLHIV disengaged from HIV care, manage
PLHIV who pose an HIV transmission risk
to others and improve the health literacy of
PLHIV through peer education and support.
3.7. Deliver training to HIV service providers to
support culturally appropriate evidence-
based clinical practice.Queensland HIV Action plan 2016–2021
Outcome 1. Implement a 2. Increase voluntary 3. Increase treatment uptake 4. Increase awareness 5. Improve surveillance,
comprehensive preventive testing for HIV by people with HIV of HIV transmission and monitoring, research
approach address stigma and and evaluation
discrimination
Indicators Proportion of men who have condomless Type of HIV tests available CD4 count at HIV diagnosis Number of targeted campaigns to raise Weekly, year-to-date and annual
anal intercourse with casual male and HIV test settings Source: Communicable Diseases Branch, awareness of HIV in specific settings or reporting of HIV notifications
partners in the previous six months Source: Communicable Diseases Branch, among specific populations Source: Communicable Diseases Branch,
Department of Health Frequency: Annual
Source: Queensland Gay Community Department of Health Source: Funded service provider reports Department of Health Frequency: Weekly,
Periodic Survey, Centre for Social Research Frequency: Annual Proportion of people who commence treatment Frequency: Annual annual
in Health Frequency: Annual within six weeks, three months and six
Number of HIV tests undertaken, including months of HIV diagnosis Number and type of research activities
Amount of sterile injecting rapid point-of-care tests—with a particular Source: Communicable Diseases Branch, undertaken as part of a coordinated
equipment distributed focus on monitoring the number of HIV tests Department of Health* Frequency: Annual HIV research strategy
Source: Queensland Needle and Syringe undertaken by men Source: HIV/STI Professorial Chair,
Program, Communicable Diseases Branch, Source: Communicable Diseases Branch, Proportion of PLHIV who report adherence to University of Queensland
Department of Health Frequency: Annual Department of Health treatment with suppressed viral load Frequency: Annual
Frequency: Annual Source: Communicable Diseases Branch,
Proportion of people who inject drugs Department of Health* Frequency: Annual
reporting re-use of a needle previously used Proportion of gay men and MSM who
by someone else in the previous month have been tested for HIV in the
Number of people ineligible for Medicare-
Source: Australian Needle and Syringe previous 12 months
subsidised HIV antiretroviral therapy who
Program Survey, The Kirby Institute Source: Queensland Gay Community are able to be maintained on medication,
Frequency: Annual Periodic Survey, Centre for Social Research with a suppressed viral load
in Health Frequency: Annual Source: Communicable Diseases Branch,
Number of occasions people access HIV PEP Department of Health* Frequency: Annual
Source: Communicable Diseases Branch,
Department of Health Frequency: Annual Proportion of PLHIV who report their general
health status and wellbeing as excellent or good
Number of people on PrEP Source: HIV Futures Study, La Trobe University
Source: Cairns and Hinterland Hospital and Frequency: Biennial
Health Service Frequency: Annual
Number of health professionals authorised
Proportion of people on PrEP undertaking as HIV community-prescribers
three-monthly STI testing Source: Communicable Diseases Branch,
Source: QPrEPd Annual Report, Cairns and Department of Health Frequency: Annual
Hinterland Hospital and Health Service and
HIV/STI Professorial Chair, University of *Work is in progress by Communicable Diseases Branch, Department of Health to
Queensland Frequency: Annual identify data sources for these indicators to enable standardised reporting
In monitoring the effectiveness of this action plan, priority will be given to those
indicators required for reporting against the 90-90-90 targets.QH 845 1611
Disclaimer:
HIV Action Plan 2016–2021
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by the Queensland Government as an information
(Queensland Health), November 2016
source only. The State of Queensland makes no
statements, representations or warranties about the
This document is licensed under a Creative Commons accuracy, completeness or reliability of any information
Attribution 3.0 Australia licence. contained in this publication. The State of Queensland
disclaims all responsibility and all liability (including
© State of Queensland (Queensland Health) 2016
without limitation for liability in negligence) for all
You are free to copy, communicate and adapt expenses, losses, damages and costs you might incur as
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Queensland (Queensland Health). incomplete in any way, and for any reason reliance was
placed on such information.
For more information contact:
Strategic Policy Unit, Department of Health,
GPO Box 48, Brisbane QLD 4001
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