Increasing access to screening for blood-borne viruses and sexually transmissible infections for Aboriginal and Torres Strait Islander Australians: evaluation of the Deadly Liver Mob program’s ‘cascade of care’ across nine sites in New South Wales, Australia
Abstract Background Aboriginal and Torres Strait Islander Australians are disproportionately impacted by blood-borne viruses (BBVs) and sexually transmissible infections (STIs). Stigma remains one of the key barriers to testing and treatment for BBVs and STIs, particularly among Aboriginal and Torre...
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Online Access: | https://doi.org/10.1186/s12954-023-00850-6 https://doaj.org/article/1767b02d604c47ba9a5fc931c39438a6 |
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ftdoajarticles:oai:doaj.org/article:1767b02d604c47ba9a5fc931c39438a6 2024-09-15T18:06:51+00:00 Increasing access to screening for blood-borne viruses and sexually transmissible infections for Aboriginal and Torres Strait Islander Australians: evaluation of the Deadly Liver Mob program’s ‘cascade of care’ across nine sites in New South Wales, Australia Elena Cama Kim Beadman Mitch Beadman Kerri-Anne Smith Jade Christian Aunty Clair Jackson Beverley Tyson Clayton Anderson Larissa Smyth Jennifer Heslop Gary Gahan Victor Tawil Felicity Sheaves Louise Maher Julie Page Donna Tilley Ann Ryan Kim Grant Basil Donovan Annabelle Stevens Trevor Slattery Kate Pearce Franklin John-Leader Andrew Walden Jo Lenton Margaret Crowley Carla Treloar 2023-09-01T00:00:00Z https://doi.org/10.1186/s12954-023-00850-6 https://doaj.org/article/1767b02d604c47ba9a5fc931c39438a6 EN eng BMC https://doi.org/10.1186/s12954-023-00850-6 https://doaj.org/toc/1477-7517 doi:10.1186/s12954-023-00850-6 1477-7517 https://doaj.org/article/1767b02d604c47ba9a5fc931c39438a6 Harm Reduction Journal, Vol 20, Iss 1, Pp 1-9 (2023) Aboriginal and Torres Strait Islander people Blood-borne viruses Health promotion Hepatitis C Sexually transmissible infections Public aspects of medicine RA1-1270 article 2023 ftdoajarticles https://doi.org/10.1186/s12954-023-00850-6 2024-08-05T17:49:53Z Abstract Background Aboriginal and Torres Strait Islander Australians are disproportionately impacted by blood-borne viruses (BBVs) and sexually transmissible infections (STIs). Stigma remains one of the key barriers to testing and treatment for BBVs and STIs, particularly among Aboriginal and Torres Strait Islander people. The Deadly Liver Mob (DLM) is a peer-delivered incentivised health promotion program by and for Aboriginal and Torres Strait Islander Australians. The program aims to increase access to BBV and STI education, screening, treatment, and vaccination for Aboriginal and Torres Strait Islander Australians in recognition of the systemic barriers for First Nations people to primary care, including BBV- and STI-related stigma, and institutional racism. This paper presents routinely collected data across nine sites on the ‘cascade of care’ progression of Aboriginal and Torres Strait Islander clients through the DLM program: hepatitis C education, screening, returning for results, and recruitment of peers. Methods Routinely collected data were collated from each of the DLM sites, including date of attendance, basic demographic characteristics, eligibility for the program, recruitment of others, and engagement in the cascade of care. Results Between 2013 and 2020, a total of 1787 Aboriginal and Torres Strait Islander clients were educated as part of DLM, of which 74% went on to be screened and 42% (or 57% of those screened) returned to receive their results. The total monetary investment of the cascade of care progression was approximately $56,220. Data highlight the positive impacts of the DLM program for engagement in screening, highlighting the need for culturally sensitive, and safe programs led by and for Aboriginal and Torres Strait Islander people. However, the data also indicate the points at which clients ‘fall off’ the cascade, underscoring the need to address any remaining barriers to care. Conclusions The DLM program shows promise in acting as a ‘one stop shop’ in addressing the needs of ... Article in Journal/Newspaper First Nations Directory of Open Access Journals: DOAJ Articles Harm Reduction Journal 20 1 |
institution |
Open Polar |
collection |
Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English |
topic |
Aboriginal and Torres Strait Islander people Blood-borne viruses Health promotion Hepatitis C Sexually transmissible infections Public aspects of medicine RA1-1270 |
spellingShingle |
Aboriginal and Torres Strait Islander people Blood-borne viruses Health promotion Hepatitis C Sexually transmissible infections Public aspects of medicine RA1-1270 Elena Cama Kim Beadman Mitch Beadman Kerri-Anne Smith Jade Christian Aunty Clair Jackson Beverley Tyson Clayton Anderson Larissa Smyth Jennifer Heslop Gary Gahan Victor Tawil Felicity Sheaves Louise Maher Julie Page Donna Tilley Ann Ryan Kim Grant Basil Donovan Annabelle Stevens Trevor Slattery Kate Pearce Franklin John-Leader Andrew Walden Jo Lenton Margaret Crowley Carla Treloar Increasing access to screening for blood-borne viruses and sexually transmissible infections for Aboriginal and Torres Strait Islander Australians: evaluation of the Deadly Liver Mob program’s ‘cascade of care’ across nine sites in New South Wales, Australia |
topic_facet |
Aboriginal and Torres Strait Islander people Blood-borne viruses Health promotion Hepatitis C Sexually transmissible infections Public aspects of medicine RA1-1270 |
description |
Abstract Background Aboriginal and Torres Strait Islander Australians are disproportionately impacted by blood-borne viruses (BBVs) and sexually transmissible infections (STIs). Stigma remains one of the key barriers to testing and treatment for BBVs and STIs, particularly among Aboriginal and Torres Strait Islander people. The Deadly Liver Mob (DLM) is a peer-delivered incentivised health promotion program by and for Aboriginal and Torres Strait Islander Australians. The program aims to increase access to BBV and STI education, screening, treatment, and vaccination for Aboriginal and Torres Strait Islander Australians in recognition of the systemic barriers for First Nations people to primary care, including BBV- and STI-related stigma, and institutional racism. This paper presents routinely collected data across nine sites on the ‘cascade of care’ progression of Aboriginal and Torres Strait Islander clients through the DLM program: hepatitis C education, screening, returning for results, and recruitment of peers. Methods Routinely collected data were collated from each of the DLM sites, including date of attendance, basic demographic characteristics, eligibility for the program, recruitment of others, and engagement in the cascade of care. Results Between 2013 and 2020, a total of 1787 Aboriginal and Torres Strait Islander clients were educated as part of DLM, of which 74% went on to be screened and 42% (or 57% of those screened) returned to receive their results. The total monetary investment of the cascade of care progression was approximately $56,220. Data highlight the positive impacts of the DLM program for engagement in screening, highlighting the need for culturally sensitive, and safe programs led by and for Aboriginal and Torres Strait Islander people. However, the data also indicate the points at which clients ‘fall off’ the cascade, underscoring the need to address any remaining barriers to care. Conclusions The DLM program shows promise in acting as a ‘one stop shop’ in addressing the needs of ... |
format |
Article in Journal/Newspaper |
author |
Elena Cama Kim Beadman Mitch Beadman Kerri-Anne Smith Jade Christian Aunty Clair Jackson Beverley Tyson Clayton Anderson Larissa Smyth Jennifer Heslop Gary Gahan Victor Tawil Felicity Sheaves Louise Maher Julie Page Donna Tilley Ann Ryan Kim Grant Basil Donovan Annabelle Stevens Trevor Slattery Kate Pearce Franklin John-Leader Andrew Walden Jo Lenton Margaret Crowley Carla Treloar |
author_facet |
Elena Cama Kim Beadman Mitch Beadman Kerri-Anne Smith Jade Christian Aunty Clair Jackson Beverley Tyson Clayton Anderson Larissa Smyth Jennifer Heslop Gary Gahan Victor Tawil Felicity Sheaves Louise Maher Julie Page Donna Tilley Ann Ryan Kim Grant Basil Donovan Annabelle Stevens Trevor Slattery Kate Pearce Franklin John-Leader Andrew Walden Jo Lenton Margaret Crowley Carla Treloar |
author_sort |
Elena Cama |
title |
Increasing access to screening for blood-borne viruses and sexually transmissible infections for Aboriginal and Torres Strait Islander Australians: evaluation of the Deadly Liver Mob program’s ‘cascade of care’ across nine sites in New South Wales, Australia |
title_short |
Increasing access to screening for blood-borne viruses and sexually transmissible infections for Aboriginal and Torres Strait Islander Australians: evaluation of the Deadly Liver Mob program’s ‘cascade of care’ across nine sites in New South Wales, Australia |
title_full |
Increasing access to screening for blood-borne viruses and sexually transmissible infections for Aboriginal and Torres Strait Islander Australians: evaluation of the Deadly Liver Mob program’s ‘cascade of care’ across nine sites in New South Wales, Australia |
title_fullStr |
Increasing access to screening for blood-borne viruses and sexually transmissible infections for Aboriginal and Torres Strait Islander Australians: evaluation of the Deadly Liver Mob program’s ‘cascade of care’ across nine sites in New South Wales, Australia |
title_full_unstemmed |
Increasing access to screening for blood-borne viruses and sexually transmissible infections for Aboriginal and Torres Strait Islander Australians: evaluation of the Deadly Liver Mob program’s ‘cascade of care’ across nine sites in New South Wales, Australia |
title_sort |
increasing access to screening for blood-borne viruses and sexually transmissible infections for aboriginal and torres strait islander australians: evaluation of the deadly liver mob program’s ‘cascade of care’ across nine sites in new south wales, australia |
publisher |
BMC |
publishDate |
2023 |
url |
https://doi.org/10.1186/s12954-023-00850-6 https://doaj.org/article/1767b02d604c47ba9a5fc931c39438a6 |
genre |
First Nations |
genre_facet |
First Nations |
op_source |
Harm Reduction Journal, Vol 20, Iss 1, Pp 1-9 (2023) |
op_relation |
https://doi.org/10.1186/s12954-023-00850-6 https://doaj.org/toc/1477-7517 doi:10.1186/s12954-023-00850-6 1477-7517 https://doaj.org/article/1767b02d604c47ba9a5fc931c39438a6 |
op_doi |
https://doi.org/10.1186/s12954-023-00850-6 |
container_title |
Harm Reduction Journal |
container_volume |
20 |
container_issue |
1 |
_version_ |
1810444216389599232 |