Final thoughts

I have thoroughly enjoyed the opportunity to attend the APACC conference. It has been a very inspiring conference, motivating and very relevant to my practice. The key themes throughout the conference are applicable and relevant in the Australian context. Concerns about confidentiality, stigma and discrimination from people at risk of, or living with HIV, are present within the Asia Pacific region. It is humbling to see the difficulties faced by affected communities throughout the region and the significant challenges of funding, discrimination, poverty, access to inclusive healthcare and treatment. However, it is invigorating to see the passion, dedication and creativity of communities and health care providers to provide these services in their culturally diverse settings.

Throughout the conference there has been the constant message that the provision of screening, treatment and care will only succeed when we listen to the needs of the communities and people affected.  Many presentations have clearly demonstrated that many stigmatised and marginalised communities will engage with care, but involvement and visibility of their community is important. This is relevant within the Australian context and particularly in our first nations people, CALD and marginalised communities.

There was a strong evidence throughout the conference of the positive outcomes in screening, PEP and PrEP provision, HIV treatment and retention in care through Key Population-Led Health Service Models (KPLHS). How we move forward to provide services to hard to reach communities within Australia and look to how we can further support KPLHS development, this will be a challenge for us as clinicians as we have historically held the position of power in healthcare provision.

I wanted to finish with theses two pictures from the final days presentations. Chamrong Phaengnongyan proudly described the success of KPLHS for same day ART provision within a service run by and for sex workers in Thailand.