Establishment of a sentinel surveillance network for sexually transmissible infections and blood borne viruses in Aboriginal primary care services across Australia: the ATLAS project
Male
Native Hawaiian or Other Pacific Islander
Australian Aboriginal and Torres Strait Islander Peoples
anzsrc-for: 4205 Nursing
anzsrc-for: 0807 Library and Information Studies
Community Networks
sexually transmissible infection
0302 clinical medicine
Medicine and Health Sciences
reporting
anzsrc-for: 42 Health Sciences
Surveillance
3 Good Health and Well Being
Blood-borne Virus
Health Services
4203 Health Services and Systems
3. Good health
anzsrc-for: 4203 Health Services and Systems
surveillance
Female
Public aspects of medicine
RA1-1270
Infection
0305 other medical science
anzsrc-for: 1117 Public Health and Health Services
Research Article
Adult
Adolescent
Sexually Transmitted Diseases
anzsrc-for: 1110 Nursing
anzsrc-for: 4206 Public health
610
primary care
03 medical and health sciences
Health Services, Indigenous
Humans
first peoples
Primary Care
Aboriginal and Torres Strait Islander
Blood-Borne Infections
First Peoples
Primary Health Care
9. Industry and infrastructure
Australia
42 Health Sciences
blood-borne virus
and the Centre of Research Excellence in Aboriginal Sexual Health investigator group
15. Life on land
2719 Health Policy
Indigenous
Reporting
bloodborne virus
Sexually Transmissible Infection
Sentinel Surveillance
DOI:
10.1186/s12913-020-05388-y
Publication Date:
2020-08-20T07:04:44Z
AUTHORS (18)
ABSTRACT
Abstract
Background
Sexually transmissible infection (STI) and blood-borne virus (BBV) diagnoses data are a core component of the Australian National Notifiable Diseases Surveillance System (NNDSS). However, the NNDSS data alone is not enough to understand STI and BBV burden among priority population groups, like Aboriginal and Torres Strait Islander people, because it lacks testing, treatment and management data. Here, we describe the processes involved in establishing a STI and BBV sentinel surveillance network representative of Aboriginal Community-Controlled Health Services (ACCHS)—known as the ATLAS network—to augment the NNDSS and to help us understand the burden of disease due to STI and BBV among Aboriginal and Torres Strait Islander peoples.
Methods
Researchers invited participation from ACCHS in urban, regional and remote areas clustered in five clinical hubs across four Australian jurisdictions. Participation agreements were developed for each clinical hub and individual ACCHS. Deidentified electronic medical record (EMR) data relating to STI and BBV testing, treatment and management are collected passively from each ACCHS via the GRHANITEtm data extraction tool. These data are analysed centrally to inform 12 performance measures which are included in regular surveillance reports generated for each ACCHS and clinical hub.
Results
The ATLAS network currently includes 29 ACCHS. Regular reports are provided to ACCHS to assess clinical practice and drive continuous quality improvement initiatives internally. Data is also aggregated at the hub, jurisdictional and national level and will be used to inform clinical guidelines and to guide future research questions. The ATLAS infrastructure can be expanded to include other health services and potentially linked to other data sources using GRHANITE.
Conclusions
The ATLAS network is an established national surveillance network specific to Aboriginal and Torres Strait Islander peoples. The data collected through the ATLAS network augments the NNDSS and will contribute to improved STI and BBV clinical care, guidelines and policy program-planning.
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