Community-Based Sexual and Reproductive Health Promotion and Services for First Nations People in Urban Australia.
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 recommendati...
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2021
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ftunivtsydney:oai:opus.lib.uts.edu.au:10453/150529 2023-05-15T16:14:33+02:00 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 2021-09-14T03:35:51Z Electronic-eCollection application/pdf http://hdl.handle.net/10453/150529 eng eng Informa UK Limited International journal of women's health 10.2147/ijwh.s297479 International journal of women's health, 2021, 13, pp. 467-478 1179-1411 http://hdl.handle.net/10453/150529 info:eu-repo/semantics/openAccess 1112 Oncology and Carcinogenesis 1114 Paediatrics and Reproductive Medicine Journal Article 2021 ftunivtsydney 2022-03-13T13:28:16Z 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. Article in Journal/Newspaper First Nations University of Technology Sydney: OPUS - Open Publications of UTS Scholars Queensland |
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Open Polar |
collection |
University of Technology Sydney: OPUS - Open Publications of UTS Scholars |
op_collection_id |
ftunivtsydney |
language |
English |
topic |
1112 Oncology and Carcinogenesis 1114 Paediatrics and Reproductive Medicine |
spellingShingle |
1112 Oncology and Carcinogenesis 1114 Paediatrics and Reproductive Medicine 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. |
topic_facet |
1112 Oncology and Carcinogenesis 1114 Paediatrics and Reproductive Medicine |
description |
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. |
format |
Article in Journal/Newspaper |
author |
Hickey, S Roe, Y Harvey, C Kruske, S Clifford-Motopi, A Fisher, I Bernardino, B Kildea, S |
author_facet |
Hickey, S Roe, Y Harvey, C Kruske, S Clifford-Motopi, A Fisher, I Bernardino, B Kildea, S |
author_sort |
Hickey, S |
title |
Community-Based Sexual and Reproductive Health Promotion and Services for First Nations People in Urban Australia. |
title_short |
Community-Based Sexual and Reproductive Health Promotion and Services for First Nations People in Urban Australia. |
title_full |
Community-Based Sexual and Reproductive Health Promotion and Services for First Nations People in Urban Australia. |
title_fullStr |
Community-Based Sexual and Reproductive Health Promotion and Services for First Nations People in Urban Australia. |
title_full_unstemmed |
Community-Based Sexual and Reproductive Health Promotion and Services for First Nations People in Urban Australia. |
title_sort |
community-based sexual and reproductive health promotion and services for first nations people in urban australia. |
publisher |
Informa UK Limited |
publishDate |
2021 |
url |
http://hdl.handle.net/10453/150529 |
geographic |
Queensland |
geographic_facet |
Queensland |
genre |
First Nations |
genre_facet |
First Nations |
op_relation |
International journal of women's health 10.2147/ijwh.s297479 International journal of women's health, 2021, 13, pp. 467-478 1179-1411 http://hdl.handle.net/10453/150529 |
op_rights |
info:eu-repo/semantics/openAccess |
_version_ |
1766000341145354240 |