PMID- 16768662
OWN - NLM
STAT- MEDLINE
DCOM- 20060713
LR  - 20201219
IS  - 0025-729X (Print)
IS  - 0025-729X (Linking)
VI  - 184
IP  - 11
DP  - 2006 Jun 5
TI  - National survey of HIV and hepatitis testing and vaccination services provided by 
      drug and alcohol agencies in Australia.
PG  - 560-2
AB  - OBJECTIVES: To identify the prevalence of blood-borne viruses (BBVs) testing, 
      counselling and vaccination services by drug and alcohol services for injecting 
      drug users in Australia. DESIGN, SETTING AND PARTICIPANTS: Cross-sectional survey 
      of drug and alcohol agencies throughout Australia. OUTCOME MEASURES: Current 
      availability of testing, counselling and vaccination services for hepatitis B 
      virus (HBV), hepatitis C virus (HCV) and HIV; availability of medical coverage; 
      and barriers to greater provision of services. RESULTS: Survey responses were 
      provided by 222 agencies nationally (61% response rate). About three-quarters of 
      agencies provided some access to HIV, HBV, and HCV testing and HBV vaccinations, 
      but only a third offered these services routinely on site. HBV vaccination 
      availability differed depending on the primary function of the agency, with drug 
      dependence units and needle and syringe programs more likely to provide 
      vaccination on site. The major barriers preventing agencies from providing 
      routine on-site BBV services are lack of access to medical staff and trained 
      personnel; the cost of providing these services; and a lack of facilities. 
      CONCLUSIONS: The restricted provision of BBV services represents missed 
      opportunities to reduce individual and community morbidity and to maximise the 
      potential savings from preventable disease in relation to HBV infection. To 
      address key barriers and patient retention issues, it is necessary to expand the 
      role of non-medical staff, increase the use of shorter HBV vaccination schedules, 
      and identify and maintain local clinical partnerships between public and private 
      service providers.
FAU - Winstock, Adam R
AU  - Winstock AR
AD  - Drug Health Services, Sydney South West Area Health Service, Sydney, NSW. 
      adam.winstock@swsahs.nsw.gov.au
FAU - Anderson, Caroline M
AU  - Anderson CM
FAU - Sheridan, Janie
AU  - Sheridan J
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PL  - Australia
TA  - Med J Aust
JT  - The Medical journal of Australia
JID - 0400714
RN  - 0 (Hepatitis B Vaccines)
SB  - IM
MH  - Australia
MH  - Community Health Services/statistics & numerical data
MH  - Counseling/statistics & numerical data
MH  - Cross-Sectional Studies
MH  - HIV Infections/diagnosis/*prevention & control
MH  - Health Care Surveys
MH  - Health Services Accessibility
MH  - Hepatitis B/diagnosis/*prevention & control
MH  - Hepatitis B Vaccines
MH  - Hepatitis C/diagnosis/*prevention & control
MH  - Humans
MH  - Mass Screening/*statistics & numerical data
MH  - Substance Abuse Treatment Centers/*organization & administration
MH  - Vaccination/*statistics & numerical data
EDAT- 2006/06/14 09:00
MHDA- 2006/07/14 09:00
CRDT- 2006/06/14 09:00
PHST- 2005/10/21 00:00 [received]
PHST- 2006/03/13 00:00 [accepted]
PHST- 2006/06/14 09:00 [pubmed]
PHST- 2006/07/14 09:00 [medline]
PHST- 2006/06/14 09:00 [entrez]
AID - win10914_fm [pii]
AID - 10.5694/j.1326-5377.2006.tb00380.x [doi]
PST - ppublish
SO  - Med J Aust. 2006 Jun 5;184(11):560-2. doi: 10.5694/j.1326-5377.2006.tb00380.x.