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Where do they go for health problems; the role of private providers in development of comprehensive health care for FSWs in Bali.

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Australasian HIV/AIDS Conference

26–28 September 2011

National Convention Centre, Canberra ACT Australia

2011 CONFERENCE HANDBOOK

www.hivaidsconference.com.au

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 (ACH

2

)

Australian Research Centre in Sex,

Health and Society (ARCSHS)

The Kirby Institute

National Centre in HIV Social

Research (NCHSR)

Australasian HIV/AIDS Conference 2011

23rd Annual Conference of the

Australasian Society for HIV Medicine

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158 AUSTRALASIAN HIV/AIDS CONFERENCE 2011 | 23rd AnnuAl ConferenCe of the AuStrAlASIAn SoCIetY for hIV MedICIne

POSTER

NUMBER LAST NAME FIRST NAME SPEAKERS PAPER TITLE

28 Ghosh niladri tenofoVIr dISoProXIl fuMArAte IS ASSoCIAted WIth ChronIC KIdneY dISeASe In An AGeInG AuStrAlIAn hIV Cohort

29 Giola Massimo IMMune reConStItutIon InflAMMAtorY SYndroMe In An AIdS PAtIent WIth CrYPtoCoCCAl MenInGItIS

30 holmes Sean the eVolutIon on eleCtronIC heAlth And ItS IMPACt on PAtIentS WIth ChronIC And CoMPleX heAlth CAre needS

31 hull Peter 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

32 hunter Michael lAte dIAGnoSIS of hIV In PAtIentS WIth VIrAl hePAtItIS: A CASe SerIeS 33 Januraga Pande Putu Where do theY Go for heAlth ProBleMS; the role of PrIVAte ProVIderS

In deVeloPMent of CoMPrehenSIVe heAlth CAre for fSWS In BAlI 34 Kaan Ian doeS SeXuAl IdentItY IMPACt on ClIentS’ eXPerIenCeS of StIGMA And

dISCrIMInAtIon? A ClIent SerVICeS SnAPShot

35 Kanapathipillai rupa hIV ASSoCIAted PlASMABlAStIC lYMPhoMA: A rAPIdlY-ProGreSSIVe CASe 36 Kea Chettra fACtorS ASSoCIAted WIth delAYed ACCeSS to hIV ClInICAl SerVICeS

AMonG Adult PAtIentS In PhnoM Penh

37 Kelly Mark tenofoVIr ASSoCIAted ProteInurIA: A retroSPeCtIVe StudY eXAMInInG PreVAlenCe, PredICtorS And outCoMe

38 Kelly Mark K103r: A non-nuCleoSIde reVerSe trAnSCrIPtASe InhIBItor (nnrtI)-ASSoCIAted PolYMorPhISM thAt MAtterS!

39 Kelly Mark 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

40 Khol Vohith fACtorS ASSoCIAted WIth loSS to folloW-uP In PAtIentS AttendInG hIV treAtMent SerVICeS In CAMBodIA

41 Koelmeyer rachel If It AIn’t BroKe, don’t fIX It: the IMPACt of PAtIent And doCtor ConCernS on CoMMenCInG And ChAnGInG AntIretroVIrAl treAtMent 42 Koh Yin ling the utIlItY of fIBroSCAn for the ASSeSSMent of lIVer fIBroSIS In hIV

MonoInfeCtIon (fIlM StudY: fIBroSCAn of lIVer In hIV MonoInfeCtIon) 43 Komari nurul CYtoMeGAloVIruS enCePhAlItIS In CIPto MAnGunKuSuMo hoSPItAl

JAKArtA: A CASe SerIeS

44 latigo Melissa do heAlth SYSteM delAYS IMPACt reCeIPt of teSt reSultS? eVIdenCe froM hIV eArlY InfAnt dIAGnoSIS ProGrAM In uGAndA

45 lee evelyn the ChAnGInG ProfIle of hIV-PoSItIVe GAY Men In AuStrAlIA: AnAlYSIS of the GAY CoMMunItY PerIodIC SurVeYS, 2000-2009

46 libertino Samantha Peer eduCAtIon And SuPPort In A ClInICAl SettInG

47 Mahoney Andrew ACute hePAtItIS C Co-InfeCtIon In VICtorIAn Men Who hAVe SeX WIth Men: InVeStIGAtIon Into An outBreAK WIth SuSPeCted SeXuAl trAnSMISSIon 48 Maki Priscilla A CASe StudY of hIV In the WeStern hIGhlAndS of PAPuA neW GuIneA

(PnG) – the IMPACt on A fAMIlY

49 McMahon James rePeAted ASSeSSMentS of food SeCurItY PredICt Cd4 ChAnGe In the SettInG of AntIretroVIrAl therAPY

50 Millard tanya Self MAnAGeMent needS of Men lIVInG WIth hIV In AuStrAlIA 2011 51 Mulya deshinta fACtorS ASSoCIAted SurVIVAl AMonG tB-hIV PAtIent In rS SArdJIto

reffered hoSPItAl YoGYAKArtA: A retroSPeCtIVe Cohort StudY 52 Murray Ken ASSISted ACCeSS to SCulPtrA treAtMent

53 needham Kate Who IS BeInG teSted for hIV In our hoSPItAlS? A reVIeW of hIV teStInG And doCuMentAtIon leVelS At CAnBerrA hoSPItAl

54 niggl Maxwell eVAluAtInG the IMPACt of PlhIV SPeAKerS on fIrSt YeAr MedICAl StudentS to InforM future PrACtICe - A QuAntItAtIVe And QuAlItAtIVe AnAlYSIS 55 Perera roshnal dIAGnoSIS of orAl And CutAneouS KAPoSI’S SArCoMA In AfrICA:

ChAllenGeS InVolVInG hIStoloGY And MoleCulAr deteCtIon 56 Pham Quang trAnSMItted druG reSIStAnCe AMonG reCentlY hIV InfeCted PAtIentS 57 Philips Vicky ‘fIt And fIrM’: IMPleMentAtIon of A SuPerVISed WAlKInG And StrenGth

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183

AUSTRALASIAN HIV/AIDS CONFERENCE 2011 | 23rd AnnuAl ConferenCe of the AuStrAlASIAn SoCIetY for hIV MedICIne

POSTER ABSTRACTS

THEME

B

THEME B: MANAGING HIV: CLINICAL MANAGEMENT AND THE LIVED EXPERIENCE OF HIV.

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

1School of Public health, udayana

university, Bali Indonesia

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

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

1 hIV and related Programs health Promotion unit – northern Sydney local health district, Sydney, nSW, Australia

2northern Sydney Sexual health

Service, royal north Shore hospital, Sydney, nSW, Australia

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?’

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

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