Trans health and the risks of inappropriate curiosity

BMJ, September 9, 2019

Care providers need to be aware of the damage of inappropriate curiosity when working with people who are transgender, say Adam Shepherd, Benjamin Hanckel, and Andy Guise.

Encountering inappropriate curiosity is a common experience among people who identify as LGBT. This kind of behaviour shouldn’t happen in a healthcare facility, yet recent reports from Stonewall and the government’s Equalities Office confirm that this is a problem in healthcare and that it particularly affects people who are transgender.

What do we mean when we say that a healthcare provider is showing “inappropriate curiosity?” Researchers provided insight into what this is in a study where they describe trans participants being asked intrusive questions about their personal lives and being subjected to invasive physical examinations. Participants felt that these were irrelevant to why they had sought out medical care, and that their only purpose was to satisfy the personal interest of the healthcare practitioner. Imagine, for example, going to your GP for a chronic cough and being asked what genitals you have, or going for a foot X-ray and the radiographer making comments about your breasts.

Gender selection has nothing to do with decriminalising abortion: AMA

By Dr Danielle McMullen, vice-president of the Australian Medical Association (NSW)

Sydney Morning Herald, August 15, 2019

People who want to obstruct access to abortion or prevent it entirely have linked it in a very insincere and flawed way to the very emotionally charged issue of gender selection.

There is no evidence to support the idea that patients are approaching their doctors asking for abortions based on gender selection. Gender selection is a highly emotive issue but it has nothing to do with the legal status of abortion.

Blueprint for Sexual and Reproductive Health, Rights, and Justice

Asia Pacific Alliance for Sexual and Reproductive Health and Rights, Bangkok: July 2019

The resource “Blueprint for  Sexual and Reproductive  Health, Rights, and Justice” has just been released by Asia Pacific Alliance for Sexual and Reproductive Health and Rights, and endorsed by multiple international organisations. 

While it focuses on US policy environ, it is more broadly applicable: in particular the focus on sexual and reproductive health, rights, and justice – as well as the intersections with numerous other issues such as  gender equity, racial equity, economic justice, environmental justice, the right to community safety, immigrants’ rights, indigenous people’s rights, LGBTQ+ liberation, young people’s rights, and the rights of people with disabilities.

Because sexual and reproductive health, rights, and justice intersect with numerous other issues, policy solutions must also seek to further gender equity, racial equity, economic justice, environmental justice, the right to community safety, immigrants’
rights, indigenous people’s rights, LGBTQ+ liberation, young people’s rights, and the rights of people with disabilities.

  • Principle 1: Ensure that Sexual and Reproductive Health Care is Accessible to All People
  • Principle 2: Ensure Discriminatory Barriers in Health Care are Eliminated
  • Principle 3: Ensure that Research and Innovation Advance Sexual and Reproductive Health, Rights, and Justice Now and in the Future
  • Principle 4: Ensure Health, Rights, Justice, and Wellness for All Communities
  • Principle 5: Ensure Judges and Executive Officials Advance Sexual and Reproductive Health, Rights, and Justice

Sexual and reproductive health, rights and justice are essential for sustainable economic development, are intrinsically linked to equity and well-being, and are
critical to maternal, newborn, child, adolescent, family, and community health.
Health care cannot truly be comprehensive if it does not include sexual and reproductive health

Adelaide abortion clinic calls for safe access from protesters

InDaily,  31/5/19

Staff at an Adelaide abortion clinic have called for safe access zone laws due to pro-life supporters they claim stand near the centre, holding placards and photographing and filming people entering and leaving.

Unlike New South Wales, Northern Territory, Queensland, the Australian Capital Territory, Tasmania and Victoria, South Australia has no safe access zone laws that restrict protests and other activities outside abortion clinics.

 

Disrupting gender norms in health systems: making the case for change

The Lancet, Gender Equality, Norms, and Health Steering Committee, Published May 30, 2019

Summary

Restrictive gender norms and gender inequalities are replicated and reinforced in health systems, contributing to gender inequalities in health.
In this Series paper, we explore how to address all three through recognition and then with disruptive solutions.
We used intersectional feminist theory to guide our systematic reviews, qualitative case studies based on lived experiences, and quantitative analyses based on cross-sectional and evaluation research.
We found that health systems reinforce patients’ traditional gender roles and neglect gender inequalities in health, health system models and clinic-based programmes are rarely gender responsive, and women have less authority as health workers than men and are often devalued and abused.
With regard to potential for disruption, we found that gender equality policies are associated with greater representation of female physicians, which in turn is associated with better health outcomes, but that gender parity is insufficient to achieve gender equality. We found that institutional support and respect of nurses improves quality of care, and that women’s empowerment collectives can increase health-care access and provider responsiveness.
We see promise from social movements in supporting women’s reproductive rights and policies. Our findings suggest we must view gender as a fundamental factor that predetermines and shapes health systems and outcomes. Without addressing the role of restrictive gender norms and gender inequalities within and outside health systems, we will not reach our collective ambitions of universal health coverage and the Sustainable Development Goals. We propose action to systematically identify and address restrictive gender norms and gender inequalities in health systems.

Women and Sexual and Reproductive Health Position Paper: Second Edition, 2019

Australian Women’s Health Network Inc., 2019

The Australian Women’s Health Network first published its Women and Sexual and Reproductive Health Position Paper in 2012. Since then significant work has been undertaken across Australia in this area and a number of its recommendations have been implemented. This has resulted in a robust on going public conversation and a greater understanding of women’s sexual and reproductive ill health, its impact, what drives it and how best to prevent it. These gains have only been possible through continuing evidence-informed advocacy, research and practice development.

In light of the new knowledge and experience available, and changes to the political, organisational and social landscape in 2019, the Australian Women’s Health Network has updated its Women and Sexual and Reproductive Health paper to produce
this Second Edition.

This paper advocates for a rights-based approach to ensuring all women can access comprehensive sexual and reproductive health care appropriate to their needs,
regardless of their location, age, sexuality, financial status and religious and cultural background. It explores seven key areas through which good sexual and reproductive
health for Australian women can be achieved.

These are:

1. promoting positive and respectful attitudes to sex and sexuality

2. developing women’s health literacy

3. increasing reproductive choice

4. facilitating women’s health throughout pregnancy and birth

5. expanding prevention and treatment of reproductive cancers and menstrual issues

6. improving prevention and treatment of sexually transmitted infections (STIs)

7. equipping the health workforce to better respond to women’s health needs.