Department of Obstetrics and Gynaecology, University of Auckland, Auckland, New Zealand.
Aust N Z J Obstet Gynaecol. 2024 Jun;64(3):277-282. doi: 10.1111/ajo.13788. Epub 2024 Jan 11.
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.
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.
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.
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.
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.
新西兰最近发布的《妇女健康战略》旨在提供可及、公平的护理，优先考虑预防、早期干预和未满足需求的领域。这种护理的一个例子是由社区中经过适当培训的初级保健从业者管理常见的性健康和生殖健康 (SRH) 问题。
目的是确定新西兰目前正在进行的初级保健 SRH 计划举措，了解它们的获取和资金来源，它们是否使用毛利人知识 (matauranga) 原则进行共同设计，以及是否有任何举措已经过正式评估。
2023 年 4 月，对初级保健从业者和二级保健妇产科临床主任进行了一项混合方法的电子匿名调查。对自由文本答案进行了定性分析。
新西兰社区环境中提供的有资金支持的 SRH 服务很少。现有的服务的获取和资格标准因地区而异。报告称缺乏共同设计和治理，以及在获得技能培训和专家建议方面存在困难。
新西兰目前的 SRH 格局似乎分散且缺乏总体战略重点。为了实现《妇女健康战略》的目标，应该开发一系列核心的基于社区的 SRH 计划，并对其进行正式评估，重点关注公平获取、整合和具体结果。这些计划应使用毛利人知识 (matauranga) 原则进行共同设计。
