Review of services for people living with HIV in New Zealand

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APPENDIX 2: KEY ISSUES FOR ORGANISATIONS UNDER REVIEWTo be discussed with relevant senior staff and service providers:1. IS THERE A CLEAR STATEMENT OF PURPOSE FOR THE SERVICE AND, IF SO, HOW WASTHAT DETERMINED?What type of service is it?Who is it designed to serve primarily?How was this determined?How long has it been in operation?Have the aims of the service altered during its history – and why?Is there a mission statement?2. ARE THE AIMS AND ACTIVITIES OF THE SERVICE CONSONANT WITH APPLICABLEMINISTRY OF HEALTH POLICIES?Review alongside existing Ministry of Health statements about services for PLHADoes the service fill known gaps in public health service provision?3. HOW IS THE SERVICE REGULATED INTERNALLY?Is there a board or similar oversight mechanism?Composition and how board members are appointedInvolvement of PLHAFrequency and regularity of meetingsReported (and unreported) meeting outcomes4. IS THE SERVICE STRUCTURALLY EQUIPPED TO MEET THE EXPRESSED NEEDS OFPEOPLE WHO ARE HIV POSITIVE?Are there sufficient trained and experienced staff?What do they do – what services are offered?How have they been trained / what are their qualifications?Is it conveniently located for service users and available at appropriate times?Is the service culturally appropriate and accessible?How is this determined?5. BY WHAT CRITERIA ARE NEEDS OF PEOPLE WITH HIV PRIORITISED?How are these needs determined?How frequently are the needs reviewed?How is this done?6. WHAT MAKES THE SERVICE EFFECTIVE AND RELEVANT FOR HIV POSITIVE PEOPLE?How many people use the service?For what reasons?46 REVIEW OF SERVICES FOR PLHA
Modes and frequency of communication with service users, members, constituentsProcesses of PLHA input to the design and operation of the serviceChallenges to service delivery7. WHAT OBSTACLES – IF ANY – EXIST FOR POTENTIAL SERVICE USERS?Times, geography, culture, information, language, ideology8. HOW IS THE SERVICE WORKING ON AN ADMINISTRATIVE LEVEL?Administrative capacity (staff numbers)Administrative needsAdministrative strengths and weaknesses – how burdens affect outputs9. HOW IS IMPACT, EFFECTIVENESS AND VALUE ASSESSED, AND WHAT HAVE THOSEASSESSMENTS INDICATED TO DATE?Criteria employedFrequency and modes of assessmentsEvidence of data for policy10. ARE THERE ANY GAPS IN SERVICE COVERAGE THAT NEED FUTURE INVESTMENT?11. ARE THERE PLANS FOR SERVICE DEVELOPMENT OR EVOLUTION?REVIEW OF SERVICES FOR PLHA 47
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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 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: APPENDIX 1: TERMS OF REFERENCEREVIE
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 -
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Review of services for people living with HIV in New Zealand

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