Sexual health and its linkages to reproductive health: an operational approach

 World Health Organization, 2017

Sexual health and reproductive health are closely linked, but crucial aspects of sexual health can be overlooked when grouped under or together with the domain of reproductive health.

In order to create broader awareness of comprehensive sexual health interventions and to ensure that sexual health and reproductive health both receive full attention in programming (including provision of health services) and research, the World Health Organization (WHO) has reviewed its working definition of sexual health to create a framework for an operational approach to sexual health.

The framework, which is intended to support policy-makers and programme implementers and to provide a stronger foundation for further research and learning in sexual health, is presented and described in full in this brief.

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.

More Support for Young People with Complex Mental Health Needs

Adelaide phn, February 7 2019

Adelaide PHN and Sonder have opened the doors to emerge – a new, free service in Adelaide’s outer northern and outer southern metropolitan regions, specifically created to help people from 16-25 years old who are experiencing or at risk of experiencing severe and complex mental illness.

The program aims to help young people who might otherwise “fall through the cracks”.

Commissioned and funded by Adelaide PHN as part of a suite of mental health services across the metropolitan region, emerge has a specific focus on young people dealing with anxiety, depression, eating disorders, bipolar disorder, psychosis, trauma and borderline personality disorder, where these conditions are having a significant impact on their lives.

Emerge will provide these young people with access to client and family-centred treatment that is specialised, clinical and evidence-based.

Within the new program, the young person, their family, clinicians, peer workers, care coordinators etc. will work as a team towards the goal of wellness and recovery.

Emerge will operate from Sonder-run headspace centres – Edinburgh North and Onkaparinga – with services commencing on 11 February 2019.

Referrals can be received from GPs and other primary health care providers. Alternatively, young people can self-refer or be referred through a school or community worker. Families, carers or friends can also refer on behalf of the young person, however these referrals must take place with the person’s consent.

Adelaide PHN has also provided funding for additional youth mental health services at headspace Adelaide and Port Adelaide, and will announce further mental health services for Aboriginal youth in the coming months.

For further information about emerge, please contact Sonder on (08) 8209 0700 or visit the website www.sonder.net.au.

For more information about Adelaide PHN visit  adelaidephn.com.au.

Translation and implementation of the Australian-led PCOS guideline

Translation and implementation of the Australian-led PCOS guideline: clinical summary and translation resources from the International Evidence-based Guideline for the Assessment and Management of Polycystic Ovary Syndrome

Med J Aust 2018; 209 (7 Suppl): S3-S8. || doi: 10.5694/mja18.00656
Published online: 2018-10-01

Abstract

Introduction: We have developed the first international evidence-based guideline for the diagnosis and management of polycystic ovary syndrome (PCOS), with an integrated translation program incorporating resources for health professionals and consumers. The development process involved an extensive Australian-led international and multidisciplinary collaboration of health professionals and consumers over 2 years. The guideline is approved by the National Health and Medical Research Council and aims to support both health professionals and women with PCOS in improving care, health outcomes and quality of life. A robust evaluation process will diagnoenable practice benchmarking and feedback to further inform evidence-based practice. We propose that this methodology could be used in developing and implementing guidelines for other women’s health conditions and beyond.

Main recommendations: The recommendations cover the following broad areas: diagnosis, screening and risk assessment depending on life stage; emotional wellbeing; healthy lifestyle; pharmacological treatment for non-fertility indications; and assessment and treatment of infertility.

Changes in management as a result of this guideline: •Diagnosis:▪when the combination of hyperandrogenism and ovulatory dysfunction is present, ultrasound examination of the ovaries is not necessary for diagnosis of PCOS in adult women;▪requires the combination of hyperandrogenism and ovulatory dysfunction in young women within 8 years of menarche, with ultrasound examination of the ovaries not recommended, owing to the overlap with normal ovarian physiology; and▪adolescents with some clinical features of PCOS, but without a clear diagnosis, should be regarded as “at risk” and receive follow-up assessment.•Screening for metabolic complications has been refined and incorporates both PCOS status and additional metabolic risk factors.•Treatment of infertility: letrozole is now first line treatment for infertility as it improves live birth rates while reducing multiple metapregnancies compared with clomiphene citrate.

Policy Consultation Forum: LGBTIQ and youth community feedback sought

SHINE SA, August 2018

LGBTIQ and youth community feedback is sought on SA Health Equity and Access in Health Care Policy Directive & Southern Adelaide Local Health Network (SALHN) Adult Community Mental Health Model of Care. 

Members of the lesbian, gay, bisexual, transgender, intersex and queer (LGBTIQ) communities and young people (under 30) are invited to an information session to learn about the draft Equity and Access in Health Care Policy Directive for SA Health as well as the draft SALHN Adult Community Mental Health Model of Care. SA Health and SALHN, in partnership with SHINE SA, are facilitating an information and feedback session about these important documents. We look forward to hearing your views on the policy and model of care.

The SA Health Policy aims to provide a comprehensive overarching framework which consolidates equity and access requirements for South Australia’s diverse health consumers consistent with the South Australian Government Universal Access and Inclusion Guidelines (the Guidelines). The Policy is intended to provide strategic direction to SA Health employees, or persons who provide health care services on behalf of SA Health, to ensure that access to public health services is equitable for all South Australian health consumers.

The central purpose of the SALHN Adult Community Mental Health Model of Care is to provide high level guidance pertaining to the provision of safe and high quality care to Southern Adelaide Local Health Networks diverse mental health consumers. The core principles speak to the provision of person centred, evidence based recovery oriented care that is provided by an appropriately diverse multi-disciplinary team. Strong emphasis has been placed upon care delivery within the context of a culturally and linguistically safe service that engenders strong collaborative partnerships across agencies and between consumers, carers and health professionals. A Service Plan is being developed to operationalise the Model of Care, and both elements will be implemented in parallel once development is complete.

Tuesday, August 28 at 5:30 PM – 7:30 PM

At SHINE SA, 57 Hyde Street, Adelaide 5000

Free event

Light refreshments will be provided

Image may contain: 2 people, people smiling, hat and textmodel of care

WHO: Revision of ICD-11 (gender incongruence/transgender) – Q&A

World Health Organization, Published on 18 Jun 2018
Dr Lale Say, Coordinator, Adolescents and at-Risk Populations Team at the World Health Organization discusses changes in the classification of gender incongruence (transgender) in the new ICD-11.