Lived experience of sexual violence among trans women of colour from CALD backgrounds in Australia

ANROWS, June 2020

Crossing the line: Lived experience of sexual violence among trans women of colour from culturally and linguistically diverse backgrounds in Australia

This research set out to increase understanding of the lived experience of being a trans woman of colour living in Australia, in relation to gender transitioning and experiences of sexual violence.

Using a large comparative survey, the research situates trans women of colour’s lived experience of sexual violence within the range of sexual violence experienced by other women, including lesbian, bisexual and queer women, and heterosexual women.

This research highlights that the experiences and needs of trans women in relation to sexual violence remain poorly understood by many healthcare providers, legislators, police and policymakers, with the experiences and needs of trans women of colour being the least understood. The absence of culturally competent information and knowledge about transgender experience, accompanied by misinformation, can lead to stigma, prejudice and discrimination, resulting in unmet health and justice needs for trans women.

 

 

 

COVID-19 and Harm Reduction Programme Implementation: Sharing Experiences in Practice (Webinar)

Médecins du Monde Harm Reduction, April 2020

The COVID-19 pandemic is having a profound effect on the provision of health services across the globe and is further magnifying the existing barriers faced by people who use drugs in accessing harm reduction services. Programmes have had to adapt, and efforts are being made to enhance accessibility and ensure the continuity of harm reduction services in a context that is changing daily.

But what does this look like in reality, and what practical measures can be put in place to ensure that people who use drugs continue to have access to the services and support that they need?

The aim of this webinar is to facilitate an interactive discussion and share experiences on how to maintain and adapt harm reduction services during the COVID-19 pandemic.

Speakers will discuss:

• The impact of COVID-19 on the lives of people who use drugs and their use of services

• Community mobilisation and advocacy by people who use drugs

• Examples of how harm reduction programmes such as OST and NSP are continued in some countries

Organisers: Médecins du Monde, International Network of People Who Use Drugs, Harm Reduction International, European Network of People Who Use Drugs, the United Nations Office on Drugs and Crime and the World Health Organization.

SEXUAL HEALTH MATTERS: new clinical podcast from SHINE SA

SHINE SA, May 2020

Filled with quality clinical guidance and tips for best practice, SHINE SA’s new Sexual Health Matters – Clinical Podcast delves into the intimate regions of the body and broaches the uncomfortable conversations necessary to ensure client safety and sexual/reproductive well-being.

Through discussion, interview and explanation, experienced sexual health clinicians raise awareness of guidelines, resources, research and emerging trends to ensure that clinicians everywhere can provide excellent sexual and reproductive care to improve client outcomes.

If you have a topic you would like us to cover in future podcasts, email courses@shinesa.org.au to let us know!

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.

 

 

Providing safe and remote services to LGBTIQ people due to the impact of COVID-19

Rainbow Health Victoria, April 2020

We would like to acknowledge the difficult time we all face with the current public health crisis caused by coronavirus (COVID-19). Overall, older people and those with underlying health conditions are more at risk. Lesbian, gay, bisexual, transgender, intersex and queer (LGBTIQ) communities are known to have significant health disparities, which might influence disease outcomes. These include a greater risk for HIV, certain cancers, asthma, obesity and cardiovascular disease, and higher smoking rates.

Accessing available health and community support services is more important than ever for LGBTIQ communities. But barriers to accessing services – for example, expecting or experiencing discrimination – may be heightened at times of stress and upheaval. Rainbow Health Victoria has created this tip sheet to assist in providing safe and inclusive remote services to LGBTIQ people due to the impact of COVID-19.

SHINE SA media release: CONTRACEPTION IS ESSENTIAL IN PREVENTING RISE IN UNINTENDED PREGNANCY DURING COVID-19

SHINE SA Media Release: 2 April 2020

Sexual and reproductive health must remain at the forefront of our minds during the COVID-19 pandemic. It is possible that throughout this crisis we may see a rise in unintended pregnancy as well as incidences of domestic violence, sexual violence and sexual coercion.  Unfortunately this could come at a time where our health systems are focused on the prevention and management of the pandemic itself. In addition to general sexual health services, access to pregnancy options including abortion may be impacted over the next 6 months.

Unintended pregnancy rates are already high in Australia. It is estimated that half of all pregnancies are unplanned. It is possible that self-isolation/quarantine measures could see an increase in unprotected sexual activity without reliable forms of contraception. These circumstances may contribute to unintended pregnancy and sexually transmitted infections in an environment where support systems and personal wellbeing have been affected.

SHINE SA asks that people consider all of their contraceptive choices at this time. This includes long-acting reversible contraception (LARC) options, especially if they do not wish to become pregnant in the near future. These options can be discussed with a general practitioner.

It’s also important that people are aware that they can access the emergency contraceptive pill (ECP) from community pharmacies. Oral emergency contraception is effective up to 120 hours after unprotected sex but the sooner it is taken, the greater the effectiveness.

  • South Australians looking for advice on any sexual health issue including contraception and unintended pregnancy can call SHINE SA’s Sexual Healthline.
    This is a free and confidential service provided by SHINE SA’s sexual health nurses. Call: 1300 883 793; Toll free: 1800 188 171 (country callers only).
    The Sexual Healthline is open Monday – Friday, 9:00 am – 12:30pm.
  • Australians can also call 1800 RESPECT, the national sexual assault, domestic and family violence counselling and information referral service. This service is available 24 hours a day, every day of the year. Yarrow Place Rape and Sexual Assault Service is a South Australian service for anyone who has been sexually assaulted. Call 8226 8777 or visit the Yarrow Place website for more information.
  • Visit the SHINE SA website for more information on Emergency ContraceptionChoices in Contraception and Safer Sex.
  • Download this Media Release.