Analysis: Sexual Health of Transient Communities in Australia

This report delves into the critical issue of sexual health within transient communities in Australia. It begins by defining transient communities and explores the factors contributing to their vulnerability, including migration patterns, economic challenges, and limited access to resources. The report highlights the increased risk of sexually transmitted infections (STIs) and blood-borne viruses (BBVs) within these populations, examining the specific diseases prevalent and the factors that exacerbate these risks. It provides an overview of existing interventions, including health education and screening programs, while also proposing a new intervention model that combines educational initiatives with a revenue-based approach to ensure sustainability and broader reach. The report emphasizes the importance of tailored educational programs, community engagement, and the development of local expertise to effectively address the sexual health needs of transient communities. The report also provides a detailed analysis of the current situation, outcomes of studies, and the design and logic of the proposed intervention, including a sexual health education program. The report concludes by emphasizing the importance of proactive measures and community-based solutions to improve sexual health outcomes and reduce the spread of STIs and BBVs within these vulnerable populations.

Report on Sexual health of transient communities in Australia
Report on Sexual health of transient communities in Australia
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Table of Contents
Introduction.................................................................................................................................................2
Why so many people are transient..............................................................................................................3
The Sexual problems...................................................................................................................................4
Factors increasing the risk...........................................................................................................................4
An examination of the situation:.................................................................................................................5
The outcome of the study...........................................................................................................................5
Our intervention:.........................................................................................................................................6
The design...................................................................................................................................................6
The logic diagram 1.....................................................................................................................................8
Conclusion.................................................................................................................................................13
References.................................................................................................................................................14

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Introduction
A transient community is a free community that does not settles at one place for longer.
In other words something temporary and something not stable is transient. They does not last
long and with time the community states to shrink. Eventually they come together for some
event, work or activity for some specific period of time and they after the work is done they start
moving. They are mostly small population and they sometimes never get bigger due to constant
movement. They have very few things to keep them together. Most case has low income
community and they live a poor life mostly dependent on the amenities provided by their
employer or the government (Gray & Tesfaghiorghis, 2018). The transient people are either
migrants or they are Aboriginal indigenous population of Australia.
On the other hand the Permanent communities grow and thrive like a large society. These
communities grow and become a successful. They are the society that gets more work. They are
richer and more stable. They are a more permanent group who never moves from the place have
they lived. They have huge usage of things like gas, electricity, and other utilities. So they are
actual society that we see and long for inspiration.
The problems faced by the transient community are large and the reason is also very
clear. They are moving so much thus they are prone to diseases (Martin, & Taylor, 2018). They
have very limited resources to use and that is why they are dependent on the governmental
amenities. Australia is known for its economic boom which has resulted in growing population
especially in the western Australia. The moving communities from all around the world have
settled in Australia for job purpose. Mostly the Indian and the Chinese communities moved to
Australia for job and earning purpose in early nineties. The mining sector was booming and still
a boom in Australia attracting many less educated and poor people from around the world to
come and work there (Williams et al., 2015). The mining sector has huge impact in the rural
areas. They bring social and economic stress and that is straining the small communities.
Particularly people in the remote areas are most affected where the demand is high and supply is
low. The standard of living is also affected specially for the housing and infrastructure
limitations. The area is mostly populated by the Fly in Fly out population (FIFO). These are
FIFO labor who come to the country for work and tries to become the part of the community.

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The government or the company that has the authority to provide the working facilities to
these communities never properly fulfilled the need of them. It’s due to the missing information
caused by the fluidity of workforce and makes it difficult for the local authorities to estimate the
population and the demand. It becomes difficult for the authorities to provide a correct estimate
for the living people there. Sometimes the increasing number of the population also makes it
difficult for them to maintain a hygiene place to live. According to the census Australia is most
mobile societies in the world, it has almost 15% of the population changing address per year.
Whereas in the world on an average only 7.9% of the people move inside the boundary of the
country (Gomes, 2016). Other highly mobile societies include New Zealand, Canada and the
United States, Finland and Denmark.
The increasing movement of the community can be a product of decreasing level of
ownership of home, with inflicts more mobility than a home owner. The other factor is the rising
price of the home, lack of job opportunities, low income and social security (Gomes, 2015).
Internal migration to Queensland has the lowest of movement following end of the millennium
mining boom. Other factors can be:
 The younger people are more likely to move than the older aged people.
 Low income and search for opportunities.
 Worsening housing affordability restricting young people from buying home.
 The temporary forms of mobility such as fly-in fly-out arrangements.
 The migration from other countries for low end jobs.
Why so many people are transient.
We can analysis the reason why the migrants, Aboriginals or the transient community is a
selective group. The older age group restricts its movement the most internal migration in
Australia peaks among young adults, associated with the transition to adulthood. The rise of
transition in the old age reflects residential problems after widowhood, and ageing. Lower level
of migration has been seen in the adult men it can be a reason for parent home exit, with 43% of
young men and 34% of young women aged 18-29 years (Mackenzie & Guntarik, 2015). Other
characteristics affecting the likelihood of migration within Australia are essential and it includes
economic characteristics such as lower educational attainment, seek new employment, social

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dimensions. Sectors like tourism, mining has seen a rise of 16% for transient individuals mostly
with Secondary education. A 30% movement is seen in the unemployed generation they keep
moving for stable loving but ultimately ends up being a transient community (Mackenzie &
Guntarik, 2015).
The Sexual problems
Human are prone to variety of diseases that has significant risk for migrating population.
The cases of human immunodeficiency virus (HIV), hepatitis B virus (HBV) and other sexually
transmitted infections (STIs) are becoming very common in the transient communities. These are
highly contagious and incurable disease affecting many people in the countries like New
Zealand, Australia, USA and other Scandinavian countries. These diseases are transmitted form
unprotected sex with anyone who is diagnosed. It has been recorded that developed countries or
high income countries have highest number of migrants moving from low and middle-income
countries with a high prevalence of HIV, HBV and other STIs. The most affected age is below
18 years to oldest are 52 years. Areas that has been involved in carrying the disease are Southeast
Asia, Northeast Asia and sub-Saharan Africa, people living in low income areas and aboriginals
occupied areas (Lees et al., 2016).
The increased vulnerability is due to migration, which is the ultimate outcome of
globalization. There are two specific kind of disease of sexual health issues. On is blood-borne
viruses (BBVs) and the other one is sexually transmitted infections (STIs). Over the last few
years, migration has been a real culprit for acquisition of human immunodeficiency virus (HIV)
and an increasing proportion of STIs. These are lethal and serious diseases. In 99% cases the end
is death and not only the person suffers but along with them suffers their families (Thurnheer et
al., 2016).
Factors increasing the risk
Multiple factors influence transient community risk for sexual disease that includes low
levels of knowledge, challenges adapting new environment, social impact, economics challenges,
unhealthy environment of living, sharing things. Most importantly the health care system is
mostly liable for healthy population. There have been many interventions designed to minimize

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the impact of these disease, but they were always insufficient to address HIV, STIs. Now the
importance of structural intervention has been recognized globally. The success of prevention
can be done only by consultation, training, counseling and partnership (Hengel et al., 2015).
Globally the high income country has seen a better rate of success of implementing these
interventions. The other reason is the government response to eliminate the unhealthy mobility.
An examination of the situation:
In the recent years there have been many quantitative and qualitative studies to
understand the main cause of the sexually transmitted disease. The studies include all kind of
transient communities from age of 18 to above in Australia. The national economy and the health
care service provided is two of the determinants. The review also focused on controlling the all
kinds of sexual disease. This had impact on the change of the behavior, developed skills,
accepting medications, and governmental policy changes (Broom, Broom & Kirby, 2018). There
have been interventions done by much institution and also by the government. The study has
been mainly focused on the sexually transmitted disease only.
The intervention results got categorized in the following criteria:
 The age, gender, migrants, transit.
 Location and sample size.
 The health education and mental stigma reduction.
 Screening the society and changes in laws impacting on sex work.
The outcome of the study
The study resulted in major finding which led to a new intervention for more effective
outcome. When there was free HIV testing organized some transient people attend it thinking it
to be useful. But when that free workshop was held with counseling the testing centers saw more
people interested. For counseling and advertisement mass media advertisements were used many
posters where laid around the colony. Reports came that 50% of the participants where first time
testers. There was mediators who helped foreign transient. A big amount of transient people was
found positive on HIV, AIDs and other sexual disease (Østensen, 2017). The impact of the
campaign was positive many people understood the importance of hygienist in sexual life. This

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interventions made yearly by the government but chances of success lies on the effort it made to
reach out everyone.
Our intervention:
The best way to control any disease is to prevent the cause. To know, what is the cause the
knowledge is important. Although every year there are many interventions laid by the
governmental facilities or the companies social responsibility. But still a huge number of
transient population remains untouched by these facilities. They are sometimes not interested or
may be not confident enough to go forward and take the test. Thus it was important for our
concept to emerge in the middle and save the world of transient commute. There are two
interventions to make their life safer and emotionally strong.
 Sexual Health Education
 Supporting People Living with HIV
Sexual Health Education
This is one of the most used interventions in any kind of health related program. The
intervention focuses on telling the transient people about the facts related to disease that they can
catch. The prevention methods, the problems, symptoms and protection are discussed. The
transient community is not stable they keep moving that is why to get in touch with them is not
easy. Its important that there should be many educational centers. Anyone who is given any
knowledge in free does not appreciates it or does not value it. So in this intervention the design
will include a revenue model (Reidy et al., 2016).
The design
There will be a head which shall consist of five members and they should be from
different religion knowing 5 different languages to cater maximum contestants. The heads can be
anyone they should atleast hold a degree in medical or must have experience or knowledge in the
sex education field. These 5 heads should train many transient participants and they should
provide a tailored educational training with a fees and study material included. This should look
like a mini course at a much discounted price. This earned amount can only be enough to provide

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important medical and study material to the participants. Here the passed contestant should take
the final test to become the teacher. The teacher shall get the money in return, also many
facilities that shall make them proficient to be a celebrated teacher in this field.
These teachers shall take classes every month to teach other transient community people
about sexual disease. They will be the new trainer who will give them the knowledge about the
sexual disease that prevails in these communities and how to prevent it and also where to seek
help. The centre shall distribute books related to it to everyone and also do free medical test in
association with the government campaign (Phillips, Polis & Curtis, 2016). In this way the
transient community has have a common place to seek help when they are not well. They will be
much familiar with one person as teacher and they shall follow them with honesty. This will
make the governmental programs easy to be conducted in this transient community and there will
be recorded number of people attending it. A proper data shall be available due to this network.
The problems in the community may minimize within years.

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The logic diagram 1
Logic Model to explain Sexual Education Intervention
The Program
head centre
Head in
Eastern part
of Australia
Head in
Western part
of Australia
Head in
Northern part
of Australia
Head in
Middle part
of Australia
Head in
Southern part
of Australia
These Heads shall gather the participants and teach them. They
will conduct the test and choose the new teachers for their
regions. These heads will coordinate the next educational classes
for these teachers and train them time to time.
Teacher’s job will be to take
seminars, workshop to
spread the awareness in the
community. There will
qualified teachers.
The
government
volunteers will
give sponsors
and fund for
the
intervention.
The Sponsors like
companies and
other facilitators
who shall invest
in our plan.
The fee
collected by
the Student
and the
teachers.
Other fund
or donation
collected
shall be
submitted
to the
center head
for use in
the
program.
The logic diagram about the sexual health education is a great intervention to cure
the related problems. How it works has been discussed the revenue and income is very low
initially. This is a not for profit intervention where the main matter of concern is how fast it is
able to spread the awareness among the community and how good they are able to follow it and

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adapt in their life. The whole program shall have a Head center and that should be followed by
the five heads for five regions in Australia (Foster, Thomas & Lewis, 2016). Their job is to teach
the transient community about the sexual health education and then take test. They also have to
recruit qualified person to become teacher and do their jobs under their guidance. In this way the
change reaction will take place and create a solid cell. This is a good idea of trying to keep the
community safe from any kind of sexual diseases. The fund shall pour in by the governmental
volunteers and the company peoples who want to invest in them. This has a good moral value
that will be always supported by CSR units of several companies and also by the governments.
Supporting People Living with HIV
This intervention is very common but this also has equal scope of
effectively curing the sexual disease problems. In this process there is a need for huge
investments. The investments are going to be used for building a whole set of shelter unit in
some major parts of the region where these issues are high in number. There are two ways of
supporting them one is by supplying medicines, facilities and commodities required by the
affected people and next are by giving them a shelter forever. In the first case the intervention
will be able to give the patient an emotional support the patient may heal and feel better. Where
as in the second case the person get a permanent place to stay (Foster, Thomas & Lewis, 2016).
The person who is affected by the disease will stay in a medically approved facility forever
feeling safe.
This intervention is very effective but the only problem is that it needs a lot of
support. The funding is very important to keep the intervention working successfully. The
medicine, nurse and doctor visitation cost has to be managed. The funding can’t come from the
transient community but by the government or the individual corporate volunteers. This needs a
lot of advertisement involved to attract the investors to invest in the idea.
The logic diagram 2

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Logic diagram for the Supporting People Living with HIV
The program
centre
headquater
The camp for
the HIV
patients.
The Shelter for
HIV patients.
Funds coming from
Governmental entities.
Funds coming from Private
entities.
Vendors for all
the medical
supplies.
The whole logic diagram is very clear it tells how the fund shall help the intervention
work successfully. The patients will be treated to get a better lifestyle and safe surrounding. The
funds coming from the government and the companies will be used in the medicines and other
necessary material for the patient. The camp is where the person will spend his time till the
therapy ends. It’s a kind of mini medical assistance camp. The shelter is the place where the
highly affected patients will be sheltered and treated. This will lessen their misery and give them
permanent shelter in their last days. These need a lot of fund and support from others. The head
center can start as a NGO to support it.
Logic Diagram 1
Sexual Health Education
year 1 year 2 year 3
Most measured
Outcome 1 The centre will
find 5 best
teachers that can
The Centre will
grow from mere 6
to 7 person to
A well established
sexual health and
hygiene centre by

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teach others about
sexual health and
hygiene.
more than 100
teachers and 1000
transient students.
now.
Outcome 2 The transient
population will
start coming in to
learn.
Funds will start to
pour from various
sources.
With more than lacs
of students and
1000 of teachers.
The funds coming
in to support the
cause.
Least measured
Outcome 1 The five heads are
not very
enthusiastic with
the project.
The new teachers
learned skills
does not matter.
Many are objecting
the cause as this
will attract more
transient in any
particular area.
Outcome 2 The funds The students or
the transient
community is not
happy with the
idea.
The objections from
the society.
Logic Diagram 2
Supporting People Living with HIV
year 1 year 2 year 3
Most measured
Outcome 1 The camp and
shelter building.
The centre is
fully established
in different parts
of the Australia.
The patient is
increasing one
yearly basis. And
the fund is