From 1 September 2026, the prescriber accreditation requirement for hepatitis B medicines under the PBS Section 100 (s100) Highly Specialised Drugs Program will be removed. As a result, all medical and authorised nurse practitioners will be able to prescribe hepatitis B antiviral treatment without additional specialist accreditation. ASHM is currently updating its website, education and resources to reflect this change.

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Supporting Triple Elimination in Papua New Guinea and Timor-Leste (STEPT)

Supporting in-country partners to prevent parent-to-child transmission of HIV, syphilis, and hepatitis B through testing, treatment and vaccination at birth. 

Dates:

2022 – Ongoing

The Supporting Triple Elimination in Papua New Guinea and Timor-Leste (STEPT) project supports efforts to achieve the ‘triple elimination’ of HIV, syphilis, and hepatitis B via parent-to-child transmission in Papua New Guinea and Timor-Leste.

The STEPT project:

  • integrates point-of-care testing and quicker initiation of treatment into routine antenatal care at local clinics
  • delivers specialised training and clinical mentoring to health workers
  • establishes international networks for regional knowledge exchange
  • strengthens existing monitoring and surveillance, providing insight into where support is needed throughout the entire cascade of care
  • reduces stigma with education and linkages to peer support for women recently diagnosed or living with HIV.
Funded by:
Australian Government through the Australian NGO Cooperation Program (ANCP) and ASHM Members.
In country partners:
Maluk Timor, Catholic Church Health Services PNG, Papua New Guinea National Department of Health, Timor-Leste Ministry of Health

Our Work

As of July 2025, the STEPT project has partnered with Formosa Community Health Centre in Timor Leste and Catholic Church Health Services in Papua New Guinea to:

Preventing chronic hepatitis B in infants

Specialised EMTCT training and improved process have supported an increase in hepatitis B birth dose vaccinations to almost 100% at Formosa Community Health Centre (up from 43% in 2023), and 98.7% at selected CCHS facilities.

HIV and syphilis testing and linkages to treatment

HIV testing of pregnant women attending Formosa Community Health Centre during their first antenatal care visit increased to 80%. All women identified as living with HIV or having syphilis through this testing began prompt treatment.  

Sustainable clinical training and mentoring

100 health workers have received training on healthcare practices supporting triple elimination. 121 health workers have participated in clinical mentoring so far, with nine clinical mentors trained to continue providing guidance locally. 

Further insights

Further insights into the impact of the STEPT project so far can be found in the STEPT Midterm Review (July 2025).

Working with in-country partners for change

Real stories, real impact:
Improving antenatal HIV services in Timor-Leste

In Dili, Timor Leste, STEPT has had a transformational effect on Formosa Community Health Centre (Formosa CHC)’s antenatal services, where the project’s implementation is supported by local partner Maluk Timor.

Midwives involved in the STEPT project feel more capable of caring for women with HIV and syphilis throughout pregnancy and childbirth, and of safeguarding the health of babies.

Latest STEPT News

September 2026

From uncertainty to understanding: Improving antenatal HIV services in Timor-Leste

News
July 2026

Triple elimination project to expand to Madang Province, PNG

Feature
April 2026

Introducing ASHM’s first Papua New Guinea country lead

Upcoming Conferences and Events

Australasian HIV&AIDS and Sexual and Reproductive Health Conferences

14 - 17 Sep 2026
Pullman Melbourne Albert Park, Naarm (Melbourne) (VIC, Australia)

Global Prisons Infectious Disease Network (GPIDN) 2nd Annual Conference

30 September 2026 - 2 Oct 2026
Grand Plaza Hotel & Congress Center (Ljubljana, Slovenia)

The 14th International Conference on Health and Hepatitis in Substance Users

6 - 9 Oct 2026
Clarion Congress Hotel Prague (Czech Republic)