Sexual and reproductive health services in New Zealand primary care settings: A mixed-methods survey

IF 1.4 4区医学 Q3 OBSTETRICS & GYNECOLOGY Australian & New Zealand Journal of Obstetrics & Gynaecology Pub Date : 2024-01-11 DOI:10.1111/ajo.13788

Orna McGinn, Michelle Wise

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Abstract

Background

New Zealand's recently released Women's Health Strategy aims to provide accessible, equitable care which prioritises prevention, early intervention and areas of unmet need. An example of such care is the management of common sexual and reproductive health (SRH) issues by appropriately trained primary care practitioners in the community.

Aims

The aim was to identify primary care SRH program initiatives currently operating in New Zealand, how they are accessed and funded, whether they have been co-designed using mātauranga (knowledge) Māori principles and whether any have undergone formal evaluation.

Methods

A mixed-methods electronic anonymous survey of primary care practitioners and secondary care obstetrics and gynaecology clinical directors was distributed in April 2023. Qualitative analysis of free text answers was undertaken.

Results

Few funded SRH services are available in community settings in New Zealand. Access and eligibility criteria to those which exist varies by region. A lack of co-design and governance was reported, along with difficulties in access to skills training and specialist advice.

Conclusions

The current SRH landscape in New Zealand appears fragmented and lacks an overarching strategic focus. To achieve the aims of the Women's Health Strategy, a suite of core community-based SRH programs should be developed and formally evaluated, focusing on equitable access, integration and specific outcomes. These should be co-designed using mātaurangi Māori principles.

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新西兰初级保健机构的性健康和生殖健康服务：混合方法调查。

背景：新西兰最近发布的《妇女健康战略》旨在提供方便、公平的保健服务，优先考虑预防、早期干预和未满足需求的领域。这种保健的一个例子就是由经过适当培训的社区初级保健从业人员对常见的性健康和生殖健康（SRH）问题进行管理。目的：本研究旨在确定目前在新西兰实施的初级保健SRH计划举措，这些举措是如何获得和资助的，是否利用毛利知识（mātauranga）原则共同设计了这些举措，以及是否对任何举措进行了正式评估：方法：2023 年 4 月，对初级保健从业人员和二级保健妇产科临床主任进行了一次混合方法电子匿名调查。对自由文本答案进行了定性分析：结果：在新西兰的社区环境中，很少有受资助的性健康和生殖健康服务。获得现有服务的途径和资格标准因地区而异。据报告，缺乏共同设计和管理，同时也很难获得技能培训和专家建议：结论：新西兰目前的性健康和生殖健康状况似乎支离破碎，缺乏总体战略重点。为实现妇女健康战略的目标，应制定一套以社区为基础的性健康和生殖健康核心方案，并对其进行正式评估，重点关注公平获取、整合和具体成果。这些方案应采用毛利人原则共同设计。

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来源期刊

Australian & New Zealand Journal of Obstetrics & Gynaecology 医学-妇产科学

CiteScore

3.40

自引率

11.80%

发文量

165

审稿时长

4-8 weeks

期刊介绍： The Australian and New Zealand Journal of Obstetrics and Gynaecology (ANZJOG) is an editorially independent publication owned by the Royal Australian and New Zealand College of Obstetricians and Gynaecologists (RANZCOG) and the RANZCOG Research foundation. ANZJOG aims to provide a medium for the publication of original contributions to clinical practice and/or research in all fields of obstetrics and gynaecology and related disciplines. Articles are peer reviewed by clinicians or researchers expert in the field of the submitted work. From time to time the journal will also publish printed abstracts from the RANZCOG Annual Scientific Meeting and meetings of relevant special interest groups, where the accepted abstracts have undergone the journals peer review acceptance process.