Review of services for people living with HIV in New Zealand

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Inquiry10. Are there any gaps inservice coverage that needfuture investment?11. Are there plans for servicedevelopment or evolution?ResponseYes.YesFunding for impact assessment, comprehensive independent evaluation ofinterventions, increased research investment.Inadequate national leadership and strategic direction from governments – i.e., lackof support for Public Health Bill.Evidence‐based redesign of services for HIV positive people.HIV testing to become part of prevention services. Comprehensive evaluation of Get It On social marketing 2011–2014.Maori Responsiveness Strategy for operational services (in draft after fullconsultation).Ongoing development of advisory groups for operational and governance – Maori,PLHIV, African (already exists).62 REVIEW OF SERVICES FOR PLHA
B. BODY POSITIVE INC.Inquiry1. Is there a clear statement of purpose for theservice and, if so, how was that 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 alteredduring its history – and why?Is there a mission statement?2. Are the aims and activities of the serviceconsonant with applicable MoH policies:Review alongside existing MoHstatements about services for PLHADoes the service fill known gaps in publichealth service provision?3. How is the service regulated internally:Is there a Board or similar oversightmechanism?Composition and how they areappointedInvolvement of PLHAFrequency and regularity of meetingsReported (and unreported) meetingoutcomes4. Is the service structurally equipped to meetthe expressed needs of people who are HIVpositive:Are there sufficient trained andexperienced staff?What do they do – what services areoffered?How have they been trained / what aretheir qualifications?Is it conveniently located for serviceusers and available at appropriatetimes?Is the service culturally appropriate andaccessible?How is this determined?5. By what criteria are needs of people withHIV prioritised?How are these needs determined?How frequently are the needs reviewed?How is this done?ResponseOur vision statement:“All HIV+ people living fully productive lives free from stigma anddiscrimination” Prepared by Board and endorsed by “members.”Body Positive offers a range of services all designed to assist PLWHA.All services are authorised by the Trust Board. BP Has been inoperation since the late eighties (informally) and was incorporated in1992. The aims and service have changed over times to respond to thechanging impact AIDS has had on our community from funeral,bereavement to today’s planning for the future.Our mission statement is “Peer support and advocacy for HIV+ people.All of the services we supply potentially reflect a failing on where MOHservices are not delivered or not available (funded) or not able to reach.Our services are “peer” reviewed as well as consulted with relevantprofessionals in either “Sexual Health” or “Infectious Diseases” or otherrelevant professionals.The Membership of the organisation (all HIV+) elects the Trust Boardannually. The Board employs the CEO. The Board develops policy.The CEO employs the staff and delivers programmes to meet policy.All programmes are evaluated and statistically reported to the Board.The Board meets on a bi‐monthly basis.YesNoPlease see the separate range of services available.Where external professional input is required we will seek consultancyarrangements and negotiate contracts.All services in Auckland are located to best position for our community.The Board seeks representation for Maori and currently two Boardmembers are Maori.Usually the need is identified by members and relayed to themanagement. A survey can be sent out and / or a paper prepared forthe Board.REVIEW OF SERVICES FOR PLHA 63
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REVIEW OF SERVICES FORPEOPLE LIVING
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CONTENTSACRONYMSACKNOWLEDGEMENTSEXE
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EXECUTIVE SUMMARYThis review has id
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INTRODUCTIONThe national clinical a
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The available data show that in the
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Family Planning is a not‐for‐pr
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METHODOLOGYThis review effectively
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* This does not include all DHB ser
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Page 29 and 30: Ongoing close collaboration between
Page 31 and 32: The NZAF is the only national NGO r
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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
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Page 57 and 58: LOCATION NAME ORGANISATIONHamiltonT
Page 59 and 60: Institute of Environmental Science
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Page 63 and 64: InquiryResponseResearch, analysis,
Page 65 and 66: InquiryResponseFrequency and regula
Page 67 and 68: Inquiry5. By what criteria are need
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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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