Review of services for people living with HIV in New Zealand

More documents

Recommendations

Info

participants by the Ministry of Health. For reasons of brevity, NGO self‐reported information relatingto governance, reporting and impact (DHBs did not supply this in written form) is presented as anappendix at the rear of this report. Content analyses of discussions with PLHA are presented at theend of the ‘Results’ section. Final sections include a synthesis (‘Discussion’) and concluding remarks.Appendices at the rear include the terms of reference for the review, key issues raised with keyinformants, persons interviewed, documents received, HIV NGO website information and NGO selfreporteddata.6 REVIEW OF SERVICES FOR PLHA
METHODOLOGYThis review effectively presents a stock‐taking of services for people living with HIV. It is important tostress that it is not a qualitative review or an audit of service processes or functioning.The review involved the following steps.1. SITE SELECTION AND REPORT DESK REVIEWSa. Organisations identified by the Ministry of Health as appropriate for inclusion in thereview were approached by letter, and identified staff were later contacted bytelephone. In DHBs, those approached included the managers of SH services and IDheads of departments.b. Organisation reports and relevant documentation, requested in the preliminarycorrespondence, were received and reviewed.c. Appointments were made for site visits and discussions with key staff and service users.2. SITE VISITS AND KEY STAKEHOLDER DISCUSSIONSa. Structured discussions were undertaken with relevant senior staff and service providersusing the Key Issue list (see Appendix 2). These discussions were supplemented byinformation provided by NGOs completing the service data tables (see Appendix 6).b. Focus group discussions were undertaken with service users, where the servicedetermined this was feasible.3. REPORT PREPARATIONa. Data gathered from steps 1 and 2 were collated.b. Summary reports on each service were prepared and then reviewed by the relevantservices.c. All findings were synthesised.d. Preliminary recommendations were made.e. A draft was submitted to the Ministry for review and feedback.4. FINAL DRAFT PREPARATION AND SUBMISSIONa. Feedback from the Ministry was reviewed.b. The final report was drafted and submitted.The author maintained open channels with the Ministry and services participating at all stages,establishing a collaborative, supportive working relationship. At every stage the services involved inthe review were engaged for fact‐checking and verification where appropriate. At all times thereview was conducted as a form of appreciative enquiry.The review initially involved approaches to the following community‐based NGOs:New Zealand AIDS Foundation (Te Tūāpapa Mate Āraikore o Aotearoa) in Auckland, Wellingtonand ChristchurchNew Zealand Family Planning, WellingtonREVIEW OF SERVICES FOR PLHA 7
Page 1 and 2: REVIEW OF SERVICES FORPEOPLE LIVING
Page 3 and 4: ACRONYMSAEGAMTACANCAPPARVBPCBOCSWDH
Page 5 and 6: CONTENTSACRONYMSACKNOWLEDGEMENTSEXE
Page 7 and 8: EXECUTIVE SUMMARYThis review has id
Page 9 and 10: INTRODUCTIONThe national clinical a
Page 11 and 12: The available data show that in the
Page 13: Family Planning is a not‐for‐pr
Page 17 and 18: * This does not include all DHB ser
Page 19 and 20: an adult sexual assault unit - SH r
Page 21 and 22: B. WAIKATO DISTRICT HEALTH BOARD (w
Page 23 and 24: perceived as formally (if implicitl
Page 25 and 26: The discussions in Wellington also
Page 27 and 28: informally arranged with SH colleag
Page 29 and 30: Ongoing close collaboration between
Page 31 and 32: The NZAF is the only national NGO r
Page 33 and 34: Auckland - Burnett CentreAuckland h
Page 35 and 36: As indicated above, there is a stro
Page 37 and 38: Figure 2: Reasons for FP clinic att
Page 39 and 40: As part of this review a focus grou
Page 41 and 42: Christmas dinner serving 100 or mor
Page 43 and 44: Despite INA’s development constra
Page 45 and 46: Difficulties in maintaining quality
Page 47 and 48: 6. The need for consistent targeted
Page 49 and 50: It is evident that stigma is the el
Page 51 and 52: CONCLUSIONSFrom the foregoing, some
Page 53 and 54: APPENDIX 1: TERMS OF REFERENCEREVIE
Page 55 and 56: Modes and frequency of communicatio
Page 57 and 58: LOCATION NAME ORGANISATIONHamiltonT
Page 59 and 60: Institute of Environmental Science
Page 61 and 62: APPENDIX 5: HIV NGO WEBSITE DATAOrg
Page 63 and 64: InquiryResponseResearch, analysis,
Page 65 and 66:
InquiryResponseFrequency and regula
Page 67 and 68:
Inquiry5. By what criteria are need
Page 69 and 70:
Inquiry9. How is impact,effectivene
Page 71 and 72:
B. BODY POSITIVE INC.Inquiry1. Is t
Page 73 and 74:
C. INA FOUNDATION CHARITABLE TRUSTI
Page 75 and 76:
Inquiry6. What makes the service ef
Page 77 and 78:
Inquiry9. How is impact, effectiven
Page 79 and 80:
InquiryResponse2. Personal knowledg
Page 81 and 82:
InquiryResponseMF is 26 and has ove
Page 83 and 84:
InquiryResponse7. What obstacles -
show all

Review of services for people living with HIV in New Zealand

Create successful ePaper yourself

Delete template?

Save as template?