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CONSIDER THE DECLARATION OF ALMA ATA

CONSIDER THE DECLARATION OF ALMA ATA

This assignment requires students to use case scenario 3 HIV,

Discuss how community nurses can use social inclusion and primary health care principles to protect and promote health for people at risk of exposure to HIV and for people living with HIV/AIDs.

Include a summary of social inclusion and primary health care
Include a description of discrimination and stigma issues affecting people at risk of exposure to HIV and people living with HIV/AIDs
Include case scenario 3 HIV, in your discussion as an examples of community nursing interventions and approaches to support health promotion and social inclusion for people at risk of exposure to HIV and for people living with HIV/AIDs.
Assignment 2 is an essay

The following are required

An introduction
A main body
A conclusion

Body of essay

Include a summary of social inclusion and primary health care
What does social inclusion mean
What does primary health care mean
How is social inclusion part of primary health care
Consider relevant chapters from textbook. (Kralik and van Loon editors)
Consider the Declaration of Alma Ata (World Health Organisation, 1978)
Other relevant literature
Include a description of discrimination and stigma issues affectiong people at risk of exposure to HIV and people living with HIV/AIDs
Use the reference from WHO (2016)
World Health Organisation. Consolidated guidelines on HIV prevention, diagnosis, treatment and care for key population.
Who are the people at risk of exposure to HIV? Consider the key population in the WHO (2016) document
What are the discrimination and stigma issues these people encounter (see the WHO document)
Student will use the WHO (2016) reference
Students will use other references relevant to discrimination and stigma issues for key population living with HIV
Include case scenario 3 HIV, in your discussion as an example of community nursing interventions and approaches to support health promotion and social inclusion for people at risk of exposure to HIV and for people living with HIV/AIDs
Use scenario 3 HIV re a global focus, an Australian focus, or both if you wish , you do not need to reference the scenario
Argue how you nominated nursing interventions would be expected to promote health and to promote social inclusion for people at risk of exposure to HIV and for people living with HIV/AIDs
Some community interventions are listed here (students may select one or more interventions, students are not required to present each intervention listed, there may be other relevant interventions that are not listed):
Health promotion
Participative and inclusive approaches
Counselling and testing
Advocating for clients (can include a range of interventions, advocating with government and policy makers, advocating with communities and education, advocacy with healthcare professionals)
Listening and helping clients through difficult times
Assessing and monitoring clients’health
Providing clients, carers and family with education, advice and support to help clients live with HIV/AIDs
Working with other healthcare providers to ensure clients receive the best care
Providing clients with a private and respectful service
Helping clients with medications
Connecting clients with other services or support groups
Providing some mental health and social work support
Providing care and support to refugees and asylum seekers who live with HIV
Assessing clients’ ability to remain at home or return to work
Supporting clients in achieving goals
References—always APA 6th edition

There are no required number of references for assignment 2, we suggest a minimum of 6 references
Student can use reference that are prescribed/recommended reading for the unit
Student can use journal literature published from 2000 onwards. We accept the Declaration of Alma Ata (WHO, 1978) because this document remains current
International literature can be used if relevant
Australian literature can be used if relevant
Students can use literature from disciplines other than nursing as long as they can relate it to nurses and the nursing context. The assignment is about nursing
Evidence of scholarly reading and use of appropriate references to answer the assignment topic is very important
Are references being used in a way which strengthens the argument?
Has the student used scholarly sources, e.g., References obtained via the library or are they mostly reliant on internet sources?
Other checks

Do not present the pathophysiology of HIV/AIDs
Is the language clear and easily understood
Are there spelling, grammatical or punctuation errrors
Are references appropriately and consistently cited
Does the structure guide the reader through the arguments
It is a requirement to include an introduction and a conclusion
The essay should be structure using paragraphs
We expect students to

Use and cite references appropriately
Put forward a logical and coherent argument
Make logical connections between nursing interventions and rationales and support these arguments with quality references
Case scenario 3 HIV

Case Scenario 3 HIV/AIDS a global perspective (WHO, 2016)

Without addressing the needs of key populations, a sustainable response to HIV will not be achieved. The risk behaviours and vulnerabilities of specific populations and their networks determine the dynamics of HIV epidemics. Five key population groups are, in almost all settings and countries, disproportionately affected by HIV:

Men who have sex with men
People in prisons and other closed settings
People who inject drugs
Sex workers
Transgender people
These disproportionate risks reflect both behaviour common among members of these populations and specific legal and social barriers that further increase their vulnerability. In most countries, inadequate coverage and poor quality of services for key populations continue to undermine responses to HIV. All countries should consider the importance of reaching these key populations, understanding their needs and providing equitable, accessible and acceptable services. To do so, it is essential to work with key population groups and networks as partners in developing and providing services. An effective response requires more than providing services for key populations, it also requires systemic and environmental changes. Social, legal, structural and other contextual factors increase vulnerability to HIV and obstruct access to HIV services. These factors include punitive legislation and policing practices, stigma, discrimination, poverty, violence, and high levels of homelessness in some groups.

Epidemics of HIV in men who have sex with men continue to expand in most countries. By region, estimates of HIV prevalence among men who have sex with men range from 3% in the Middle East and North Africa to 25% in the Caribbean. In Kenya, the only African country with HIV incidence data, an annual incidence of greater than 20% was recently reported in Mombasa. Discriminatory legislation, stigma (including by health workers) and homophobic violence in many countries pose major barriers to providing HIV services for men who have sex with men and limit their use of what services do exist. 
WHO (2016) provided 19 recommendations concerning key populations affected by HIV, some of these are:

The correct and consistent use of condoms with condom compatible lubricants
Availability of oral pre-exposure prophylaxis (PREP) containing tenofovir
disoproxil fumarate (antiretroviral therapy) should be offered as an additional prevention choice for key populations as part of or in combination with HIV prevention approaches
Post-exposure prophylaxis (PEP) (antiretroviral therapy) should be available to all eligible people from key populations on a voluntary basis after possible exposure to HIV
People who inject drugs should have access to sterile injecting equipment through needle and syringe programs
Voluntary HIV testing and counselling should be routinely offered to all key populations both in the community and in clinical settings. This should be linked to prevention, care and treatment services
Key populations should have the same access to antiretroviral (ART) and to ART management as other populations. (WHO, 2016)

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