Situational Report: Sexual and Reproductive Health Rights in Australia

Marie Stopes Australia, Updated 17 April 2020

Situational Report: Sexual and Reproductive Health Rights in Australia – A request for collaboration and action to maintain contraceptive and abortion care throughout the SARS-COV-2 / COVID-19 pandemic

Executive Summary

We are in a context of increased risk of unplanned pregnancy, reproductive coercion, sexually transmitted infections, lack of pregnancy options and a multitude of barriers to healthcare. Access to contraception and abortion throughout the pandemic will mitigate broader public health risks for years to come. 
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At Marie Stopes Australia, during the pandemic we have had to:

 Cancel surgical abortion care lists- meaning women and pregnant people have had to continue with their pregnancies or are likely to seek a termination at a later gestation
 Reduce our national gestational limit for surgical abortion to 22 weeks
 Face increased costs in the provision of regional healthcare, having no other option than to charter private flights for clinical staff
 Continuously scramble for Personal Protective Equipment (PPE)
 Reduce in-clinic list capacity to enable physical distancing
 Reduce contraceptive services in order to prioritise abortion access
 Reduce financial support for clients experiencing financial hardship
 Face increased risk of staff fatigue and burn out
 Evolve models of care in an effort to maintain access to care. To address this situation, we need to review legislation and policy, evolve models of care, maintain people’s rights to access care and make healthcare more affordable.

Key recommendations at this point in the pandemic include:
 All Governments, health and hospital services, and health clinics must consider abortion an essential service with Category 1 classification
 Provide access to medical abortion via telehealth for people living in South Australia
 Increase medical abortion provision to 70 days/10 weeks gestation, supported by the  Pharmaceutical Benefits Scheme (PBS)
 All accredited sexual and reproductive healthcare providers should have access to the National Medical Stockpile for PPE
 Intrastate travel support is needed for clinical staff in order to maintain surgical abortion provision in regional and remote clinics
 Do not criminalise women and pregnant people who attempt unsafe abortion

[This report contains] further detail on these points and a longer list of recommendations that Australia will need to consider in o order to maintain sexual and reproductive health
rights throughout the pandemic.

 

 

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