The Australian Collaboration for Coordinated Enhanced Sentinel Surveillance of Sexually Transmitted Infections (STIs) and Blood Borne Viruses (BBVs) – “ACCESS” – is a surveillance system that compiles data collected in three clinical and one laboratory network. These networks are:
- Aboriginal Community Controlled Health Services Network;
- Primary Health Clinic Network (including General Practices and Family Planning Clinics);
- Sexual Health Services Network; and
- Laboratory Network;
Each of these networks collects information to describe patterns of STI and BBV testing and positivity in a range of priority populations, including:
- Young heterosexuals;
- Men who have sex with men;
- People who inject drugs;
- Culturally and linguistically diverse communities;
- Indigenous people; and
- Sex workers.
The STIs and BBVs that ACCESS collects information on include: chlamydia, gonorrhoea, HIV, syphilis, hepatitis B and hepatitis C (note: included diseases vary by jurisdiction).
ACCESS was originally a surveillance system implemented between 2007-2010 that collected chlamydia testing and positivity data from six national sentinel networks. This surveillance system was called the Australian Collaboration for Chlamydia Enhanced Sentinel Surveillance. In 2013, ACCESS expanded to include testing and positivity data for a broader range of diseases and expansion to new sites.