{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,28]],"date-time":"2025-10-28T06:21:42Z","timestamp":1761632502512,"version":"build-2065373602"},"reference-count":15,"publisher":"Wiley","issue":"S5","license":[{"start":{"date-parts":[[2025,10,15]],"date-time":"2025-10-15T00:00:00Z","timestamp":1760486400000},"content-version":"vor","delay-in-days":14,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100005564","name":"Gilead Sciences","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100005564","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["HIV Medicine"],"published-print":{"date-parts":[[2025,10]]},"abstract":"Abstract<\/jats:title>\n \n Introduction<\/jats:title>\n Australia has made strong progress toward the UNAIDS 95:95:95 targets (UNAIDS, 2025). As of 2024, an estimated 92% of people with Human Immunodeficiency Virus (HIV) in Australia had been diagnosed, 97% of those diagnosed were receiving antiretroviral therapy (ART), and 98% of those on treatment had achieved viral suppression (Kirby Institute, 2024). While these outcomes reflect a well\u2010functioning HIV care continuum, diagnosis gaps persist, particularly among people born overseas, heterosexual men, and Aboriginal and Torres Strait Islander peoples (Kirby Institute, 2024).<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n \n In October 13, 2023, Gilead Sciences and the National Association for People with HIV Australia (NAPWHA) partnered on a one\u2010day educational symposium titled\n Beyond Undetectable.<\/jats:italic>\n During the symposium the healthcare professionals and community representatives in attendance (\n n<\/jats:italic>\n =\u200971) discussed persisting inequities in Australia's HIV response and workshopped potential solutions for reducing these inequities.\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n The\n Beyond Undetectable<\/jats:italic>\n meeting identified critical gaps in Australia's approach to HIV prevention, treatment and care, particularly in addressing the needs of marginalised populations, such as recently arrived migrants, women, and individuals residing outside of inner\u2010suburban areas. Key recommendations included expanding peer navigation and telehealth services, promoting culturally competent care, and enhancing healthcare professional training to address disparities in access to care and reduce stigma. Delegates emphasised the importance of flexible, patient\u2010centred care models, nurse\u2010led care for HIV prevention, and innovative self\u2010testing platforms. Additionally, the need for comprehensive mental health services, improved care coordination for aging people with HIV, and Medicare reform were highlighted as essential components to achieving the UNAIDS 2025 targets (UNAIDS, 2025) and long\u2010term treatment success (Lazarus et al., HIV Med. 2023; Suppl 2:8\u201319). These recommendations provide actionable strategies to advance Australia's efforts toward the elimination of HIV transmission by 2030, while improving the quality of life for people with HIV.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n This paper contains details of the symposium, and details of the proposed solutions to address critical gaps in Australia's approach to HIV which were devised and presented by delegates participating in the symposium.<\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/hiv.70110","type":"journal-article","created":{"date-parts":[[2025,10,15]],"date-time":"2025-10-15T19:25:45Z","timestamp":1760556345000},"page":"3-8","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["A community and clinical collaboration to optimize\n HIV<\/scp>\n treatment and care for people with\n HIV<\/scp>\n in\n Australia<\/scp>\n \u2014Solutions from the\n Beyond Undetectable<\/i>\n symposium"],"prefix":"10.1111","volume":"26","author":[{"given":"Mark","family":"O'Reilly","sequence":"first","affiliation":[{"name":"East Sydney Doctors Darlinghurst New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David Alain","family":"Wohl","sequence":"additional","affiliation":[{"name":"The Institute of Global Health and Infectious Diseases, The University of North Carolina Chapel Hill North Carolina USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shauna","family":"Hall","sequence":"additional","affiliation":[{"name":"Melbourne Sexual Health Centre Carlton Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emil John Pastor","family":"Can\u0129ta","sequence":"additional","affiliation":[{"name":"Living Positive Victoria Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Melania","family":"Mugamu","sequence":"additional","affiliation":[{"name":"Queensland Positive People East Brisbane Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,10,15]]},"reference":[{"key":"e_1_2_10_2_1","unstructured":"UNAIDS.AIDS Targets.2025Available athttps:\/\/aidstargets2025.unaids.org[Accessed 16 OCT 2024]"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/hiv.13460"},{"key":"e_1_2_10_4_1","unstructured":"Pan American Health Organization World Health Organization Americas Region.Combination HIV Prevention. Available at:https:\/\/www.paho.org\/en\/topics\/combination-hiv-prevention[Accessed February 2025]"},{"key":"e_1_2_10_5_1","unstructured":"Kirby Institute.HIV viral hepatitis and sexually transmissible infections in Australia annual surveillance report 2024 HIV. 2024. Available at:https:\/\/www.kirby.unsw.edu.au\/sites\/default\/files\/documents\/Annual_Surveillance_Report_2024_HIV.pdf[Accessed18 AUG 2025]"},{"key":"e_1_2_10_6_1","unstructured":"Victorian Sate Government Department of Health.HIV quarterly surveillance report. Available athttps:\/\/www.health.vic.gov.au\/infectious\u2010diseases\/hiv\u2010quarterly\u2010surveillance\u2010report[Accessed 16 OCT 2024]"},{"key":"e_1_2_10_7_1","unstructured":"PhilpottSP AungE PrestageG et al.Qualitative Interviews with Overseas\u2010Born Gay and Bisexual Men Recently Diagnosed with HIV from Non\u2010English Speaking Countries: Report of Results. Available at:https:\/\/www.kirby.unsw.edu.au\/sites\/default\/files\/documents\/Qualitative\u2010Interviews\u2010with\u2010OSB\u2010GBM\u2010Report.pdf[Accessed 16 OCT 2024]"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.5694\/mja2.51455"},{"key":"e_1_2_10_9_1","unstructured":"Kirby Institute.RISE Study. Presented by D. Murphy at Beyond Undetectable Melbourne. 13 Oct 2023. UNPUBLISHED. RISE Study overview available at:https:\/\/www.kirby.unsw.edu.au\/research\/projects\/rise[Accessed 16 OCT 2024]"},{"key":"e_1_2_10_10_1","unstructured":"Centre for Social Research in Health UNSW.Annual Report of Trends in Behaviour 2022: HIV\/STIs and Sexual Health in Australia. Available at:https:\/\/unsworks.unsw.edu.au\/entities\/publication\/8a1effd4-ba7f-4284-add6-fea31393679f[Accessed 16 OCT 2024]"},{"volume-title":"Presented at AFAO Leadership Forum. 28 Oct 2022","author":"Bavinton B","key":"e_1_2_10_11_1"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2352-3018(23)00050-4"},{"issue":"1","key":"e_1_2_10_13_1","first-page":"410","article-title":"Incident HIV infection has fallen rapidly in men who have sex with men in Melbourne, Australia (2013\u20132017) but not in the newly\u2010arrived Asian\u2010born","volume":"18","author":"Medland NA","year":"2018","journal-title":"Infect Dis"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2352-3018(21)00155-7"},{"key":"e_1_2_10_15_1","unstructured":"Australian Government Department of Health and Aged Care.Eight National HIV Strategy 2018\u20132022. 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