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
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...
Published in: | Harm Reduction Journal |
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BioMed Central
2023
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Online Access: | http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10478220/ http://www.ncbi.nlm.nih.gov/pubmed/37670361 https://doi.org/10.1186/s12954-023-00850-6 |
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Research Cama, Elena Beadman, Kim Beadman, Mitch Smith, Kerri-Anne Christian, Jade Jackson, Aunty Clair Tyson, Beverley Anderson, Clayton Smyth, Larissa Heslop, Jennifer Gahan, Gary Tawil, Victor Sheaves, Felicity Maher, Louise Page, Julie Tilley, Donna Ryan, Ann Grant, Kim Donovan, Basil Stevens, Annabelle Slattery, Trevor Pearce, Kate John-Leader, Franklin Walden, Andrew Lenton, Jo Crowley, Margaret Treloar, Carla 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 |
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Research |
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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 ... |
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Text |
author |
Cama, Elena Beadman, Kim Beadman, Mitch Smith, Kerri-Anne Christian, Jade Jackson, Aunty Clair Tyson, Beverley Anderson, Clayton Smyth, Larissa Heslop, Jennifer Gahan, Gary Tawil, Victor Sheaves, Felicity Maher, Louise Page, Julie Tilley, Donna Ryan, Ann Grant, Kim Donovan, Basil Stevens, Annabelle Slattery, Trevor Pearce, Kate John-Leader, Franklin Walden, Andrew Lenton, Jo Crowley, Margaret Treloar, Carla |
author_facet |
Cama, Elena Beadman, Kim Beadman, Mitch Smith, Kerri-Anne Christian, Jade Jackson, Aunty Clair Tyson, Beverley Anderson, Clayton Smyth, Larissa Heslop, Jennifer Gahan, Gary Tawil, Victor Sheaves, Felicity Maher, Louise Page, Julie Tilley, Donna Ryan, Ann Grant, Kim Donovan, Basil Stevens, Annabelle Slattery, Trevor Pearce, Kate John-Leader, Franklin Walden, Andrew Lenton, Jo Crowley, Margaret Treloar, Carla |
author_sort |
Cama, Elena |
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 |
BioMed Central |
publishDate |
2023 |
url |
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10478220/ http://www.ncbi.nlm.nih.gov/pubmed/37670361 https://doi.org/10.1186/s12954-023-00850-6 |
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First Nations |
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First Nations |
op_source |
Harm Reduct J |
op_relation |
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10478220/ http://www.ncbi.nlm.nih.gov/pubmed/37670361 http://dx.doi.org/10.1186/s12954-023-00850-6 |
op_rights |
© BioMed Central Ltd., part of Springer Nature 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
op_doi |
https://doi.org/10.1186/s12954-023-00850-6 |
container_title |
Harm Reduction Journal |
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20 |
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1 |
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1779314716934406144 |
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ftpubmed:oai:pubmedcentral.nih.gov:10478220 2023-10-09T21:51:35+02:00 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 Cama, Elena Beadman, Kim Beadman, Mitch Smith, Kerri-Anne Christian, Jade Jackson, Aunty Clair Tyson, Beverley Anderson, Clayton Smyth, Larissa Heslop, Jennifer Gahan, Gary Tawil, Victor Sheaves, Felicity Maher, Louise Page, Julie Tilley, Donna Ryan, Ann Grant, Kim Donovan, Basil Stevens, Annabelle Slattery, Trevor Pearce, Kate John-Leader, Franklin Walden, Andrew Lenton, Jo Crowley, Margaret Treloar, Carla 2023-09-05 http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10478220/ http://www.ncbi.nlm.nih.gov/pubmed/37670361 https://doi.org/10.1186/s12954-023-00850-6 en eng BioMed Central http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10478220/ http://www.ncbi.nlm.nih.gov/pubmed/37670361 http://dx.doi.org/10.1186/s12954-023-00850-6 © BioMed Central Ltd., part of Springer Nature 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. Harm Reduct J Research Text 2023 ftpubmed https://doi.org/10.1186/s12954-023-00850-6 2023-09-10T00:58:12Z 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 ... Text First Nations PubMed Central (PMC) Harm Reduction Journal 20 1 |