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STI in remote communities: improved and enhanced primary health care
The STI in remote communities: improved and enhanced primary health care (STRIVE) project is a randomised community trial that aims to control sexually transmitted infections (STIs) in 65 remote Indigenous communities in northern and central Australia. The project is being undertaken by the National Centre in HIV Epidemiology and Clinical Research (NCHECR) and includes the following elements:
- the collection of baseline prevalence data for chlamydia, gonorrhoea, and trichomonas from 65 clinics;
- the development of best practice targets for STI control;
- modifications to patient information management systems;
- incentive payments to health services who achieve the best practice targets; and
- health promotion initiatives.
Ultimately the project seeks to determine whether targeted clinical review and support provided to health services can lead to significant and sustained improvements in the provision of sexual health services to people in remote Aboriginal communities. In addition, the project also seeks to establish whether the achievement of best practice targets will bring about a reduction in STI prevalence in these communities.
The project is funded by the National Health and Medical Research Council and is expected to run from 2009 to 2013. A number of institutions are working with the NCHECR in implementing this project, including but not limited to, Menzies School of Health Research, the Aboriginal Medical Services Alliance of the Northern Territory, and the Kimberley Aboriginal Medical Services Council.
National Centre in HIV Epidemiology and Clinical Research
The CFI Building
Corner Boundary and West Streets
Darlinghurst NSW 2010
Ph: (02) 9385 0900
Fax: (02) 9385 0920
Hengel B, Guy R, Garton L, Ward J, Rumbold A, Taylor-Thomson D, Silver B, McGregor S, Dyda A, Knox J, Kaldor J, Maher L (2015)
Barriers and facilitators of sexually transmissible infection testing in remote Australian Aboriginal communities: results from the Sexually Transmitted Infections in Remote Communities, Improved and Enhanced Primary Health Care (STRIVE) study.
Sexual Health; 12(1): 4-12
Ward J, McGregor S, Guy RJ, Rumbold AR, Garton L, Silver BJ, Taylor-Thomson D, Hengel B, Knox J, Dyda A, Law MG, Wand H, Donovan B, Fairley CK, Skov S, Ah Chee D, Boffa J, Glance D, McDermott R, Maher L, Kaldor JM (2013)
STI in remote communities: improved and enhanced primary health care (STRIVE) study protocol: a cluster randomised controlled trial comparing 'usual practice' STI care to enhanced care in remote primary health care services in Australia.
BMC Infectious Diseases; 13: 425
Retrieved 9 September 2013 from http://dx.doi.org/10.1186/1471-2334-13-425
Kaldor J, Ward J, Guy R, Rumbold A (2013)
STRIVE: making a difference for sexual health in remote Aboriginal communities.
HIV Australia; 11(3): 10-12