Taipei City Hospital, Branch for Disease Control & Prevention

The image of Taipei City Hospital, Branch for Disease Control & Prevention …

Now and future

 Commends of Taipei City Hospital, Branch for Disease Control & Prevention  Services of Taipei City Hospital, Branch for Disease Control & Prevention medication -  OPD care public health-  Prevalence education  High-risk group test and education  tracing the infection source and case’s sexual partner)  Health people: Infection prevention  Infected unknown case: test ASAP  Infected case: totally care

STD control network in Taipei 台北市政府 教育局 警察局 社會局 衛生局 預防 診斷 治療 教學 研究 提供性病防治衛生教育 提供診療與 教育 娼妓 健康管理 公私立醫療院所 各區衛生所 各大教學醫院 醫護院校 教學、研究、 訓練 社區、學校、各 機關團體、特殊 行業等 行政院 衛生署 行政監督 監督指導通報

Structure of STD control center  Prevention section  Medical administration section  Nursing section  Lab section  Education & training section  Supportive section

Prevention section  Program about education and blood-test for high risk group  Saliva test service  Education and blood-test program in gay’s spa and 228 park  Peer group education of sexual workers  Home party program

Prevention section  Special groups (business maybe with sex dealing) education plan-- cooperation with police.

Medical administration section  Outpatients clinic ： general treatment for case with sexual-transferred disease  Physical exam: physical check for business employee & all people  Special clinic: service for HIV/AIDS cases  Dentist: service for HIV/AIDS cases only

Nursing section  Hotline for STD consulting service  Hotline for suspected HIV sharp punch accident  STD case’s report, follow up and case management  Total care of HIV cases (including consulting and transfer)  Out patients’ safe sex education, STD consulting  Blood collection ( including outpatients and outreach programs)

獨立隱私的諮商空間

Lab section  Testing blood from STD control center  Testing blood from other hospitals  Reconfirm test for other institutions  Instant HIV test  7 in 1 test

Education & training section  All groups safe sex education  Cooperative education programs with schools, institutions, NGOs  Training programs for professional groups  Designing teaching aids and ideas

Safe Sex Education

Target groups  All of the People!  Special Group  Aborigine  Foreign Newly wedded women  Discontinue schooling students  Gay men and Lesbians

How to do…  Speech  Drama  Community activities  Adolescence peer educator training camp  Professional training conference  Materials  PWA education group  Media

Speech Drama

校園瓜瓜傳情活動 Communities Activities 愛無限

Adolescence peer educator training camp  Activities  Lecture  Sociodrama  Group presentation

Professional training conference  Doctors, Teachers, Volunteer workers, Professionals

Materials-1  pamphlet

Materials-2  Posters

Materials-3  Brochure

Materials-4  Cool cards

Materials-5  Condom

Materials-6  Teaching Materials

Homosexual group education  Sauna, pub, bar  Condoms should be easy to get  Cooperating with NGO  Blood collection and consulting education in 228 park  Cooperating with NGO  Homosexual groups in college  Cooperating with NGO  Seed training

Sexual worker peer-group education program  Prostitutes became educators

PWA health education  PWA trip  Self-help group  Psychodrama  Computer workshop

STD/HIV Case management  Source – Cases who live in Taipei city  Cases from OPD  Outreach program for high risk group  Reported by other hospitals  Referred from other cities

Sources of in-management cases  Blood test WB(+) (1)outpatients in STD clinic (2)outreach program  Reports from other hospitals  Trans-in cases from other cities cases

STD/HIV Case management  Purpose– providing Medicare benefit (free treatment) & decreasing illness spread out  Pre & post test counseling  monitor viral load, CD4, CD8 …  Free HAART drugs  Contacts tracing  safe-sex education

STD/HIV Case management  Tracing art –  Contact by cell phone with empathy & privacy  When mail to case using other title instead of “ STD control center”  Checking ID or other data to make sure the right person  Asking case “is there anyone beside him/ her”  Inviting case take part in health care system

HIV Case management  Method – OPD care by case manager  The one who contacted with him/her  Assessment of life necessity  Assessment of drug side-effects  Nursing diagnosis and intervention  Refer to NGO or other hospital  Evaluation  Continue monitor and care