The Big PictureThe Big Picture

‘Leadership & partnership ‘Leadership & partnership restored?’restored?’

Don BaxterDon BaxterExecutive DirectorExecutive Director

Australian Federation of AIDS OrganisationsAustralian Federation of AIDS OrganisationsMay 09 AFAO Workshops and General MeetingMay 09 AFAO Workshops and General Meeting

8 May 20098 May 2009

In a snapshot In a snapshot

Last 6 months / next 6 monthsLast 6 months / next 6 months The Rudd government engages with HIV & HCVThe Rudd government engages with HIV & HCV

» At lastAt last National Strategic FrameworkNational Strategic Framework The Bad newsThe Bad news Some challenges Some challenges Relations with the DepartmentRelations with the Department Emerging Legal & Policy issuesEmerging Legal & Policy issues Regional & InternationalRegional & International Governance & Organisational mattersGovernance & Organisational matters

A Changed environmentA Changed environment

Rudd Gov’t gets to HIV/STIs/HCVRudd Gov’t gets to HIV/STIs/HCV

» Changed relationships with Minister & Parl SecChanged relationships with Minister & Parl Sec

» Restoration of the PartnershipRestoration of the Partnership

» MACBBVS / Activist Chair/ Membership / BBVSSMACBBVS / Activist Chair/ Membership / BBVSS

» Michael Kidd’s energyMichael Kidd’s energy

» Role of Department Role of Department From control to ???From control to ???

» Review of Strategies /Next Strategies Review of Strategies /Next Strategies

Formulating new Strategies

Not a single strategy Four or five new Strategies

» - common ‘linking statement’ Hep B separate or rolled in ? = further consideration Small writing team of people from within the sectors Writing team working with a Reference group for each Strategy Ref group = MACBBVS members + sector experts

» two people under 30 and a GP Overseen by MACCBBVS Management of the process be contracted out Strategies signed off by the states/territories, and Target date for completion of the Strategies is by the end of 2009.

Nat Strats - Next stepsNat Strats - Next steps

LettersLetters NominationsNominations What ever happened to the ‘Urbis Review’?What ever happened to the ‘Urbis Review’? Timeframes (notional)Timeframes (notional)

Pause for questions

Any questions so far?

Now for the Bad newsNow for the Bad news

COAG Healthcare Agreements:COAG Healthcare Agreements:» Outcomes at state-territory levelOutcomes at state-territory level» Outcome measuresOutcome measures» Targets and indicators in Nat Strat.sTargets and indicators in Nat Strat.s» Hep C political strategiesHep C political strategies

National STI Campaign for 16-29 y.oldsNational STI Campaign for 16-29 y.olds

Bad news 2: Bad news 2:

National STI Campaign for 16-29ersNational STI Campaign for 16-29ers

Brief historyBrief history» Abbott/DoHA/Election/new Gov’tAbbott/DoHA/Election/new Gov’t» 16-29 / young people [gay men & ATSI?]16-29 / young people [gay men & ATSI?]

Components (as at end April) are:Components (as at end April) are:» 3 print ads - one male & one female plus an ‘asymptomatic’ o3 print ads - one male & one female plus an ‘asymptomatic’ o» 2 radio ads (male & female) 2 radio ads (male & female) » 1 specific website1 specific website» Possibly some viral marketing (more likely in phase 2)Possibly some viral marketing (more likely in phase 2)

– Launch date is set for 31 May 09 Launch date is set for 31 May 09 TensionsTensions

» Messages / other campaigns / Development processMessages / other campaigns / Development process

Challenges 1: Health Reform AgendaChallenges 1: Health Reform Agenda

GFC and the Budget contextGFC and the Budget context Engagement with Reform agendasEngagement with Reform agendas

» New Health AgreementsNew Health Agreements» Nat Hospitals & Health Reform CommissionNat Hospitals & Health Reform Commission» Prevention StrategyPrevention Strategy» Primary Health Care StrategyPrimary Health Care Strategy» Men’s HealthMen’s Health» Re-visit at Pos Services Forum & Nov WorkshopsRe-visit at Pos Services Forum & Nov Workshops

Not much yet:Not much yet:» Social InclusionSocial Inclusion» National Compact with NGO’sNational Compact with NGO’s

Challenges 2:Challenges 2: Indigenous Australians Indigenous Australians

Anwernekenhe National AllianceAnwernekenhe National Alliance

OATSIH Review of investment in sexyual OATSIH Review of investment in sexyual healthhealth

» Scope / threats /opportunitiesScope / threats /opportunities» BBVSS ‘expansion’BBVSS ‘expansion’

‘‘Closing-the-Gap’Closing-the-Gap’» Sexual health?Sexual health?» COAG Early Childhood NP – teenagersCOAG Early Childhood NP – teenagers

Relations with the DepartmentRelations with the Department

Churn continuesChurn continues» Re-Structure - PHD to OHPRe-Structure - PHD to OHP» Corporate memory and competence impactCorporate memory and competence impact

Pressures on the DepartmentPressures on the Department» . . . and now Swine flu too. . . and now Swine flu too

Contractual framework Contractual framework » ‘‘Efficient procurement’: ‘Capture vs. PartnershipEfficient procurement’: ‘Capture vs. Partnership» Possibilities for change in 2009-10Possibilities for change in 2009-10» Changed role to out-sourcing operations?Changed role to out-sourcing operations?

Emerging Legal & Policy Issues

Criminal prosecutions & HIV» Session / Discussion paper /NAPWA monograph &

National forum

WA sex industry legal ‘reform’» Clandestine / FoI?/ Strategy meeting» BBVSS Policy position

NT Care & Child Protection of Children Act

Immigration & HIV issues

Regional & InternationalRegional & International

MSM Scoping Study in Asia & PacificMSM Scoping Study in Asia & Pacific» Status / Timelines / Outcomes?Status / Timelines / Outcomes?» PNG Poro Sapot / AFAO-QAHC 2 SpiritsPNG Poro Sapot / AFAO-QAHC 2 Spirits» IHAA partnershipIHAA partnership

UNGASS 2010UNGASS 2010» APCASO roleAPCASO role

APN+/AFAO Partnership for Poz Cap DevAPN+/AFAO Partnership for Poz Cap Dev AusAID HIV StrategyAusAID HIV Strategy

» MSM OK – but the rest?MSM OK – but the rest?

Governance & Organisational MattersGovernance & Organisational Matters

Affiliate membershipAffiliate membership Financial positionFinancial position

– Sound; reserves Sound; reserves

– Cash positionCash position

AFAO Internal Organisation ReviewAFAO Internal Organisation Review» Running under-staffedRunning under-staffed

» DoHA ‘contract deliverables crunch period’DoHA ‘contract deliverables crunch period’

Enterprise Agreement negotiationsEnterprise Agreement negotiations

ORGANISATIONORGANISATION DOCUMENT TITLEDOCUMENT TITLE PERIODPERIOD

Queensland HealthQueensland HealthQueensland HIV, Hepatitis C and Queensland HIV, Hepatitis C and Sexually Transmissible StrategySexually Transmissible Strategy 2005-20112005-2011

Department of Health WADepartment of Health WAWestern Australian HIV/AIDS Action Western Australian HIV/AIDS Action Plan 2006-2008Plan 2006-2008 2006-20082006-2008

Victorian Department of Victorian Department of Human ServicesHuman Services

Victorian HIV/AIDS Strategy 2002-Victorian HIV/AIDS Strategy 2002-2004 and Addendum 2005-20092004 and Addendum 2005-2009

2002-2004 (VIC HIV/AIDS 2002-2004 (VIC HIV/AIDS strategy)strategy)

NSW Department of HealthNSW Department of Health NSW HIV/AIDS StrategyNSW HIV/AIDS Strategy 2006-20092006-2009

Department of Health and Department of Health and Human Services Tasmania Human Services Tasmania

Tasmanian Sexually Transmissible Tasmanian Sexually Transmissible Infections and Blood Borne Viruses Infections and Blood Borne Viruses Action Plan (2007-2008)Action Plan (2007-2008) 2007-20082007-2008

ACT GovernmentACT Government

HIV/AIDS Hepatitis C Sexually HIV/AIDS Hepatitis C Sexually Transmissible Infections - A Strategic Transmissible Infections - A Strategic Framework for the ACT 2007-2012Framework for the ACT 2007-2012 2007-20122007-2012

Government of SA/ Government of SA/ Department of Human Department of Human ServicesServices

Meeting The Challenge: Forth SA Meeting The Challenge: Forth SA HIV Strategy 2002-2005HIV Strategy 2002-2005 2002-20052002-2005

NT HealthNT Health      

State Territory Strategies

Q & A

. . . then the end