In 2016 there were approximately 26,444 Australians thought to be living with HIV. Of these an estimated 23,648 (89%) were diagnosed, 22,465 (95% of those diagnosed) were retained in care, 20,440 (86% of those diagnosed) were receiving antiretroviral therapy, and 19,013 (93% of those on antiretroviral therapy) had achieved viral suppression1.
Antiretroviral treatments (ART) have evolved, reducing side effects and making HIV easier to clinically manage.
Newer ART drugs attack HIV on a number of fronts — stopping viral replication, proliferation and the entry of HIV into host cells. This is a chemically complex process that has been simplified by the co-formulation of compounds into a single pill taken once daily for many people.
The reduction in treatment side effects and the benefits accompanying suppressed viral load have encouraged new international targets outlined in the UN Political Declaration on HIV to reduce HIV transmissions by 50% and to increase the number of people living with HIV on suppressive ART to 90%.
Here is a list of ASHM Trained HIV s100 Prescribers located throughout:
As well as offering training and professional development courses, ASHM produces a number of guidelines and resources in HIV management. These include:
ASHM plays an important role in providing guidance to clinicians on HIV management. ASHM maintains the Antiretroviral Guidelines Panel which provides Australian-specific commentary on the USA DHHS Guidelines for HIV management in Adults and Adolescents. This is delivered through the ARV Guidelines website, which also provides a comparison between leading international guidelines and a summary of preferred initiation regimens.
This text is used to support our HIV S100 Prescriber Course. The monograph is now available on-line as a website and is no longer published as a manual. The new website can be accessed at: http://hivmanagement.ashm.org.au
This is our primary care text on HIV. This resource can be downloaded in full or by chapter. This is used as a reference for much of our training and is provided free to participants.
This laminated A4 decision making tool outlines the basic model of HIV management. It depicts an annual cycle of care and itemised common tests and points of review. The tool is currently under review.
These online guidelines have been developed by a consortium of Sexual Health organisations: the Australasian Sexual Health Alliance which is a committee supported by ASHM to provide expert input into STI policy and resource development. The Guidelines, launched in October 2014, are available at sti.guidelines.org.au
HIV medicines are regulated by section 100 of the Health Act. Under this legislation, any specialist or appropriately trained professional is able to prescribe HIV medicines.
ASHM currently provides prescriber training to general practitioners in New South Wales, South Australia, Australian Capital Territory and Northern Territory in accordance with the National Standards for community HIV s100 prescribers.
Initial training and ongoing professional development for prescribers is delivered through our HIV Prescriber Program which equips general practitioners to prescribe HIV ART and maintain their accreditation.
ASHM maintains lists of currently accredited prescribers throughout Australia.
ASHM maintains the National HIV Standards, Training and Accreditation Committee (NHSTAC) which sets standards for training and ongoing professional development requirements for HIV s100 prescribers.
NHSTAC sets the national training curriculum as well as the level of continuing professional development required to maintain accreditation. NHSTAC reviews the HIV s100 training curriculum on an National Standards for Training and Certification
1. The Kirby Institute. HIV, viral hepatitis and sexually transmissible infections in Australia Annual Surveillance Report 2017. The Kirby Institute, the University of New South Wales, Sydney