World Medical Association updates advice on medically indicated termination of pregnancy

Australian Medical Association, October 21, 2018

Revised advice to physicians on medically indicated termination of pregnancy has been issued by the World Medical Association.

At its recent annual General Assembly in Reykjavik, the WMA reiterated that where the law allows medically indicated termination of pregnancy to be performed, the procedure should be carried out by a competent physician.

However, it agreed that in extreme cases it could be performed by another qualified health care worker. An extreme case would be a situation where only an abortion would save the life of the mother and no physician was available, as might occur in many parts of the world. This amends previous WMA advice from 2006 that only physicians should undertake such procedures.

HIV rapid testing in community and outreach sites: results of a demonstration project in Italy

BMC Public Health

2018 18:748

Published: 18 June 2018mob

Abstract

Background

Globally the access to HIV testing has greatly increased over the past 30 years. Nonetheless, a high proportion of people living with HIV remains undiagnosed, even in resource rich countries. To increase the proportion of people aware of their HIV serostatus and their access to medical care, several strategies have been proposed including HIV rapid test programs offered outside health facilities. The aim of this project was to evaluate the feasibility and efficacy of the HIV rapid testing offered in community and outreach settings in Italy.

Methods

We conducted a national demonstration project on HIV rapid tests offered in community and outreach settings, including nongovernmental organization (NGO) facilities, primary care services for migrants and low-threshold services or mobile units for drug users (DU services). HIV rapid test on oral fluid (OraQuick®; Orasure Technologies) was anonymously offered to eligible people who presented themselves at the selected sites. Those with reactive results were referred to a specialized outpatient unit for confirmatory testing and medical care.

Results

Over a period of six months a total of 2949 tests were performed and 45.2% of individuals tested had not been previously tested. Overall 0.9% (27/2949) of tested people had a preliminary positive test. In NGO facilities the positivity rate was 1%. All subjects who performed their confirmatory test were confirmed as positive. In services for migrants the positivity rate was 0.5 and 80% were referred to care (with 1 false positive test). In DU services we observed the highest positivity rate (1.4%) but the lowest linkage to care (67%), with 1 false positive test.

Conclusion

Our project showed that the offering of an HIV rapid testing program in community and outreach settings in Italy is feasible and that it may reach people who have never been tested before, while having a significant yield in terms of new HIV diagnoses as well.

Changes to SHINE SA Clinics

SHINE SA, June 20, 2018

There are some changes to the days when clinics and counselling services are available at SHINE SA sites.

These changes will commence on 1 July 2018 and are as follows:

Woodville
Mon, Tues, Wed, Thurs, 9am – 5pm by appointment
Walk in and Wait from 1-4pm
Clinics closed Fridays

Davoren Park
Mon, Wed, Thurs, Fri, 9am – 5pm by appointment
Walk in and Wait from 1-4pm
Clinics closed Tuesdays

Noarlunga
Mon, Tues, 9am – 5pm by appointment
Walk in and Wait from 1-4pm
Clinics closed Wednesdays, Thursdays, Fridays

Appointments and enquiries for the above: 1300 794 584

Hyde Street Practice
Thurs, 9am – 5pm by appointment
Walk In and Wait, Fridays 1-4pm
Phone 7099 5320 for appointments for GP services Monday-Friday

SHINE SA clinic at Reynella Family Care GP Service
SHINE SA Sexual Health Nurse/Midwife in partnership with a Reynella Family Care General Practitioner
Thursday fortnightly 9am – 5pm
Fee paying clinic. Appointment only, phone 8321 9099.

Find a Clinic

Updated Pregnancy Choices Training in July

SHINE SA, May 2018

SHINE SA’s Pregnancy Choices training for has been updated and is running in July. This 2-day course defines and explains all the options available to people experiencing an unplanned pregnancy.

It is open to nurses, midwives, doctors, counsellors, community health workers, school counsellors, youth workers, Aboriginal Health Workers, and any professional who encounters clients with unplanned pregnancy.

COURSE OUTLINE

The course covers broad social and political issues and clinical options, incorporating cultural considerations into topics and resources.

  • Global, national and local overview
  • Abortion option
  • Adoption option
  • Antenatal pathways
  • Genetic issues in pregnancy
  • Perinatal mental health
  • Social and political context of health and pregnancy – planned and unplanned
  • Counselling responses to unplanned pregnancy
  • Options and support for young people who are pregnant
  • Resources
  • Application to practice

COURSE COST

$295

COURSE DATES

Date start: 02 July 2018
Date end: 03 July 2018
Time: 9.00am – 5.00pm
LOCATIONSHINE SA, 64c Woodville Road, Woodville
Free parking off Bower Street

Some women feel grief after an abortion, but there’s no evidence of serious mental health issues

The Conversation, April 26, 2018 12.36pm AEST

This week, the website Mamamia published, and then quickly removed, an article about the existence of “post-abortion syndrome” – a disorder apparently experienced by many women who have had an abortion. The article claimed this disorder has been concealed from the public and that the trauma of an induced abortion can be comparable to the experience of child sexual abuse or post-traumatic stress disorder (PTSD) suffered by war veterans.

Neither the term “post-abortion syndrome”, nor the claims about its characteristics, are supported by any national or international psychological societies. Of course, many women experience emotional responses to an abortion, which are normal reactions to a significant event.

 

 

Centacare Drug and Alcohol Service – LGBTIQ Services

Centacare, 2018

Centacare Drug and Alcohol Service LGBTIQ Services  provide alcohol and other drug counselling and in-home detox for individuals who are LGBTIQ and their identified supports.

A free service for ages 10 years and over.

The team includes an LGBTIQ Peer Worker, Counsellors, a Lived Experience Worker and a Registered Nurse.

CDAS is a safe and inclusive service for the LGBTIQ community.

Download flyer or brochure for more information: