Review of services for people living with HIV in New Zealand

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ACKNOWLEDGEMENTSThe author wishes to thank all people contacted in the context of this review for the openness,willingness and constructive spirit they showed and the time they gave in their collaboration, despitepressing clinical and administrative schedules, and the occasional frustrations associated with traveland timings. The candour and trust shown was very gratefully received, and is here warmly andthankfully acknowledged. I want to thank particularly those people living with HIV who showed trustand sincerity in revealing their realities and offering constructive suggestions for strengtheningservices for people living with HIV in New Zealand.About the authorDr David Miller, PhD, Dip Clin Psyc, MA (Hons) is an HIV/AIDS specialist who has worked withWHO/UNAIDS programmes in clinical, public health, policy and governance settings in London,Geneva and New Delhi.Dr Miller is a New Zealander with in‐depth experience at the international professional level as aclinical psychologist, as a public health specialist and as a designer and implementer of corporategovernance. He has worked in clinical, public health, policy and governance settings in London,Geneva and New Delhi and conducted training and interventions in over 50 countries (mainly Africaand Asia) across government, NGO, bilateral and multi‐lateral sectors. Dr Miller has also developedclinical protocols for psychosocial management in HIV/AIDS that have been adopted and adaptedglobally by ministries of health, bi‐lateral and United Nations agencies and NGOs.ivREVIEW OF SERVICES FOR PLHA
CONTENTSACRONYMSACKNOWLEDGEMENTSEXECUTIVE SUMMARYiiiivviiINTRODUCTION 1METHODOLOGY 71. Site selection and report desk reviews 72. Site visits and key stakeholder discussions 73. Report preparation 74. Final draft preparation and submission 7RESULTS 101. District Health Board services for PLHA 10A. Auckland District Health Board 10B. Waikato District Health Board 13C. Capital and Coast District Health Board 16D. Canterbury District Health Board 19E. Summary of issues emerging from the review of DHB services For PLHA 212. Non‐government organisation services for PLHA 22A. New Zealand Aids Foundation 22B. Family Planning 27C. Positive Women Inc 29D. Body Positive Inc 32E. INA HIV/AIDS Foundation Charitable Trust 34F. Summary of issues emerging from the review of non‐government organisationservices for PLHA 363. Additional contributions from people living with HIV/AIDS 37DISCUSSION 40CONCLUSIONS 43APPENDICESAPPENDIX 1: Terms of reference 45APPENDIX 2: Key issues for organisations under review 46APPENDIX 3: Contributors 48REVIEW OF SERVICES FOR PLHAv
Page 1 and 2: REVIEW OF SERVICES FORPEOPLE LIVING
Page 3: ACRONYMSAEGAMTACANCAPPARVBPCBOCSWDH
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 and 14: Family Planning is a not‐for‐pr
Page 15 and 16: METHODOLOGYThis review effectively
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
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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
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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 -
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