‘Half the time it’s just guessing’: youth worker and youth service manager experiences of sexual health training in the Pilbara, remote Western Australia

Ming, Julian; Kelty, Erin; Martin, Karen

doi:10.1080/14681811.2020.1782184

Cited by 1 publication

(1 citation statement)

References 22 publications

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“…As reported by a recent study, 46 most health professionals believed they would benefit from further training about contraception specifically (effectiveness of different methods, including new methods, and skills for implant procedures), as well as more general counselling skills about how to approach these conversations with their First Nations clients. We recommend all staff to undergo mandatory basic training to assist with harmonizing the organisation’s SRH response; with specialised supervised training for staff involved directly with contraception information counselling and administration, including the insertion of contraceptive devices (eg implants and intrauterine devices), management of unplanned pregnancies and emergency contraception.…”

Section: Discussionmentioning

confidence: 89%

Community-Based Sexual and Reproductive Health Promotion and Services for First Nations People in Urban Australia

Hickey

Roe

Harvey

et al. 2021

IJWH

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Little is known about sexual and reproductive health (SRH) access and health promotion for First Nations peoples in Australia. This study aimed to better understand community preferences, knowledge and access to contraception and SRH services, and use this understanding to make recommendations which support approaches led by local Aboriginal community-controlled health organisations (ACCHOs). Methods: Qualitative First Nations-led yarning circles were conducted with 55 community members and health service providers using and/or working at ACCHOs in urban South East Queensland. Cultural protocols ensured women's and men's interviews were separately collected and analysed. Thematic analysis was conducted by multiple coders, privileging interpretations by First Nations researchers. Results: Family, kin and friends were described as key knowledge holders and ACCHOs as knowledge spaces for sharing information about maintaining positive SRH and wellbeing for First Nations people. Interviewees wanted accurate and timely information in an accessible, culturally appropriate way. Making informed choices about family planning was described as an important process of agency and self-determination for First Nations people, and contextualized within broader aspirations for growing strong families and healthy relationships. Conclusion:Understanding SRH through the concept of "knowledge spaces" and "knowledge holders" highlights the collective importance of community relationality to support individual agency and informed SRH decision-making. ACCHOs appear to be acceptable knowledge spaces for SRH information; and evidence-based recommendations may increase their reach. Health services should consider upskilling community SRH knowledge holders to share consistent, accurate and accessible SRH information.

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Section: Discussionmentioning

confidence: 89%