Document 0224 DOCN M9590224 TI Diversity in the face of adversity. The delivery of HIV/STD services in western New South Wales. DT 9509 AU Baldwin R; Dubbo Sexual Health and HIV Service, NSW. SO Annu Conf Australas Soc HIV Med. 1994 Nov 3-6;6:303 (unnumbered poster). Unique Identifier : AIDSLINE ASHM6/95291875 AB The four Health Districts of Macquarie, Orana, Castlereagh and Far West serve an approximate total population of 150,000 and cover 43% of the state of New South Wales. Prior to 1993 these four districts were one--the Orana Far West Region. HIV/STD Services have been provided in varying degrees within these Districts since the late 1980's. Specialist Medical Clinics are provided on a regular weekly basis in Dubbo (Macquarie) and monthly in Walgett (Orana). Other communities such as Broken Hill (Far West) and Mudgee (Castlereagh) have specialist counsellors/nurses to provide serology testing and referral services. The specialist health care workers are small in numbers and often placed in professionally and geographically isolated locations. The remoteness, diversity and small size of communities that require clinical services raises unique issues that confront these specialists. These issues include distance and time of travel, inappropriateness of local health facilities, specific needs of Aboriginal people and problems of service promotion and accessibility. This photo collage shows the diversity of locations and health care worker activities involved in the delivery of HIV/STD Services to Western N.S.W. DE *Delivery of Health Care Human HIV Infections/DIAGNOSIS/*THERAPY *Medically Underserved Area New South Wales *Patient Care Team Regional Health Planning *Rural Population Sexually Transmitted Diseases/DIAGNOSIS/*THERAPY MEETING ABSTRACT SOURCE: National Library of Medicine. NOTICE: This material may be protected by Copyright Law (Title 17, U.S.Code).