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

Hickey, S; Roe, Y; Harvey, C; Kruske, S; Clifford-Motopi, A; Fisher, I; Bernardino, B; Kildea, S

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

Hickey, S Roe, Y Harvey, C Kruske, S

Clifford-Motopi, A Fisher, I Bernardino, B Kildea, S

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Publisher:: Informa UK Limited
Publication Type:: Journal Article
Citation:: International journal of women's health, 2021, 13, pp. 467-478
Issue Date:: 2021-01

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Field	Value	Language
dc.contributor.author	Hickey, S
dc.contributor.author	Roe, Y
dc.contributor.author	Harvey, C
dc.contributor.author	Kruske, S https://orcid.org/0000-0002-2317-3954
dc.contributor.author	Clifford-Motopi, A
dc.contributor.author	Fisher, I
dc.contributor.author	Bernardino, B
dc.contributor.author	Kildea, S
dc.date.accessioned	2021-09-14T03:35:53Z
dc.date.available	2021-03-29
dc.date.available	2021-09-14T03:35:53Z
dc.date.issued	2021-01
dc.identifier.citation	International journal of women's health, 2021, 13, pp. 467-478
dc.identifier.issn	1179-1411
dc.identifier.issn	1179-1411
dc.identifier.uri	http://hdl.handle.net/10453/150529
dc.description.abstract	Context: 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.
dc.format	Electronic-eCollection
dc.language	eng
dc.publisher	Informa UK Limited
dc.relation.ispartof	International journal of women's health
dc.relation.isbasedon	10.2147/ijwh.s297479
dc.rights	info:eu-repo/semantics/openAccess
dc.subject	1112 Oncology and Carcinogenesis, 1114 Paediatrics and Reproductive Medicine
dc.title	Community-Based Sexual and Reproductive Health Promotion and Services for First Nations People in Urban Australia.
dc.type	Journal Article
utslib.citation.volume	13
utslib.location.activity	New Zealand
utslib.for	1112 Oncology and Carcinogenesis
utslib.for	1114 Paediatrics and Reproductive Medicine
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
utslib.copyright.status	open_access	*
pubs.consider-herdc	false
dc.date.updated	2021-09-14T03:35:51Z
pubs.publication-status	Published
pubs.volume	13

Abstract:

Context: 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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http://hdl.handle.net/10453/150529