But the policy is now eight years old, and to date the agency formerly administrating the program - the Finance department - has not been aggressive in forcing agencies to comply. Agencies are required to request and be granted a formal waiver from the program not to participate, but many smaller departments are bypassing this process and simply going it alone.
In a joint committee hearing today on cyber compliance, cyber security special advisor Alastair MacGibbon said he had spoken to the program's new lead agency - the Digital Transformation Agency - about reviewing its effectiveness. He said he had asked the DTA to assess not only the compliance issues but also whether the program should be continued at all. He also raised concerns that some agencies were leaning on the gateway to fully protect them from attack.
One of the lead suppliers for the gateway program, Macquarie Telecom, echoed MacGibbon's comments and said there was a danger of smaller agencies adopting a "compliance mentality" rather than one of risk management.
While it commended the program's ability to allow smaller agencies to overcome resource issues and attain a level of compliance with the ASD top four - a firewall software update benefits all agencies sitting behind that particular gateway, for example - it said the government had not wielded a strong enough stick to get agencies to comply.
It claimed the gateway program had been a key defender in keeping agencies safe from the recent WannaCry ransomware campaign. The comments were made as part of an inquiry into why the Australian Taxation Office and the Department of Immigration had failed to comply with the ASD's top four cyber mitigation strategies.
The joint committe held its first hearing into the matter today. Got a news tip for our journalists? Learn More. Client-level data age, gender, years cohabiting, pregnancy status, previous testing, antiretroviral treatment ART status, neighborhood, and test site collected as a component of routine CVCT service operation is presented stratified by couple serostatus.
Twenty counselors and 28 promoters completed training. Most participants were 25—34 years of age, and this group had the highest prevalence. The burden of HIV and couple serodiscordance in Durban was extremely high.
About half of all HIV-infected persons in the region are in discordant relationships [ 13 ], and the majority of transmissions between serodiscordant couples originate with the HIV-positive index, not concurrent, partners [ 6 ].
Nation-wide HIV prevalence among persons aged 15—49 is estimated at During this pilot, RZHRG provided on-site support, training, and technical assistance to health facility staff; trained local clinic promotions staff to mobilize their communities to attend CVCT; assisted with implementation of the service; and helped monitor and evaluate patient-level data including testing outcomes, antiretroviral treatment ART use, and pregnancy status.
Mandela School of Medicine Campus. Five hospital-based clinics in Durban were selected for the pilot, and selection was based on large catchment population and proximity to HPP. Whereas HPP is a research center that follows up participants recruited in a variety of research studies, Gateway provides outpatient care services to people in the catchment of PMMH and mainly the V-section of Umlazi.
D, H and V clinics are all small clinics within a 20 km radius of HPP and all provide outpatient care services to the respective communities in D, H and V sections of Umlazi. Except for HPP, all the other clinics are managed by nurses and counselors and have a visiting doctor who goes to the clinic to provide HIV care and treatment.
HPP is has research staff that include a physician, nurses, counselors and administrative staff. All clinics are of average size 8—10 rooms used for services and waiting areas with the exception of V-clinic which is smaller about 4 rooms. A more detailed description of the clinics is provided in Table 1. Whenever training is provided in a new setting, the CDC materials are translated and adaptation as needed to the local circumstances.
Didactic trainings include modules on understanding HIV discordance; couple counseling skills; the CVCT intervention; data collection; laboratory guidelines; providing concordant negative results, concordant positive results, and discordant results; and providing counseling on support and prevention services.
Practicums required each counselor to observe at least two counseling sessions led by the RZHRG trainers and execute at least two supervised counseling sessions for each possible couple-level HIV serostatus result concordant negative, concordant positive, discordant. These volunteers were identified and screened based on previous experience working in health promotional activities.
Didactic trainings include modules on an introduction to CVCT and the promotion of CVCT with delivery of invitations, the role of promoters, promotional strategies and promoter webs of influence, and CVCT promotional skills including public speaking and communication skills. Promoters were also trained in data collection during invitation delivery. All community health volunteers were given pre- and post-training assessments.
Generally they have a lower level of education than counselors or nurses. RZHRG promotions trainers then observed field practicums as trainee promoters began the process of inviting couples to attend pilot weekend CVCT services. Each promoter invite card was coded to allow for tracking and performance-based reimbursement. Promoters used one-to-one, door-to-door, group presentation, and clinic health talks to advocate for CVCT and encourage couples to use the service.
They gave out invitations mostly in the communities they lived which are the catchment areas of the five clinics; however they were not restricted to these areas and were free to invite from other areas of Umlazi. The RZHRG team has developed data-collection tools to systematically and accurately collect these indicators. These tools have been used extensively by government clinic staff in Zambia and were easily adapted for use in this pilot.
Counselors were trained on collecting data and quality control of data in the field for all data collection instruments including CVCT monitoring and evaluation log books, aggregate data sheets, and promoter information log books. Data entry into Microsoft Access databases, data quality control, and data cleaning was performed by a data manager in the Durban office after training by the RZHRG data manager.
Couples presented at the clinic with an invitation from a promoter and either attended a group session i. They were then tested for HIV and given results and posttest counseled together.
RZHRG trainers were available to support the clinics during this period in all aspects of the program i. The timeline of implementation events is shown in Table 2.
Client-level indicators age, age-disparity between partners, cohabitation status and duration, pregnancy status, previous HIV testing, previous CVCT, ART status, neighborhood, and test site were analyzed with descriptive statistics means and standard deviations SD for continuous variables; counts and frequencies for categorical variables.
We also explored previous testing and ART use among women by pregnancy status. Analyses were conducted with SAS v9. Written informed consent was not required from couples obtaining CVCT services.
Couples provided oral consent to be tested as a couple after the group counselling and individual pre-test counseling sessions. Jump to navigation. Learn more about the Affordable Connectivity Program by visiting fcc. Consumer Alert : An imposter website was falsely offering enrollment in the Emergency Broadband Benefit and collecting consumers' personal information.
This investment in broadband affordability will help ensure we can afford the connections we need for work, school, health care and more for a long time. More information about actions current Emergency Broadband Benefit recipients will need to take to continue receiving the Affordable Connectivity Program benefit after the transition period will be available in the coming weeks. Please stay tuned for additional updates. This new benefit will connect eligible households to jobs, critical healthcare services, virtual classrooms, and so much more.
The Emergency Broadband Benefit is limited to one monthly service discount and one device discount per household. Case Study: Ransomware fears drove cyber security investments at Flinders University. Case Study: HIA bolsters customer acquisition with marketing platform upgrade. Vocus launches cloud-based calling offering for Zoom Phone. Venom BlackBook Zero 15 Phantom.
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