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Australia’s domestic HIV
Strategy: 2014 and beyond
Professor Chris Baggoley
Chief Medical Officer
Australian Government Department of Health
Elise Newton
Assistant Director, Department of Health
AIDS 2014 Special Session
Tuesday 22 July, 2014
www.aids2014.org
Introduction
• HIV in Australia
• 7th National HIV Strategy
2014 – 2017
- key features
- priority actions
• Reflections on the future
www.aids2014.org
HIV in Australia
• 26 800 people living with HIV in 2013
• Prevalence
- Gay community attached MSM: 8-12%
- People who inject drugs: 2.1%
- Female sex workers: <0.1%
- Aboriginal and Torres Strait Islander: 0.15%
• Mother-to-child transmission rare
www.aids2014.org
Newly diagnosed HIV infection in Australia
2500
Number
2000
1500
1000
500
0
1984 1986 1988 1990 1992 1994 1996 1998 2000 2002 2004 2006 2008 2010 2012
HIV diagnoses
www.aids2014.org
Year
National BBV and STI Strategies
2014 - 2017
www.aids2014.org
National BBV and STI Strategies
2014 - 2017
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Prevention
Testing
Management, care and support
Workforce
Enabling environment
Surveillance, research, evaluation
www.aids2014.org
7th National HIV Strategy
2014 - 2017
GOAL:
Work towards the
virtual elimination of
HIV transmission in
Australia by 2020
www.aids2014.org
7th National HIV Strategy
2014 - 2017
TARGETS:
– Reduce sexual transmission by 50% by 2015
– Increase treatment uptake to 90%
– Sustain low rates in the Aboriginal and Torres
Strait Islander population
– Sustain virtual elimination amongst sex
workers, people who inject drugs and MTCT
– Maintain prevention programs for sex workers
and people who inject drugs
www.aids2014.org
PREVENTION
• Target - Reducing sexual transmission of
HIV
• Risk behaviours increasing
• Reinvigorating cultures of safe sex
practices
• Treatment as prevention
www.aids2014.org
TESTING
• Target – increasing treatment uptake to 90
per cent
• Late diagnoses, 3.4 years between
infection and diagnosis, undiagnosed HIV
• Increasing options
- laboratory based
- rapid testing
- home self-testing
www.aids2014.org
MANAGEMENT, CARE AND
SUPPORT
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Linking to care and retention in care
Increasing role for primary health care
Support for primary care workforce
Easier access to treatments in the
community
• Eliminating stigma and discrimination
www.aids2014.org
BEYOND 2014 – TOWARDS 2020
Meaningful engagement
Partnerships
Responsive communication
Long term commitment
www.aids2014.org
Thank you to all those who contributed to
the development of the strategies
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Ministerial Advisory Committee on Blood Borne Viruses and Sexually
Transmissible Infections (Chair – Prof Michael Kidd)
Blood Borne Viruses and Sexually Transmissible Infections Standing
Committee (Chair – Dr Kerry Chant)
State and Territory government representatives
Peak bodies – Australian Federation of AIDS Organisations (AFAO),
National Association of People With HIV Australia (NAPWHA), Australian
Injecting and Illicit Drug Users League (AIVL), Scarlet Alliance, Hepatitis
Australia, Anwernekenhe National HIV Alliance (ANA)
Research centres
Professional organisations
Clinicians
Individuals
www.aids2014.org