12.07.2015 Views

Review of services for people living with HIV in New Zealand

Review of services for people living with HIV in New Zealand

Review of services for people living with HIV in New Zealand

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In view <strong>of</strong> consistent references to unquantified levels <strong>of</strong> stigma obstruct<strong>in</strong>g <strong>HIV</strong>‐related prevention,diagnosis and care ef<strong>for</strong>ts, particularly <strong>with</strong><strong>in</strong> specific ethnic populations <strong>in</strong> <strong>New</strong> <strong>Zealand</strong>, the need<strong>for</strong> clarification <strong>of</strong> the impact <strong>of</strong> stigma on engagement <strong>with</strong> <strong>HIV</strong> <strong>services</strong> is urgent. A nationalconversation on stigma <strong>in</strong> health, exam<strong>in</strong><strong>in</strong>g experiences to date from a variety <strong>of</strong> perspectives andwork<strong>in</strong>g towards development <strong>of</strong> an action agenda, would benefit operational responses to STIs and<strong>HIV</strong>/AIDS, and to other health issues also.F<strong>in</strong>ally, smaller NGOs <strong>with</strong> demonstrated records <strong>of</strong> service provision and def<strong>in</strong>ed constituencies arehav<strong>in</strong>g difficulty cop<strong>in</strong>g. Even though their constituencies may be well‐def<strong>in</strong>ed and relatively small,the demands <strong>of</strong> those constituencies are significant and grow<strong>in</strong>g, <strong>in</strong> terms <strong>of</strong> both practical andemotional needs. These NGOs need and deserve help. The M<strong>in</strong>istry <strong>of</strong> Health should consider corefund<strong>in</strong>g <strong>in</strong> each case to support susta<strong>in</strong>able, outcomes‐based activities so these NGOs are notconstantly distracted from their primary missions by the need to f<strong>in</strong>d fund<strong>in</strong>g <strong>for</strong> survival. Possiblebenchmarks could be implemented <strong>for</strong> provid<strong>in</strong>g funds to smaller community‐based <strong>HIV</strong> support<strong>services</strong>.44 REVIEW OF SERVICES FOR PLHA

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