ASHM Report Back
Clinical posts from members and guests of the Australasian Society for HIV, Viral Hepatitis and Sexual Health Medicine (ASHM) from various international medical and scientific conferences on HIV, AIDS, viral hepatitis, and sexual health.
Getting it Right: Trans-Inclusion in Clinical Care. Discussion Panelists. Ayden Scheim, Jeremy Wiggins, Mish Pony, Lisa O'Brien, Vincent Cornelisse (Tuesday 7th November 2017)
Trans gender and diverse (TGD) population are of high priority for STI/HIV according to (WHO) last year.
TGD are of greater risk for discrimination, stigma and neglect.
Currently TGD are not mentioned in the National or State and Territory STI/HIV strategies. They need to be included for the collection of data and future research
*What should inclusive Clinical care look like for TGD population?
Many have to access multiple services to have healthcare needs met. There is no particular one-stop-shop.
Shared care is needed with client involvement in all aspects of their care, keeping it open and empowering.
TGD people need sexual health care amalgamated with their hormone therapy reviews. It brings them to test more regularly if needed.
Not all TGD medically transition.
National standards of care differ around the world.
EQUONOX Victoria supplies a one-stop-shop and uses the Informed Consent model. It has Psychological practitioners through to a GP Prescriber which improves access to care with less waiting time.
Good access to care improves health quality
TGD have a higher risk of suicidality, as much as 50%
Research is needed to help provide best practice.
GP'S need to be up-skilled in the area instead of passing people on by referral due to ignorance.
How can this be done? Certainly through Med School training, but also practicing GPs
We need to change registration forms and Notification forms to start collecting data and build better relationships with workforce development
A good resource video "PrEP 4 Trans"