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Aboriginal and Torres Strait Islander people

Aboriginal and Torres Strait Islander Peoples Contact Tracing Context

Key principles:

  • respect the diversity of Aboriginal and Torres Strait Islander peoples
  • establish a strong relationship with the client in the first consultation to ensure effective engagement to enable successful recalls for treatment and contact tracing purposes
  • use a holistic model of care in order to ensure effective engagement and improve health outcomes.

Specific considerations:

  • consider the potential impacts of stigma around sexual health
  • Gender of the contact tracer: check local protocols regarding men’s business and women’s business
  • determine whether client mobility may lead to them being lost to follow up and/or treatment.
  • It is not uncommon for Aboriginal and Torres Strait Islander people to use multiple identifiers and have multiple addresses and care should be taken to:
    • clarify preferred client name(s) and contact details
    • confirm client’s preferred method for follow-up and future contact
  • be aware that there may be multiple users of a single mobile phone
  • confirm the client has fully understood discussions as English may not be their first language
  • reassure clients that if positively diagnosed they will in most cases be able to be treated and lead a healthy and long life.

Confidentiality and Privacy

  • explain what and why information may be provided to Public Health Units or other third parties e.g. the Syphilis Register. Explain who can access this.
  • discuss that contact tracing can be conducted anonymously.
  • discuss and take into account the potential consequences for the patient if a partner is diagnosed with an STI or BBV, despite efforts to preserve anonymity

Contact Tracing

  • explain the different methods of contact tracing giving the client a choice. In order to avoid or minimize feelings of shame or fear of retribution, patient-initiated contact tracing may not be appropriate.
  • emphasise contact tracing protects the health and wellbeing of the people the client cares about.
  • discuss how close personal relationships will be managed.
  • engage the Public Health Unit (who will work in partnership with Aboriginal Community Controlled Health Organisations (where appropriate) to undertake confidential and anonymous contact tracing of people where appropriate and when contacts are located outside the clinic geographical area (in another town or state for example).

Resources

 

Young Deadly Free: STI and BBV control in remote communities Clinical Practice and Resource Manual July 2019 SAHMRI

The Kimberley Contact Tracing Guidelines provide some useful general tips on factors to take into account when talking to patients about contact tracing

Specific state and territory guidelines can be found here

 

Page last updated April 2021

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