Victorian Rural Women`s Access to Family

Transcription

ACKNOWLEDGEMENTS
This report represents the commitment of the rural Women’s Health
Services to the women of rural Victoria. There are eleven women’s
health services across Victoria, (funded by the Victorian Women’s
Health Program since 1989), one in each of the nine Department of
Health regions and three state-wide services. Five of these services
are rural and include:
-
-
-
-
-
Women’s Health Loddon Mallee
Women’s Health Goulburn North East
Gippsland Women’s Health Service
Women’s Health and Wellbeing Barwon South West
Women’s Health Grampians
Over our twenty plus years of existence, the women’s health services
have received a constant flow of information from rural service
providers and directly from women about the barriers and lack of
access to family planning services in rural Victoria. These barriers
include the complexity of accessing accurate, timely and non
judgmental information about sex education, access to condoms,
advice, information and access to GPs willing to discuss, support or
refer women seeking abortion services. Other uniquely rural barriers
are also a regular feature of information we receive: the weather
impacting on ‘fly in – fly out’ services, service providers being
related to clients, no backfill for staff needing to access professional
development, public transport that will take women to a ‘big town’...
but not bring her home on the same day – and so on!
Despite the constant stream of evidence collected by women’s health
services and passed on to successive governments, the situation
for rural women has not improved; very few sustainable initiatives
have been implemented to support change; there is no state wide
sexual and reproductive health policy to provide a framework to lead
improvement and, until now, no relevant data has been systematically
gathered. Rural women continue to experience poorer health
outcomes than women living in metropolitan areas.
1
Victorian Rural Women’s Access to Family Planning Services Survey Report
The inaugural gathering of this data across the state was an
ambitious task, and whilst there are limitations to the data, the
women’s health services were determined not to let the enormity
of the task become yet another barrier to improving rural women’s
access to family planning services.
For the rural women’s health services, gathering this data is action
that represents and identifies the reality for rural woman and presents
it to those with the capacity to improve access to timely, accurate,
confidential and respectful services. This work will be utilised across
the state to support Politicians, Local Governments, Primary Care
Partnerships, Hospitals and Community Health Centres to improve
rural women’s access to family planning services.
On behalf of the five women’s health services that initiated this
project, thank you to everyone who contributed to the planning,
implementation and writing of this report. Special thanks to
Springtech Services for technical and report writing skills, to Women’s
Health Victoria and The Royal Women’s Hospital for their expert
advice and support, and the biggest thanks to those who participated
in the survey. There is much work to be done, and this is a great start.
Thanks!
CONTENTS
Acknowledgements1
INTRODUCTION4
List of Acronyms
4
Definitions4
Executive Summary
5
Survey Methodology
7
SUMMARY OF SURVEY8
Technical Notes
25
RESPONSE DATA: STATEWIDE RURAL & REGIONAL26
Background information
26
Opting out
29
Anonymity30
Access to condoms
33
Access to contraception
36
Contraception referral
40
Access to emergency contraception
45
Access to pregnancy options counselling
49
Law reform and abortion
54
Access to abortion services up to 12 weeks
56
Access to abortion services 12-24 weeks
58
Abortion60
Access to medication abortion
70
Access to surgical abortion
73
Women with additional needs
76
Professional development
80
Family planning and contraception services
84
Other comments and further information
85
2
CONTENTS
APPENDIX89
Background information
89
Opting out
92
Anonymity93
Access to condoms
94
96
Contraception referral
99
Access to emergency contraception
102
Access to pregnancy options counselling
104
107
Access to abortion services up to 12 weeks
108
Access to abortion services 12-24 weeks
109
Abortion110
120
Access to surgical abortion
122
Women with additional needs
124
Professional development
126
Family planning and contraception services
129
Other comments and further information
130
3
INTRODUCTION
LIST OF ACRONYMS
CAFS
Child and Family Services
CASA
Centre Against Sexual Assault
D&C
Dilation and Curette
D&E
Dilation and Evacuation
GP
General Practitioner
IUD
Intrauterine Device
LGA
Local Government Area
MCH
Maternal and Child Health
MAP
Morning After Pill
MTOP
Medication Termination of Pregnancy
PD
Professional Development
STOP
Surgical Termination of Pregnancy
WHS
Women’s Health Service
DEFINITIONS
Availability
Includes access to female GPs, limited service, waiting times.
Community Health or
Sexual Health Service
Includes Sexual Health Clinics, Family Planning Clinics, specialist Melbourne clinics, Headspace, CASA.
These services have a health focus.
Community & Client Attitudes
Community & client attitudes include embarrassment and stigma and judgmental attitudes.
Community Service
Includes community based organisations e.g. youth services, counselling services (e.g. St Luke’s Anglicare,
CAFS Ballarat, Glastonbury Geelong). These services have a counselling/youth/support focus.
Cost
Includes the price of contraception, doctors appointments, pharmacy costs and travelling.
General Practice
General practice includes people working in general practice settings. For example nurses, doctors and allied
health practitioners.
Health Professionals
Includes doctors, nurses and allied health.
Information
Includes general lack of knowledge about resources available (by both client and health professional) and a
lack of sexual education.
Surgical Termination of Pregnancy
Surgical Termination of Pregnancy (STOP) generally involves a Dilation and Curette (D&C) or Dilation and
Evacuation (D&E) under anaesthetic in a Day Surgery Unit.
Medication Termination
of Pregnancy
MTOP or Medication Abortion is a method of terminating a pregnancy using medication (pills) instead of a
surgical procedure. It causes a process similar to a miscarriage.
Privacy
Includes anonymity and confidentiality.
Professional’s Attitudes
& Skills
Refers to skills and cultural and personal beliefs.
Specialists
Includes gynaecologist and surgeons.
Support
Refers to support from health professionals, clients family and partner.
Travel
Includes access to transport and distances.
Women with Additional Needs
Women with additional needs is defined as being culturally and linguistically diverse (CALD), Indigenous,
young, have a disability, are same sex attracted, have mental health issues, homeless or a cognitive
impairment, etc.
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EXECUTIVE SUMMARY
Anecdotal information has been consistently provided to
Women’s Health Services (WHS) across Victoria that there are
significant difficulties for women living in rural areas accessing
family planning services. This work aligns with women’s health
service’s priority action area of sexual and reproductive health.
There are five WHS which are specifically mandated to provide
integrated health promotion across rural Victoria. These services
align to current Department of Health boundaries and include
Women’s Health Grampians, Women’s Health Loddon Mallee,
Women’s Health Goulburn North East, Women’s Health and
Wellbeing Barwon South West and Gippsland Women’s Health
Service. In response to nearly two decades of feedback from
women and services providers, the five rural women’s health
services have worked collaboratively to gather evidence relating
to rural women issues in accessing family planning services
across the rural areas of Victoria.
The term ‘sexual and reproductive services’ covers a wide
range of services and interventions; this project focused on a
specific range of sexual and reproductive services referred to as
family planning. For the purpose of this project, ‘family planning’
included contraception, emergency contraception, pregnancy
counselling and support and termination of pregnancy
(medication and surgical).
The scope of this project was to gather information from key
stakeholders and service providers who work with women to
gather information about women’s experience in accessing
family planning services. The findings from this project have
been summarised into this report and will be used to advocate
for appropriate services for women. The information has been
collated to comply with privacy requirements and to develop
a baseline of information for future comparative work. This
report will inform women’s health services individual service
delivery and advocacy strategies as well as the development of
statewide work.
The primary goal of the project was to gather baseline
information relating to rural women’s access to family
planning services. Secondary goals for the project included
the identification of barriers for rural women accessing family
planning services and the identification of strategies to address
these barriers. Survey questions for key stakeholders and
service providers were developed by the project steering group
and agreed to by the rural women’s health services.
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Springtech Services were contracted in December 2011 to
undertake the project with the five rural WHS. An online survey
was developed in early 2012, and was available for a period of
5 weeks from late April 2012 to 1st of June, 2012. Participants
were directly invited by specific email invitation or were able to
register and complete the survey. The survey methodology has
been included in this report.
A total of 225 respondents participated in the survey.
Respondents were from all 5 rural regions and included
representatives from community health, local government,
school nursing, family support services, and general practice. A
full listing of respondent organisations is included in Figure 2 in
this report.
The key survey results are summarised in this report. Sections
include access to condoms, access to contraception, referrals
for contraception, access to emergency contraception, access
to pregnancy options counselling, law reform and abortion,
access to abortion services up to 12 weeks, access to abortion
services 12-24 weeks, barriers to accessing abortions, access
to medication abortion, access to surgical abortion, access for
women with additional needs, professional development needs,
suggestions for services needed and anonymity.
A list of key themes was identified in each of these sections
from the survey results. These themes represent barriers for
women accessing family planning services. The following key
themes have been identified as having a significant impact on
women’s ability to access family planning services.
- Availability: This theme included access to services that were available locally e.g. specialist sexual and reproductive health clinics or specialist medical staff
such as gynaecologists. This theme also included opening
hours and long waiting times to see some service providers e.g. a longer waiting time in a rural area so women chose to attend clinics in Melbourne as they could access the service in a more time appropriate manner.
- Travel: This theme included difficulties with distance and the lack of transport. In some cases this referred to the lack of
public transport and in some cases it referred to difficulties in establishing private transport arrangements.
- Cost: This included the high costs of contraception, as well
as the additional cost impost of travel and/or time taken to
attend appointments that required travel. This theme also
included responses that specifically identified the lack of
access to bulk billing services from health professionals.
- Privacy: This theme included confidentiality and anonymity. Many responses used the words interchangeably, and from
the descriptions attached in the qualitative responses it was
apparent that both confidentiality and anonymity were issues. Confidentiality issues generally referred to a lack of confidentiality, often from health professionals or staff working
in pharmacies or other service providers. Anonymity generally
referred to community members or staff being aware of
requests for family planning services or information e.g.
condoms at local supermarkets.
The following broad recommendations are suggested to
address issues raised from this survey. These recommendations
have been developed by the five rural women’s health services
following review of the data:
1. Advocate for choice in services provided to
support privacy
2. Advocate for contraception services to be available locally, including out of hours access
3. Advocate for clear referral pathways to family
planning services
4. Develop and implement a communication strategy that provides information to service providers and community including:
a. local information about availability, choice and
referral pathways
b. specialist information to service providers about access and referral pathways for family planning services including abortion services
c. community awareness materials (e.g. media releases, brochures, posters, radio)
- Information: This theme included the lack of availability of information and the lack of access to accurate and up to date information for both clients and health professionals. This was particularly relevant in responses to the abortion sections,
where there was a general lack of information about access
to medication and surgical abortions. In some cases
information also referred to a lack of sexual education.
- Professional’s attitudes & skills: This theme broadly
included the skills of health professionals as well as barriers which may include cultural or conscientious objections.
- Community & client attitudes: This theme included clients
feeling embarrassed, the stigma attached to family planning
services and the judgmental attitudes of community
members. It was often linked to issues around anonymity.
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SURVEY METHODOLOGY
INVITATIONS TO PARTICIPATE IN THE SURVEY
Two survey invitation processes were used to participate in the online survey:
1.
Individual survey invitations were sent out via email in late April to participants who were identified by women’s health services in each of the five rural regions. There were a total of 280 individual invitations. Two follow up reminder emails were sent from the online survey service to individual participants who had not completed the survey (at 2 week intervals after the initial invitation).
A final reminder was sent in late May from individual CEOs at each of the women’s health services.
2. An open link survey invitation was sent to a number of organisations and participants were asked to self-register to access the survey. This email was sent to CEOs and Managers and was able to be forwarded to staff who may be interested in participating.
The survey was closed on the 1st of June, 2012. It was open for a period of 5 weeks.
ISSUES WITH THE SURVEY INVITATION PROCESS
The dual process to invite participation in the survey caused confusion as some individuals received an individual email and also
received the generic self-registration email. The online survey software would not allow a participant who received an individual email
to also self-register (i.e. the self-registration was blocked as the email address was already used). Each of these technical issues
was resolved individually. It is estimated that there were approximately 10 occasions where additional support was provided to allow
participants to access the survey.
The first email invitation to selected individual participants was sent from the individual CEOs at each women’s health service
(WHS). The two follow up email reminders were distributed from the online survey software program directly
(under the name of Springtech Services).
As expected, there were several incorrect email addresses and therefore the participant list was shortened.
These email addresses were corrected on an opportunistic basis.
COMMENTS ON THE SURVEY
Some participants indicated that the survey was very long and 38% percent of respondents did not complete the survey. This result
may also be higher than expected as some participants did not finish the survey by clicking on the ‘submit’ button (some respondents
finished by clicking on ‘exit and save’ and not ‘submit’).
SURVEY RESPONSE RATE
A total of 225 respondents participated in the survey, with 139 complete surveys and 86 incomplete surveys. Respondents participated
from all 5 rural regions, with the highest percentage of participants from Loddon Mallee (27%) and the lowest percentage from
Gippsland (12%).
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SUMMARY OF SURVEY
Please Note: The summary of survey results presented below is from the perspective of survey respondents. As described above,
these respondents are primarily from community health, local government, school nursing, family support services and general practice.
Where barriers have been identified, or suggestions made, these represent the perspectives of health professionals. In many cases,
these health professionals are identifying difficulties or making suggestions for women in their communities. Women in communities
have not been surveyed as part of this project.
The data presented in the summaries represents all respondents and is not separated into individual regions. Data for each region is
included in the specific tables and figures in the report and the appendices which have been cross referenced so that the reader can
find specific data if required.
Qualitative data was themed into groups. Each section of the survey includes key themes representing barriers that have a significant
impact on women’s ability to access family planning services. Outlined below is a summary of the key themes which have been
consistent across the different sections of the survey:
- Availability: Includes access to female GPs, limited access to local services, waiting times and opening hours.
- Travel: This theme included difficulties with distance and the lack of transport. In some cases this referred to the lack
of public transport and/or difficulties establishing private transport arrangements.
- Cost: Includes the price of contraception, doctors appointments, pharmacy costs and travelling. This theme also
included responses that specifically identified the lack of access to bulk billing services from health professionals.
- Privacy: This theme included confidentiality and anonymity. Many responses used the words interchangeably, and from
the descriptions attached in the qualitative responses it was apparent that both confidentiality and anonymity were issues.
- Information: This theme included the lack of availability of information and the lack of access to accurate and up to date
information for both clients and health professionals. In some cases information also referred to a lack of sexual education.
- Professional’s attitudes & skills: This theme broadly included the skills of health professionals as well as barriers
which may include cultural or conscientious objections.
- Community & client attitudes: This theme included clients feeling embarrassed, the stigma attached to family planning
services and the judgmental attitudes of community members. It was often linked to issues around anonymity.
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SUMMARY OF SURVEY
ANONYMITY
Key themes: privacy
Privacy includes confidentiality and anonymity. Confidentiality issues generally referred to a lack of confidentiality, often from health professionals
or staff working in pharmacies or other service providers. Anonymity generally referred to community members or staff being aware of requests for
family planning services or information.
DO YOU CONSIDER CLIENT ANONYMITY
TO BE AN ISSUE IN YOUR AREA?
WHAT DO YOU ATTRIBUTE THIS TO?
No
27.9%
Small town syndrome
61.9%
Yes
72.1%
Other
12.4%
Limited options
14.4%
Perception rather
than reality
11.3%
1.
2.
3.
Respondents were specifically asked about whether client anonymity was an issue in the area, and the majority of respondents indicated
‘yes’ (72.1%). This was attributed to ‘small town syndrome’ (61.9%) and limited options (14.4%).
When commenting on the impact of living in a rural area, respondents generally indicated that ‘everyone knows everyone’ (69.2%).
A number of suggestions were made to address this issue, including outreach/visiting services, staff training, provision of discrete services
and educating the community.
“Some locals are embarrassed to go to their doctor, as everyone is known to everyone else.”
“In some towns they are only available at local shops. I had a young person tell me that the shop
keeper refused to serve them and threatened to tell their mum (who was a friend).”
“Sitting in a GP clinic with a room full of people you know can be hard to be anonymous.”
More information: Figure 9 to Figure 12 (pages 30 to 32) in this Report and Table 10 to Table 13 (page 93) in the Appendix.
9
SUMMARY OF SURVEY
ACCESS TO CONDOMS
Key themes: privacy, cost, availability
WHAT DO YOU BELIEVE ARE THE BARRIERS FOR ACCESS TO CONDOMS?
1. When identifying barriers to accessing condoms, most respondents indicated privacy/confidentiality (30.6%),
followed by cost (21.2%) and availability/access (15.5%).
HOW DOES LIVING IN A RURAL AREA SPECIFICALLY IMPACT ON ACCESS TO CONDOMS?
Privacy
47.5%
Travel
18.4%
Cost
3.4%
Availability
24.6%
Information
2.8%
Community &
client attitudes
1.1%
Support
2.2%
2.
3.
4.
When commenting on the impact of living in a rural area, most respondents identified privacy (47.5%) followed by
availability (24.6%) and travel (18.4%).
Most respondents indicated that condoms were available through supermarkets (27.4%), pharmacists (27.2%) or clinics (18.3%).
Suggestions to improve access to condoms included vending machines (38.2%) and increasing availability (30.1%).
“Privacy. Buying condoms in a small town generally means purchasing them from someone you know which
can be embarrassing. Access: supermarket and pharmacy closed after 8pm.”
“I am not sure if condoms are freely accessible in school but it would be the most practical place to have them.
Placed where young people have some kind of privacy to access them. Education of parents is extremely
important, so that they have condoms available in the household irrespective of gender of children and there is
open discussion about healthy relationships.”
More information: Figure 13 to Figure 17 (pages 33 to 35) in this Report and Table 14 to Table 17 (pages 94 to 95) in the Appendix.
10
SUMMARY OF SURVEY
ACCESS TO CONTRACEPTION
Key themes: availability, travel, cost, privacy, information
WHERE CAN WOMEN IN YOUR AREA ACCESS THE FOLLOWING CONTRACEPTION?
Doctors
72%
Doctors
74%
Pharmacy
14%
Pharmacy
6%
Sexual Health Clinic
5%
6%
Community Health
4%
Community Health
6%
Other
Other
5%
8%
Doctors
65%
1.
2.
THE PILL
IUD
Doctors
56%
Gynaecologist
13%
Pharmacy
17%
5%
Women’s Clinic
9%
Community Health
5%
Gynaecologist
6%
Other
Other
12%
12%
IMPLANON
OTHER METHODS
Most respondents indicated that women generally access contraception through doctors and pharmacists. There were different access opportunities depending on the contraception required (e.g. the pill, IUDs, Implanon or other methods).
Suggestions to improve access to contraception primarily included increased availability (44.3%). Other suggestions included free or bulk billed services (17.1%) and more information to be available (17.1%).
“Rural women need to feel confident and have the right to prompt, efficient and
discreet choices and be well informed about these.”
“No after hours clinic for busy people who work. Because the clinic is often running late,
cannot be assured of seeing a GP in a lunch break.”
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SUMMARY OF SURVEY
CONTRACEPTION REFERRALS
Key themes: cost, availability, travel, privacy, information
Contraception Referrals relates to the ability to access health professionals that will provide contraception and includes the type of service women
are referred to and how those referrals are made.
WHAT DO YOU BELIEVE ARE THE BARRIERS FOR ACCESS TO CONTRACEPTION REFERRALS?
This word cloud has been generated using survey responses, giving greater prominence to words most frequently used.
1.
2.
3.
Most respondents (89.3%) were aware of professionals who referred women for contraception.
When asked about the type of service referred to, the majority (49.7%) referred to health professionals e.g. GP, school nurse, nurse
practitioner. Some referred to specialist medical/health clinics (14.3%) followed by referrals to general medical/health clinics (13.1%).
A range of referral processes was used, including written letters (18.8%), phone referrals (16.8%), assistance to make an appointment (12.8%) and client making own appointment (13.4%). The service was generally local (75.7%).
HOW DOES LIVING IN A RURAL AREA SPECIFICALLY IMPACT ON ACCESS TO CONTRACEPTION REFERRALS?
Privacy
23.1%
Travel
23.9%
Cost
13.7%
Availability
33.3%
Information
4.3%
Professionals
attitudes & skills
0.9%
Support
0.9%
4. When commenting on the impact of living in a rural area, the primary issues were availability (33.3%), travel (23.9%) and privacy (23.1%).
5. Suggestions to improve services were primarily focused on improving availability (52.3%), followed by improved information (22.7%).
“Female patients wanting to see female doctors - there are not nearly as many female doctors in our region as male.”
“Better education for young people and access to bulk billing GPs would have a positive impact.”
12
SUMMARY OF SURVEY
ACCESS TO EMERGENCY CONTRACEPTION
Key themes: availability, travel, cost, information
WHERE CAN WOMEN IN YOUR AREA ACCESS EMERGENCY CONTRACEPTION?
Doctor
32.1%
Community
health nurse
9.4%
Family planning clinic
11.5%
Other
10.8%
School nurse
2.8%
Pharmacy
33.4%
1. Most respondents indicated that it was possible to access emergency contraception
(e.g. the morning after pill) through the pharmacy (33.4%) or the doctor (32.1%).
Most respondents indicated that this was a local service (81.3%).
HOW DOES LIVING IN A RURAL AREA SPECIFICALLY IMPACT ON ACCESS TO EMERGENCY CONTRACEPTION?
Privacy
31%
Information
Travel
17%
Other
6%
Cost
9%
Availability
31%
3%
Community &
client attitudes
3%
2. When commenting on the impacts of living in a rural area most indicated
availability (30.7%), privacy (30.7%) and travel (17.3%).
3. Suggestions to address this issue include increasing availability (56.3%).
“One local doctor pays for the emergency contraception out of his own pocket and keeps it in his room
and then dispenses it from there so the student does not have to access it anywhere else and it does
not cost anything. This has worked well on a number of occasions.”
“Moral objection: different pharmacies locally have different policies about age of person who
can access MAP [Morning After Pill].”
“Services such as GPs or the local chemist may not be open on certain days so clients would
have to go into Geelong for emergency contraception.”
13
SUMMARY OF SURVEY
ACCESS TO PREGNANCY OPTIONS COUNSELLING
Key themes: availability, travel, privacy, information
1.
2.
3.
4.
5.
Most respondents indicated that pregnancy options counselling was available through doctors and nurses e.g. GPs, school nurse or nurse practitioner (42.3%), followed by a general medical/health clinic (20.8%).
Most respondents were aware of professionals who referred women for pregnancy options counselling (91.3%).
Most were able to access local services (62.1%); however a significant percentage did not have access to a local service (14.9%).
When asked about knowledge of the pregnancy options counselling service, most respondents indicated that they believed the service
was professional (53.9%). However, a significant percentage indicated that there were issues (19.1%) or that specific training was required
(7.9%). Some respondents indicated that they had very little knowledge or were unsure of the services provided (15.7%).
Barriers to accessing pregnancy options counselling were primarily travel (18.9%), availability (17.5%) and privacy (14.7%).
HOW DOES LIVING IN A RURAL AREA SPECIFICALLY IMPACT ON PREGNANCY OPTIONS COUNSELLING?
Privacy
20.0%
Support
3.8%
Cost
8.6%
Travel
19.0%
Information
7.6%
Availability
35.2%
Community &
client attitudes
3.8%
Professionals
attitudes & skills
1.9%
6. When commenting on the impact of living in a rural area, most indicated that the key
issues that impacted on pregnancy options counselling were availability (35.2%), privacy (20.0%) and travel (19.0%).
7. Suggestions to improve services focused on information (47.6%) and increasing availability (42.9%).
“Find it very difficult - access is an issue, particularly related to travelling and accessing
service in a timely manner.”
“GPs don’t have time - Sexual health service is under staffed - Not enough trained
professionals in options counselling.”
“Lack of support from family/partner is huge, with some women continuing with pregnancies they don’t want
due to significant pressure from family - particularly younger women being pressured by mother/sister.”
14
SUMMARY OF SURVEY
ABORTION AND LAW REFORM
Law reform has resulted in abortions being legal for pregnancies up to 24 weeks, and also beyond 24 weeks with the approval of 2 doctors.
However the actual availability of abortion depends on a range of variables across the regions and across public and private health providers.
DID YOU KNOW ABOUT THIS LAW REFORM?
HAS IT AFFECTED YOUR PRACTICE?
No
23.5%
No
92.3%
Yes
76.5%
Yes
7.7%
1. Most respondents indicated that they were aware of the Law reform
initiatives (76.5%); however, 23.5% were not aware of these initiatives.
2. The majority indicated that Law reform had not affected
their practice (92.3%).
WHAT DO YOU BELIEVE ARE THE BARRIERS FOR ABORTION AT ANY STAGE?
“At the moment it seems that a lot of women are “shipped off” to Melbourne, there is limited amount of local
counselling available and they have to find their own way to appointments etc. This is archaic.” - Barwon-South
Western
More information: Figure 49 to Figure 50 (pages 54 to 55) in this Report and Table 46 to Table 47 (page 107) in the Appendix.
15
SUMMARY OF SURVEY
ABORTION
Key themes: privacy, travel, cost, availability, information
Abortion relates to the ability to access health professionals that will refer women for abortion, the type of service women are referred to, how those
referrals are made and the key issues in accessing abortions.
1.
2.
3.
When asked about whether respondents were aware of health professionals who would not refer women for abortion,
44.9% responded “yes”.
When asked why these referrals were not made, the majority indicated personal belief systems (45.8%) followed by skills/attitudes of
health professionals (38%).
The majority of respondents were aware of health professionals who would refer women for abortions. These referrals were made to
health professionals (23.5%) or to specialist medical/health clinics (21.6%). Respondents indicated that this service was not
available locally (54.8%).
WHAT DO YOU DO SINCE IT’S NOT A LOCAL SERVICE?
Assist with travel
26.3%
Other*
31.6%
Refer out of town
42.1%
* Other includes referring on to Specialists or GPs (n=4), ringing (n=1) and counselling (n=1).
4. When asked about referral pathways if the service was not available locally, the majority referred out of town (42.1%)
or assisted with travel (26.3%).
5. Most respondents indicated that the key issues in accessing abortions were lack of public service providers (61.0%) and a lack of
access to medication abortion (23.7%).
6. When asked about how services could be improved in local areas, the majority of respondents indicated increased availability
(51.7%) followed by improved information (26.7%).
“Access and cost are still enormous barriers.”
“Publically funded abortions - even if the hospitals agreed to do a list every fortnight.”
16
SUMMARY OF SURVEY
ACCESS TO ABORTION SERVICES UP TO 12 WEEKS
Key themes: availability, information
WHAT IS THE CURRENT PRACTICE IN YOUR AREA (FOR ABORTION SERVICES UP TO 12 WEEKS)?
1. When asked about the current practice for referrals, the majority (42.2%) indicated that they had no access or were unsure, followed by referrals to Melbourne (19.3%). It is significant that 3.5% of respondents indicated they had an option to refer locally.
Refer to GP or
Specialist
18%
No access
21%
Refer to public
hospital
11%
Unsure
21%
Refer out of town
5%
Refer to Melbourne
19%
Refer locally
3%
Other
2%
More information: Figure 51 and Figure 52 (pages 56 and 57) in this Report and Table 48 and Table 49 (page 108) in the Appendix
17
SUMMARY OF SURVEY
ACCESS TO ABORTION SERVICES 12-24 WEEKS
Key themes: availability, information
1. The majority of respondents indicated that they were willing to refer women between 12 and 24 weeks for abortion services (93.9%).
WHAT IS THE CURRENT PRACTICE IN YOUR AREA (FOR ABORTION SERVICES BETWEEN 12 AND 24 WEEKS)?
Unsure
16%
Refer to Melbourne
32%
Refer out of town
12%
Refer to GP or
Specialist
18%
Other
12%
No access
6%
Refer to public
hospital
4%
2. When asked about the current practice for referrals, the majority indicated Melbourne (32.0%), with 18.0% indicating GP or specialist. Again, 22.0% of respondents indicated that there was no access or that they were unsure of current practice.
More information: Figure 53 to Figure 55 (58 and 59) in this Report and Table 50 to Table 52 (page 109) in the Appendix.
18
SUMMARY OF SURVEY
ACCESS TO SURGICAL ABORTION
Key themes: cost, availability, information, travel
1. When asked about access to surgical abortions, the majority of respondents indicated that services were available (62.1%), although 22.4% indicated that they didn’t know. When asked if it was a local service, 45.5% indicated “no”.
WHAT IS THE CURRENT PRACTICE IN YOUR AREA FOR SURGICAL ABORTION IF IT’S NOT A LOCAL SERVICE?
Refer to Melbourne
50.0%
Other
3.6%
Refer out of town
46.4%
2.
3.
When asked about referral pathways if the service was not
available locally, most referred to Melbourne (50.0%) or
referred out of town (46.4%).
Barriers to accessing surgical abortion included availability
(22.7%), cost (22.7%) and travel (19.6%).
HOW DOES LIVING IN A RURAL AREA SPECIFICALLY IMPACT ON SURGICAL ABORTIONS?
Privacy
8.8%
Support
3.5%
Cost
19.3%
Travel
35.1%
Information
5.3%
Other
7.0%
Community & client
attitudes
1.8%
Availability
19.3%
4. When commenting on the impact of living in a rural area, most respondents
included travel (31.5%), availability (19.3%) and cost (19.3%).
Travel includes access to transport and distance to services.
“Better support for transport to and from procedure, better education in community.”
“Myths about abortion, talk around town, lack of knowledge of abortion, still seen as
something not to be spoken about. Needs to be more of an open topic!”
More information: Figure 80 to Figure 86 (73 to 75) in this Report and Table 86 to Table 91 (pages 122 to 123) in the Appendix
19
SUMMARY OF SURVEY
ACCESS TO MEDICATION ABORTION
Key themes: cost, availability, information, privacy, travel
Medical Termination of Pregnancy or Medication Abortion is a method of terminating a pregnancy using medication (pills) instead of a surgical
procedure. It causes a process similar to a miscarriage.
ARE WOMEN IN YOUR AREA ABLE TO ACCESS A MEDICATION ABORTION?
No
23.2%
Don’t know
48.2%
Yes
28.6%
1.
2.
When asked about access to medication abortion, the majority of
respondents did not know if services were available (48.2%).
For respondents who were aware of this service, most referred to
Melbourne (50.0%) as the referral pathway.
WHAT DO YOU BELIEVE ARE THE BARRIERS TO ACCESS FOR MEDICATION ABORTION?
3. Barriers to accessing medication abortion included availability/access (24.4%), information/knowledge (22.0%) and cost (17.1%).
4. When commenting on the impact of living in a rural area, most respondents included availability (34.5%), privacy (13.8%),
cost (13.8%), information (13.8%) and travel (13.8%).
“Education of GPs, nurses etc. To be honest I don’t know much about it myself. Only that it is an option, has
been available in France for some time and that it is expensive in Australia.”
20
SUMMARY OF SURVEY
WOMEN WITH ADDITIONAL NEEDS
Key themes: cost, availability, information, travel, community & client attitudes
Women with additional needs is defined as being culturally and linguistically diverse (CALD), Indigenous, young, have a disability, are same sex
attracted, have mental health issues, homeless or a cognitive impairment, etc.
DO YOU WORK WITH WOMEN WITH ADDITIONAL
NEEDS WITH REGARD TO FAMILY PLANNING?
ARE YOU AWARE OF STRATEGIES TO CATER FOR WOMEN WITH
ADDITIONAL NEEDS IN REGARD TO FAMILY PLANNING?
Yes
60.9%
No
27.4%
No
39.1%
Unsure/Don’t know
25.8%
Yes
46.8%
1. When asked about referral pathways, women with additional needs were referred to health professionals (26.9%),
specialists (21.2%) or women’s health services (15.4%).
WHAT DO YOU BELIEVE ARE THE SPECIFIC BARRIERS FOR ACCESS FOR WOMEN WITH ADDITIONAL NEEDS IN
REGARD TO FAMILY PLANNING?
2.Specific barriers for women with additional needs included travel/transport (19.4%), information (17.3%), access/availability of services (15.3%), cost (15.3%) and community and client attitudes (15.3%).
3. When commenting on the impact of living in a rural area, most respondents indicated availability (27.9%), travel (23.5%) and cost (14.7%).
4. When asked specifically about issues in relation to accessing abortion services for women with additional needs, the majority
of respondents indicated increased support (23.1%), additional information (21.2%) and availability (15.4%).
5. Suggestions to improve access to family planning services for women with additional needs included increased availability of services (50%)
and improved information (31.8%).
“There is a lack of community advocates and specialist services.”
“Guardian approval, access to medical advice and family planning information. Level of knowledge and
education of guardian/carer.”
21
SUMMARY OF SURVEY
PROFESSIONAL DEVELOPMENT
Key themes: local/regional workshops, information on services, regular updates
Professional Development relates to the family planning and contraception development needs of respondents, their peers and/or networks.
WHAT ARE THE BARRIERS FOR ACCESS TO PROFESSIONAL DEVELOPMENT?
1. Barriers to accessing professional development included costs (28.1%), travel/transport (19.5%), time (18.1%) and staffing/backfill (18.1%).
HOW DOES LIVING IN A RURAL AREA SPECIFICALLY IMPACT ON ACCESS TO PROFESSIONAL DEVELOPMENT?
Time
19%
Travel
31%
Access to appropriate
opportunities
11%
Cost
19%
Staffing/Backfill
11%
Other
5%
Support
4%
1.
2.
The majority of respondents indicated professional development needs that included workshops (23.6%), regular updates (24.4%) and information on services (22.0%) would be helpful.
The majority (58.2%) indicated that local/regional workshops would be the best way to access this professional development, followed by online learning modules (35.3%).
“Like most things information about contraception changes a lot and has done since I completed
family planning training.”
“TIME!!!! If it’s not local, it’s time to get to, time there and time to return... the days end up being too long
to be beneficial. Best PD is half a day, succinct and well catered for.... Generic simplified and obvious
PD feels like a waste of time.”
22
SUMMARY OF SURVEY
FAMILY PLANNING AND CONTRACEPTION SERVICES
Key themes: availability (specialist clinics, contraception), information
WHAT FAMILY PLANNING AND CONTRACEPTION SERVICES DO YOU THINK WOMEN NEED IN YOUR AREA THAT
DOES NOT CURRENTLY EXIST?
More education/
programs
13%
Women’s Health Clinic
5%
Youth friendly clinics
7%
Free or bulk billed
services
4%
Abortion services
6%
More health
professionals
4%
Counselling
5%
Condom vending
machine
2%
Outreach services
5%
Free transport
2%
1. When asked about family planning and contraception services that women need and which do not currently exist, the majority of
respondents indicated specialist clinics e.g. family planning services, sexual health (26.0%). This was followed by better availability of
contraception (21.5%) and more education/programs (13.1%).
“Working with young people I am frustrated by the lack of information, options for referral and access to sexual
health including contraception, family planning and STI services that the young people feel comfortable with.
Cost is a big factor in young people not getting the emergency contraception or getting contraception in
general. They don’t like going into the local pharmacy for things like emergency contraception or condoms as
its public and they worry about their privacy.”
“Need family planning trained nurses to have prescribing and referral rights.”
“Maybe it would be good if we could easily access a local service that would provide secondary consults to get
the most up to date information.”
“Not having local access to these services means that women miss the opportunity to discuss their sexual
health and this impinges on not only the health of the women but the whole family.”
“Keep this on the agenda please!”
More information: Figure 100 (page 84) in this Report and Table 108 (page 129) in the Appendix.
23
NOTES
24
TECHNICAL NOTES
Several decisions were made during the coding of data collected during the survey process. These have been summarised below:
• In some cases, respondents did not complete the survey and finish by clicking on the “submit” button (some respondents finished by clicking on “exit and save” and not “submit”). This resulted in a high partially complete survey response rate as noted above (n=86). Data from these partially completed surveys has been included in these results.
•
In some cases (n=14), respondents did not indicate a region where they were located, and responses included “other” and “no response”. In many tables in the Appendices, these responses have been included in the total responses and classified in the “across all regions” category. When a region has been specified, it has been included in the specific regional data. Therefore, the regional responses may not add up to the total “across all regions”.
•
Several qualitative questions were included in the survey. The responses to these questions were often single word responses, and were therefore coded and counted for ease of presentation. Therefore, many of the qualitative responses to survey questions have been presented in a quantitative format e.g. tables and pie charts. Other qualitative comments have been included in the text of the report to provide additional context or description. Qualitative questions are indicated in the appendices by ^ and quantitative questions are indicated by ^^.
• Qualitative data was themed into groups. Many of the themes have been consistent across the different sections. Definitions of these themes have been included and described in the Definitions section on page 4 of this report. If another definition was applied to a particular question/
response, it has been specified directly under the relevant table/figure. This has been to improve the readability of the document.
• For qualitative questions respondents could include more than one response. Qualitative data presented in tables therefore includes the number of responses rather than the number of respondents.
• Respondents were able to “opt out” of any section in the survey. There were two options to “opt out”, described below:
- At the start of the survey, respondents were given a choice to opt out of any section. There was an “opt out” option at the start of each section. This was designed to allow a respondent to start a section (or just read the questions) and then “opt out”.
- Data from both options have been included in these results. Please note, if a respondent started the section and then “opted out”, the data provided before the respondent “opted out” has been included in the results.
• A limitation of the survey is represented by the number of specific responses which were texted “as above”. These responses were made when answering some of the qualitative data questions. These responses were not included in the final results and analysis, as the meaning of the response was not clear.
• A limitation of the survey is that some responses appear to have been “led” by the examples included in the questions.
• There were 280 direct email invitations and 139 self-registrations (a total of 419 enrolled). There were 225 surveys started (139 completed and 86 partially completed).
25
RESPONSE DATA: STATEWIDE RURAL & REGIONAL
BACKGROUND INFORMATION
More information on the type of organisations represented in this survey can be found in Table 1 (on page 89). A breakdown of regions can be
found in Table 3 (on page 89) and a breakdown on council areas where services are provided can be found in Table 4 to Table 8 (between pages 90
and 91).
NUMBER OF RESPONSES
Number of complete surveys
139
Number of incomplete surveys
86
TOTAL
225
Figure 1 Number of Responses
WHAT TYPE OF ORGANISATION DO YOU WORK FOR?
Local Health Services
9.5%
Aboriginal Health
2.4%
Maternal & Child
Health
4.8%
CASA
1.9%
School Nursing
6.7%
Community Health
27.6%
Sexual Health
1.0%
Family Support
Service
5.7%
Women’s Health
2.9%
General Practice
4.8%
Other*
16.2%
Local Government
16.7%
Figure 2
What type of
organisation do you
work for?
* Other includes those working with homeless people, those in pharmacies,
people working in schools e.g. school nurses, principals, student
counsellors, nurses, administration officers and managers.
A specific question was included to indicate the number of General
Practitioners; there were 6 positive responses.
26
WHAT IS YOUR JOB TITLE?
There were 123 different occupations listed by participants. The top ten job titles were
Job Title
Number across all regions
Community Health Nurse
16
Secondary School Nurse
7
Women’s Health Nurse
6
Maternal and Child Health nurse
6
CEO
6
Youth Development Officer
4
Registered Nurse
4
Manager
4
Health Promotion Coordinator
4
Adolescent Health Nurse
4
Figure 4 Top 10 job titles listed.
WHICH REGION ARE YOU LOCATED IN?
Hume
18.0%
Figure 5
Which region
are you located in?
Loddon Mallee
27.0%
Barwon-South
Western
25.6%
Gippsland
12.3%
Grampians
17.1%
27
WHICH COUNCIL AREAS DO YOU PROVIDE SERVICES?
Figure 6 State of Victoria
Image layout was sourced from http://www.vec.vic.gov.au/publications/publications-maps.html#2 on the 8/812012
1-5
6-10
11-15
16-20
20+
Number of survey respondents who provide services in each LGA. For example 20+ survey respondents cover Warrnambool LGA
28
OPTING OUT
THIS SURVEY IS MADE UP OF A NUMBER OF SECTIONS. WHICH SECTIONS WOULD YOU
NOT LIKE TO CONTRIBUTE TO?
Where did participants opt out
Percentage of participants across all regions
100%
80%
60%
40%
20%
Percentage of participants who
opted out of sections by region
Barwon
Gippsland
Hume
Loddon Mallee
Women with
additional needs
Medication
abortion
Surgical abortion
Law reform and
abortion
Abortion
Emelllency
contraception
Contraception
referrals
Access to
contraception
Pregnancy options
counselling
Figure 7
Access to condoms
0%
Grampians
100%
80%
60%
40%
20%
More information on participants who opted out of the survey can be found in Table 9 (on page 92).
29
Women with
additional needs
Medication
abortion
Surgical abortion
Law reform and
abortion
Abortion
Emelllency
contraception
Contraception
referrals
Access to
contraception
Pregnancy options
counselling
Figure 8
Access to condoms
0%
ANONYMITY
Key themes: privacy
More information: Table 10 to Table 13 (page 93) in the Appendix.
1. Respondents were specifically asked about whether client anonymity was an issue in the area, and the majority of respondents indicated ‘yes’ (72.1%). This was attributed to ‘small town syndrome’ (61.9%) and limited options (14.4%).
2. When commenting on the impact of living in a rural area, respondents generally indicated that ‘everyone knows everyone’ (69.2%).
3. A number of suggestions were made to address this issue, including outreach/visiting services, staff training, provision of discrete services and educating the community.
These results were confirmed in many other sections in the survey.
DO YOU CONSIDER CLIENT ANONYMITY TO BE AN ISSUE IN YOUR AREA?
No
27.9%
Yes
72.1%
Figure 9
Do you consider
client anonymity to
be an issue in
your area?
30
ANONYMITY
WHAT DO YOU ATTRIBUTE THIS TO?
Small town syndrome
61.9%
Figure 10
What do you
attribute this to?
Other*
12.4%
Limited options
14.4%
Perception rather than
reality
11.3%
* Other includes cultural (n=2), lack of youth friendly services (n=2), young
adults (n=2), confidentiality issues (n=2), family violence (n=1), learning
disabilities (n=1), travel issues (n=1), and judgemental attitudes (n=1).
HOW WOULD YOU ADDRESS THIS ISSUE?
Provide discrete
services
23.5%
Figure 11
How would you
address this issue?
Provide outreach and
visiting services
8.6%
Staff training
16.0%
Other*
18.5%
Educate the public
33.3%
* Other includes explore other options/forge links (n=4), unsure (n=3), nurses
with family planning training (n=2), condom vending machines (n=2), clear
processes (n=1), GPs use interpreters (n=1), free travel (n=1) and youth
specific services (n=1).
31
ANONYMITY
HOW DOES LIVING IN A RURAL AREA SPECIFICALLY IMPACT ON CONFIDENTIALITY?
Perceived lack of
confidentiality
10%
Can prevent or limit
access to services
19.2%
Figure 12
How does living in a
rural area specifically
impact on
confidentiality?
Little consequence
of confidentiality
breaches 2%
Everyone knows
everyone
69.2%
32
ACCESS TO CONDOMS
Key themes: privacy, cost, availability
More information: Table 14 to Table 17 (pages 94 to 95) in the Appendix.
1. Most respondents indicated that condoms were available through supermarkets (27.4%), pharmacists (27.2%) or clinics (18.3%).
2. When identifying barriers to accessing condoms, most respondents indicated privacy (30.6%), followed by cost
(21.2%) and availability (15.5%).
3. When commenting on the impact of living in a rural area, most respondents identified privacy (47.5%) followed by availability (24.6%)
and travel (18.4%).
4. Suggestions to improve access to condoms included vending machines (38.2%) and increasing availability (30.1%).
WHERE CAN WOMEN IN YOUR AREA ACCESS CONDOMS?
Vending machines
12.0%
Clinics
18.3%
Pharmacists
27.2%
Figure 13
Where can women
in your area access
condoms?
Schools
6.1%
Other*
8.9%
Supermarkets
27.4%
* Other includes options such as Community Health Centres (n=22), youth
events, agencies and centres (n=6), and Emergency Departments (n=4).
WHAT DO YOU BELIEVE ARE THE BARRIERS FOR ACCESS TO CONDOMS?
Figure 14 What do you believe are the barriers for access to condoms?
33
ACCESS TO CONDOMS
Theme
Across all regions
Privacy
85
30.6%
Cost
59
21.2%
Availability
43
15.5%
Community & clients attitudes
27
9.7%
Information
26
9.4%
Travel
22
7.9%
Support
16
5.8%
TOTAL
278
Figure 15 What do you believe are the barriers for access to condoms?
“Privacy. Buying condoms in a small town generally means purchasing them from someone you know which
can be embarrassing. Access: supermarket and pharmacy closed after 8pm.”
HOW DOES LIVING IN A RURAL AREA SPECIFICALLY IMPACT ON ACCESS TO CONDOMS?
Privacy
47.5%
Travel
18.4%
Cost
3.4%
Availability
24.6%
Figure 16
How does living
in a rural area
specifically impact
on access to
condoms?
Information
2.8%
Community & client
attitudes
1.1%
Support
2.2%
“In some towns they are only available at local shops. I had a young person tell me that the shop keeper refused
to serve them and threatened to tell their mum (who was a friend).”
34
ACCESS TO CONDOMS
DO YOU HAVE ANY SUGGESTIONS FOR ADDRESSING THE ISSUE OF ACCESS TO CONDOMS OR
ANY GOOD EXAMPLES OF WHERE ACCESS TO CONDOMS IS AVAILABLE TO ALL?
100%
80%
60%
40%
20%
0%
Free condoms (n=17)
Education (n=18)
Increased availability (n=37)
Vending Machines (n=47)
Other* (n=4)
* Other includes asking young people (n=1) and having some type of online service (n=3).
Figure 17 Do you have any suggestions for addressing the issue of access to condoms?
“I am not sure if condoms are freely accessible in school but it would be the most practical place to have them.
Placed where young people have some kind of privacy to access them. Education of parents is extremely
important, so that they have condoms available in the household irrespective of gender of children and
there is open discussion about healthy relationships.”
“Our Community Health service provides free condoms for anyone visiting the building.
We plan to work with the Council to have a vending machine external to the building.” - Hume
35
1.
Most respondents indicated that women generally access contraception through doctors and pharmacists. There were different access opportunities depending on the contraception required (e.g. the pill, IUDs, Implanon or other methods). Women generally access the pill through doctors and pharmacists, IUDs through doctors or specialists, Implanon through doctors and other contraception through
doctors and pharmacists.
2. When identifying barriers to accessing contraception, most respondents indicated cost (25.3%), availability (17.2%) and privacy (15.2%).
3. When commenting on the impact of living in a rural area, most respondents identified availability (37.3%), travel (23.0%) and cost (16.1%).
4. Suggestions to improve access to contraception primarily included increased availability (44.3%). Other suggestions included free or bulk
billed services (17.1%) and more information to be available (17.1%).
WHERE CAN WOMEN IN YOUR AREA ACCESS THE FOLLOWING CONTRACEPTION? ( THE PILL )
Doctors
72.4%
5.3%
Pharmacy
13.5%
Community Health
3.5%
Youth Clinic
0.6%
Family Planning
1.2%
Figure 18
Where can
women in
your area
access
the Pill
Womens Clinic
2.9%
Hospital
0.6%
36
IUDs
Doctors
65.5%
4.8%
Pharmacy
4.1%
Community Health
4.8%
Youth Clinic
1%
Family Planning
0.7%
Womens Clinic
2.8%
Gynaecologist or
Specialist
13.1%
Hospital
2.8%
Indigenous Health
Service
0.7%
Figure 19
Where can women
in your area access
IUDs?
IMPLANON
37
Doctors
74.1%
6.1%
Pharmacy
6.1%
Community Health
6.1%
Youth Clinics
1%
Family Planning
0.7%
Womens Clinic
2.0%
Gynaecologist or
Specialist
2.7%
Hospital
0.7%
Indigenous health
service
0.7%
Figure 20
Where can women
in your area access
Implanon
OTHER METHODS
Doctors
55.9%
Hospital
2.9%
Pharmacy
17.6%
Family Planning
2.9%
Nurses
2.9%
Community Health
2.9%
Figure 21
Where can women
in your area access
other methods of
contraception?
Womens Clinic
8.8%
Gynaecologist or
Specialist
5.9%
WHAT DO YOU BELIEVE ARE
THE BARRIERS FOR ACCESS
TO CONTRACEPTION?
Figure 22 What do you believe are the barriers for access to contraception?
Theme
Across all regions
Cost
75
25.3%
Availability
51
17.2%
Privacy
45
15.2%
Information
44
14.9%
Travel
36
12.2%
Support
20
6.8%
Community & client attitudes
10
3.4%
Professional’s attitudes & skills
9
3.0%
Other*
6
2.0%
TOTAL
296
Figure 23 What do you believe are the barriers for access to contraception? * Other includes clients having no Medicare card (n=5) and age (n=1).
“For youth/teenagers, privacy. Sitting in a GP clinic with a room full of people you know can be hard to be
anonymous. No after hours clinic for busy people who work. Because the clinic is often running late,
cannot be assured of seeing a GP in a lunch break.”
38
HOW DOES LIVING IN A RURAL AREA SPECIFICALLY IMPACT ON ACCESS TO CONTRACEPTION?
Cost
16.1%
Travel
23.0%
Information
3.7%
Availability
37.3%
Community &
client attitudes
5.0%
Privacy
12.4%
Figure 24
How does living
in a rural area
specifically impact
on access to
contraception?
Professionals
attitudes & skills
0.6%
Support
1.9%
“Some locals are embarrassed to go to their
doctor, as everyone is known to everyone else.”
DO YOU HAVE ANY SUGGESTIONS FOR ADDRESSING THE ISSUE OF ACCESS TO CONTRACEPTION
OR ANY GOOD EXAMPLES OF WHERE ACCESS TO CONTRACEPTION IS AVAILABLE TO ALL?
100%
80%
60%
40%
20%
0%
Free or bulk billed services (n=12)
Information (n=12)
Increase availability (n=31)
Other* (n=15)
* Other includes asking youth (n=4), vending machines (n=3), increase funding (n=2), having nurse practitioners in Women’s Health organisations
(n=2), allowing nurses to initiate the Pill (n=2), forging better relationships with doctors (n=1), and up skilling school nurses (n=1).
Figure 25 Do you have any suggestions for addressing the issue of access to contraception?
“Better education for young people and access to bulk billing GPs would have a positive impact.”
“It was good when we had doctor for our family planning clinic as it was bulk billed and scripts could be filled
by hospital pharmacy free of charge. The sexual & reproductive trained Community Health Nurses had
standing orders for free emergency contraception if meet criteria.” – Barwon
39
CONTRACEPTION REFERRAL
Key themes: cost, availability, travel, privacy, information
More information: Table 25 to Table 31 (pages 99 to 101) in the Appendix
1. Most respondents (89.3%) were aware of professionals who referred women for contraception.
2. When asked about the type of service referred to, the majority (49.7%) referred to health professionals e.g. GP, school nurse, nurse
practitioner. Some referred to specialist medical/health clinics (14.3%) followed by referrals to general medical/health clinics (13.1%).
3. A range of referral processes was used, including written letters (18.8%), phone referrals (16.8%), assistance to make an appointment (12.8%) and client making own appointment (13.4%). The service was generally local (75.7%).
4. The major barriers to accessing contraception referrals were cost (24.1%) and availability (21.8%).
5. When commenting on the impact of living in a rural area, the primary issues were availability (33.3%), travel (23.9%) and privacy (23.1%).
6. Suggestions to improve services were primarily focused on improving availability (52.3%), followed by improved information (22.7%).
ARE YOU AWARE OF HEALTH PROFESSIONALS (INCLUDING YOURSELF) WHO REFER WOMEN FOR
CONTRACEPTION?
Number across all regions
Yes
108
89.3%
No
13
10.7%
Total number of responses
121
Figure 26 Are you aware of health professionals (including yourself) who refer women for contraception?
WHAT TYPE OF SERVICE ARE THEY REFERRED TO?
General medical or
health clinics services
13.1%
Women’s Health
services/clinics
10.3%
Hospitals
2.9%
Other*
1.7%
Pharmacy
0.6%
Health professionals
49.7%
Figure 27
What type of
services are they
referred to?
Specialist medical or
health clinics services
14.3%
Specialists
7.4%
* Other includes counselling services (n=1),
youth workers (n=1) and the Internet (n=1)
40
WHAT IS THE PROCESS FOR REFERRAL?
Referred to GP
12.1%
Assisted to make an
appointment
12.8%
Unsure
2.7%
Client makes own
appointment
13.4%
Verbal
6.7%
General information
provided
10.1%
Written
18.8%
Phone
16.8%
Figure 28
What is the process
for referral?
Other*
6.7%
* Other includes providing recommendations (n=4), warm handovers (n=4),
nurse provides referral (n=2) and it’s simply ad hoc (n=1).
IS IT A LOCAL SERVICE?
Theme
Across all regions
Yes
81
75.7%
Yes and No
6
5.6%
Yes, but travel is sometimes required
8
7.5%
Yes, but this is going to change
1
0.9%
No
7
6.5%
Unsure/don’t know
4
3.7%
TOTAL
107
Figure 29 Is it a local service?
“Encourage travel options.”
“Arrange for the young person to be taken to the youth friendly service.”
“I’m unsure where the Family Planning service is in the region but I would refer clients to the GP for
any advice re contraception. Local community nurse may also be another suggestion.”
“There is no choice but to send the client on to a relevant service. They are assisted with accessing an
appointment then ensuring that they have Travel options- a phone call from this service is made if
the matter is of an urgent nature.”
“Encourage the young person to talk to their parents or significant other.”
41
WHAT DO YOU BELIEVE ARE THE BARRIERS FOR ACCESS TO CONTRACEPTION REFERRALS?
Figure 30 What do you believe are the barriers for access to contraception referrals?
Theme
Across all regions
Cost
42
24.1%
Availability
38
21.8%
Information
25
14.4%
Travel
23
13.2%
Privacy
19
10.9%
12
6.9%
Support
10
5.7%
3
1.7%
Other*
2
1.1%
TOTAL
174
* Other includes issues surround the age of the client (n=2).
Figure 31 What do you think are the barriers for access to contraception referrals?
“Female patients wanting to see female doctors - there are not
nearly as many female doctors in our region as male.”
42
HOW DOES LIVING IN A RURAL AREA SPECIFICALLY IMPACT ON ACCESS TO CONTRACEPTION REFERRALS?
Privacy
23.1%
Travel
23.9%
Cost
13.7%
Availability
33.3%
Information
4.3%
Figure 32
How does living
in a rural area
specifically impact
on access to
contraception
referrals?
Professionals
attitudes & skills
0.9%
Support
0.9%
“Recently a GP told me she struggled with the sexual activity and
contraception request of some of her young female clients .”
REFERRALS OR ANY GOOD EXAMPLES OF WHERE ACCESS TO CONTRACEPTION REFERRALS ARE
AVAILABLE TO ALL?
100%
80%
60%
40%
20%
0%
More power to nurse (n=6)
Information (n=10)
Other* (n=5)
* Other includes providing online consultations & prescriptions (n=2), encouraging parental discussions (n=1), having doctors available in schools
(n=1), and adolescent health checks (n=1).
Figure 33 Do you have any suggestions for addressing the issue of access to contraception referrals?
“A ‘One Stop Shop’ sexual and reproductive health service.”
“We a produced a comprehensive list of services available in our region. This is widely distributed to schools,
tertiary institutions, emergency departments etc.” – Loddon Mallee
43
NOTES
44
1. Most respondents indicated that it was possible to access emergency contraception e.g. morning after pill through the pharmacy (33.4%) or the doctor (32.1%). When asked about other locations, the majority identified hospitals (74.2%). Most respondents indicated that this was
a local service (81.3%).
2.The barriers to accessing emergency contraception included cost (19.8%), privacy (18.3%) and information (17.5%).
3. When commenting on the impacts of living in a rural area most indicated availability (30.7%), privacy (30.7%) and travel (17.3%).
4. Suggestions to address this issue include increasing availability (56.3%).
WHICH OF THE FOLLOWING LOCATIONS ARE WOMEN IN YOUR AREA ABLE TO
ACCESS EMERGENCY CONTRACEPTION? (E.G. MORNING AFTER PILL)
Doctor
32.1%
Pharmacy
33.4%
Figure 34
Which of the following
locations are women
in your area able to
access emergency
contraception?
Local family planning
and contraception
clinic 11.5%
School nurse
2.8%
Community
health nurse
9.4%
Other*
10.8%
* Other includes hospitals (n=23), youth clinics (n=2), local Indigenous health
(n=1), youth workers (n=1), sexual health clinic (n=1), Bush Nursing centres
(n=1), unsure (n=1), and not able to (n=1)
Theme
Across all regions
Yes
91
81.3%
Yes and No
4
3.6%
1
0.9%
Yes, but there are issues
4
3.6%
No
2
1.8%
Unsure/don’t know
10
8.9%
TOTAL
112
45
“They have to travel.”
“Ensure travel arrangements; may need financial assistance.”
WHAT DO YOU BELIEVE ARE THE BARRIERS FOR ACCESS TO EMERGENCY CONTRACEPTION?
Figure 36 What do you believe are the barriers for access to emergency contraception?
Theme
Across all regions
Cost
50
19.8%
Privacy
46
18.3%
Information
44
17.5%
Availability
36
14.3%
Travel
26
10.3%
14
5.6%
14
5.6%
Support
12
4.8%
Other*
10
4.0%
TOTAL
252
* Other includes issues surround the age of the client (n=9) and general religious beliefs (n=1).
Figure 37 What do you believe are the barriers for access to emergency contraception?
“Moral objection: different pharmacies locally have different policies
about age of person who can access MAP [Morning After Pill].”
46
HOW DOES LIVING IN A RURAL AREA SPECIFICALLY IMPACT ON ACCESS TO EMERGENCY CONTRACEPTION?
Privacy
30.7%
Other*
2.4%
Cost
9.4%
Availability
30.7%
Information
3.1%
Community &
clients attitudes
3.1%
Support
1.6%
Professionals
attitudes & skills
Figure 38
How does living
in a rural area
specifically
impat on access
to emergency
contraception?
1.6%
Travel
17.3%
* Other includes becoming pregnant or risking pregnancy rather than
access emergency contraception (n=3)
“Services such as GPs or the local chemist may not be open on certain days so clients would
have to go into Geelong for emergency contraception.”
DO YOU HAVE ANY SUGGESTIONS FOR ADDRESSING THE ISSUE OF ACCESS TO EMERGENCY
CONTRACEPTION OR ANY GOOD EXAMPLES OF WHERE ACCESS TO EMERGENCY
CONTRACEPTION IS AVAILABLE TO ALL?
100%
80%
60%
40%
20%
0%
Information (n=11)
Other* (n=10)
* Other includes providing free emergency contraception (n=4), investigate other models (n=1), provide confidential areas in pharmacies (n=1),
remove the age restrictions (n=1), promoting culture change (n=1), having clear referral plans (n=1) and provide funding (n=1).
Figure 39 Do you have any suggestions for addressing the issue of access to emergency contraception?
“Keep educating healthcare providers, Pharmacists and GPs on it and promote the need for higher accessibility.”
“One local doctor pays for the emergency contraception out of his own pocket and keeps it in his room and then
dispenses it from there so the student does not have to access it anywhere else and it does not cost anything.
This has worked well on a number of occasions.” - Gippsland
47
NOTES
48
Key themes: availability, travel, confidentiality, information
1. Most respondents indicated that pregnancy options counselling was available through doctors and nurses e.g. GPs, school nurse or nurse practitioner (42.3%), followed by a general medical/health clinic (20.8%).
2. Most respondents were aware of professionals who referred women for pregnancy options counselling (91.3%).
3. Most were able to access local services (62.1%); however a significant percentage did not have access to a local service (14.9%).
4. When asked about the referral process, most indicated that a phone referral was made (28.8%), followed by the client making their own appointment or self-referral (18.3%).
5. When asked about knowledge of the pregnancy options counselling service, most respondents indicated that they believed the service was professional (53.9%). However, a significant percentage indicated that there were issues (19.1%) or that specific training was required
(7.9%). Some respondents indicated that they had very little knowledge or were unsure of the services provided (15.7%).
6. Barriers to accessing pregnancy options counselling were primarily travel (18.9%), availability (17.5%) and privacy (14.7%).
7. When commenting on the impact of living in a rural area, most indicated that the key issues that impacted on pregnancy options counselling were availability (35.2%), privacy (20.0%) and travel (19.0%).
8. Suggestions to improve services focused on information (47.6%) and increasing availability (42.9%).
WHERE CAN WOMEN IN YOUR AREA ACCESS PREGNANCY OPTIONS COUNSELLING?
General medical
or health clinics
or services 20.8%
Nowhere
0.8%
Pharmacy
0.8%
Other*
11.5%
Specialist medical
or health clinics or
services 6.9%
Counselling and
support services
5.4%
Women’s Health
Services/Clinics
7.7%
Doctors & nurses eg
GP, school nurse,
nurse practitioner
Unsure
42.3%
Figure 40
Where can women
in your area access
pregnancy options
counselling?
3.8%
* Other includes bigger over the phone (n=5), regional centres (n=4), online
(n=2), social/youth worker (n=2), school welfare officer (n=1), and from
Melbourne (n=1).
49
PREGNANCY OPTIONS COUNSELLING?
Across all regions
Yes
84
91.3%
No
8
8.7%
TOTAL
92
Figure 41 Are you aware of health professionals (including yourself) who refer women for pregnancy options counselling?
Across all regions
Yes
54
62.1%
Yes and No
10
11.5%
Yes, but there are some issues
2
2.3%
No
13
14.9%
Unsure/don’t know
8
9.2%
TOTAL
87
“Provide women with a list of resources.”
“Refer to local GP, Bendigo Hospital or Bendigo Community Health Youth Clinic.”
“Refer to medical clinic or refer to Warrnambool.”
“Arrange for young person to travel to this service or take them myself.”
“Recommend to go to a local doctor in town or go into Geelong Hospital. Sometimes provide a
referral to the hospital Social Worker.”
“Telephone counselling.”
“Refer to agency in another small town, or Melbourne.”
“Provide telephone services that are reputable and offer follow up and support.”
“Facilitate travel and appointments if required.”
“Find it very difficult - access is an issue, particularly related to travelling and accessing
service in a timely manner.”
“Usually do the counselling myself.”
50
Phone
28.8%
Other*
3.8%
Referred to GP
13.5%
Assisted to make an
appointment
7.7%
Unsure
5.8%
Client makes own
appointment
18.3%
Verbal
2.9%
General information
provided
5.8%
Figure 43
What is the process
for referrals?
Written
13.5%
* Other includes youth clinics (n=1), drop in (n=1), see nurses (n=1) and
warm referrals (n=1)
WHAT DO YOU KNOW ABOUT THE PREGNANCY OPTIONS COUNSELLING?
Believe it’s
professional etc
53.9%
Specific training required
eg FPV Choices
counselling 7.9%
Figure 44
What do you
know about the
pregnancy options
counselling?
There are issues ◊
19%
Very little knowledge/
not sure
15.7%
Other*
3.4%
* Other includes referring to GP (n=3).
◊ Issues include lack of impartial health professionals and services.
51
WHAT DO YOU BELIEVE ARE THE BARRIERS FOR PREGNANCY OPTIONS COUNSELLING?
Across all regions
Theme
Travel
27
18.9%
Availability
25
17.5%
Privacy
21
14.7%
Information
19
13.3%
Support
14
9.8%
Cost
13
9.1%
11
7.7%
10
7.0%
Other*
3
2.1%
TOTAL
143
* Other includes religious beliefs in general (n=3).
Figure 45 What do you believe are the barriers
for pregnancy options counselling?
Figure 46 What do you believe are the barriers
for pregnancy options counselling?
“GPs don’t have time - Sexual health service is under staffed Not enough trained professionals in options counselling.”
HOW DOES LIVING IN A RURAL AREA SPECIFICALLY IMPACT ON PREGNANCY OPTIONS COUNSELLING?
Cost
8.6%
Travel
19.0%
Information
7.6%
Availability
35.2%
Community & client
attitudes
3.8%
Privacy
20.0%
Figure 47
How does living
in a rural area
specifically impact
on pregnancy
options
counselling?
Professionals
attitudes & skills
1.9%
Support
3.8%
“Strong beliefs of towns people if certain religious/
cultural presence. May seek advice from biased health
professionals who are personally against certain choices.”
52
DO YOU HAVE ANY SUGGESTIONS FOR ADDRESSING THE ISSUE OF PREGNANCY OPTIONS COUNSELLING
OR ANY GOOD EXAMPLES OF WHERE PREGNANCY OPTIONS COUNSELLING IS AVAILABLE TO ALL?
100%
80%
60%
40%
20%
0%
More power to nurse (n=3)
Figure 48 Do you have any suggestions for addressing the issue of pregnancy options counselling?
“Offer of home visiting service with qualified staff.”
“The Royal Women’s hospital provides a non- judgemental phone service.”- Hume
53
Information (n=20)
LAW REFORM AND ABORTION
Law reform has resulted in abortions being legal, for pregnancies up to 24 weeks and also beyond 24 weeks with the approval of 2 doctors. However the actual availability of abortion depends on a range of variables across the regions and across public and private health providers.
1. Most respondents indicated that they were aware of the law reform initiatives (76.5%); however, 23.5% were not aware of these initiatives.
2. The majority indicated that law reform had not affected their practice (92.3%).
DID YOU KNOW ABOUT THIS LAW REFORM?
No
23.5%
Figure 49
Did you know about
this law reform?
Yes
76.5%
54
HAS IT AFFECTED YOUR PRACTICE?
No
92.3%
Figure 50
Has it affected
your practice?
Yes
7.7%
“Access and cost are still enormous barriers.”
55
Key themes: information
More information: Table 48 and Table 49 (page 108) in the Appendix
1. When asked about abortion services that are available, the majority of respondents indicated that they referred to hospital services (24.1%), GPs or specialists (15.5%) or public/private clinics (12.1%). It is significant that 13.8% of respondents were unsure of services that were available and another 10.3% indicated that there were no services available locally.
2. When asked about the current practice for referrals, the majority (42.2%) indicated that they had no access or were unsure. This was followed by referrals to Melbourne (19.3%) or referrals to GPs or specialist (17.5%).
WHAT ABORTION SERVICES ARE AVAILABLE FOR PREGNANCIES UP TO 12 WEEKS?
Referred to hospital
24.1%
Other*
5.2%
Referred to
Melbourne service
6.9%
Medication
6.9%
Surgical
5.2%
Public/Private clinics
12.1%
None locally
10.3%
Referred to GP
or Specialist
15.5%
Figure 51
What abortion
services are
available for
pregnancies up
to 12 weeks?
Unsure
13.8%
* Other includes referring to local services (n=2) and referring to Women’s
Health clinic for information (n=1).
56
WHAT IS THE CURRENT PRACTICE IN YOUR AREA (FOR ABORTION SERVICES UP TO 12 WEEKS)?
Refer to public
hospital
10.5%
Refer out of town
5.3%
No access
21.1%
Refer to GP or
Specialist
17.5%
Unsure
21.1%
Refer to Melbourne
19.3%
Figure 52
What is the current
practice in your
area (for abortion
services up to 12
weeks)?
Other*
1.8%
Refer locally
3.5%
* Other includes providing information and referring for an ultrasound (n=1).
57
Key themes: information
1. The majority of respondents indicated that they were willing to refer women between 12 and 24 weeks for abortion services (93.9%).
2. When asked about the current practice for referrals, the majority indicated Melbourne (32.0%), with 18.0% indicating GP or specialist. Again, 22.0% of respondents indicated that there was no access or that they were unsure of current practice.
3. When asked about referral pathways for abortion services, the majority referred to Melbourne (31.8%), followed by referrals to
health professionals (27.3%).
ARE YOU WILLING TO REFER WOMEN BETWEEN 12 AND 24 WEEKS FOR ABORTION SERVICES?
Yes
93.9%
No
6.1%
Figure 53
Are you willing
to refer women
between 12 and
24 weeks for
abortion
services?
“Not without very good counselling first. This choice can
leave women scarred for a very long time.”
58
WHAT IS THE CURRENT PRACTICE IN YOUR AREA (FOR ABORTION SERVICES BETWEEN 12 AND 24 WEEKS)?
Refer to Melbourne
32.0%
Refer out of town
12.0%
Refer to public
hospital
4.0%
Refer to GP or
Specialist
18.0%
No access
6.0%
Figure 54
What is the current
practice in your
area (for abortion
services between
12 and
24 weeks)?
Unsure
16.0%
Other*
12.0%
* Other includes referring off (n=3), choices counselling (n=2) and given
details or information (n=1).
WHERE DO YOU REFER WOMEN TO FOR ABORTION SERVICES (FOR PREGNANCIES BETWEEN 12 AND 24 WEEKS)?
Refer to Melbourne
31.8%
Unsure
4.5%
Other*
18.2%
Figure 55
Where do you
refer women to for
abortion services
(for pregnancies
between 12 and
24 weeks)?
27.3%
Specialist medical
services 18.2%
* Other includes referring to private and public clinics (n=5), referring to
public and regional hospitals (n=2), and referring to local health clinic (n=1).
59
ABORTION
Key themes: privacy, travel, cost, availability, information
1. When asked about whether respondents were aware of health professionals who would not refer women for abortion, 44.9% responded
“yes”. When asked why these referrals were not made, the majority indicated personal belief systems (45.8%) followed by skills/attitudes of
health professionals (38%).
2. The majority of respondents were aware of health professionals who would refer women for abortions. These referrals were made to health professionals (23.5%) or to specialist medical/health clinics (21.6%). Respondents indicated that this service was not available locally (54.8%).
3. When asked about referral pathways if the service was not available locally, the majority referred out of town (42.1%) or assisted
with travel (26.3%).
4.The referral process included phone referrals (31.1%) and referrals to other health professionals (24.4%).
5. Respondents were asked to rank the barriers to accessing abortions. The majority indicated that the highest ranked barrier was distance to services, followed by privacy. When asked about other barriers, respondents identified availability of services (17.9%) and travel (17.9%).
6. Most respondents indicated that the key issues in accessing abortions were lack of public service providers (61.0%) and access to
medication abortion (23.7%).
7. When asked about how services could be improved in local areas, the majority of respondents indicating increased availability (51.7%)
followed by improved information (26.7%).
8. When commenting on the impact of living in a rural area, most respondents indicated that the key issues were travel (27.5%) and
availability (26.5%), followed by privacy (19.6%).
9. When asked specifically about issues in relation to accessing abortion services for women with additional needs, the majority of respondents indicated increased support (23.1%), additional information (21.2%) and increased availability (15.4%).
10.Suggestions to improve access to abortion services included access to information (50.0%) and increased availability of services (45.5%).
ARE YOU AWARE OF HEALTH PROFESSIONALS (INCLUDING YOURSELF) WHO WILL NOT REFER
WOMEN FOR ABORTION?
No
55.1%
Yes
44.9%
Figure 56
Are you aware of
health professionals
(including yourself)
who will not
refer women for
abortion?
60
ABORTION
WHY DO YOU THINK THE REFERRALS ARE NOT MADE?
Personal beliefs
45.8%
Not a health risk
4.2%
Figure 57
Why do you
think the referrals
are not made?
Professionals
attitudes & skills
37.5%
Information
12%
ARE YOU AWARE OF HEALTH PROFESSIONALS (INCLUDING YOURSELF) WHO REFER WOMEN FOR ABORTIONS?
Yes
90.2%
No
9.8%
61
Figure 58
Are you aware of
health professionals
(including yourself)
who refer women
for abortions?
ABORTION
WHAT TYPES OF SERVICES ARE THEY REFERRED TO?
Private/Public Clinics
15.7%
General medical or
health clinics or
services 3.9%
Refer to Melbourne
7.8%
23.5%
Specialist medical
services 21.6%
Hospital
15.7%
Figure 59
What types of
services are they
referred to?
Unsure
2.0%
Other*
9.8%
* Other includes various options (n=2), non-religious services (n=1),
telephone services (n=1) and printed material (n=1)
Theme
Across all regions
Yes
11
26.2%
Yes and No
3
7.1%
1
2.4%
3
7.1%
No
23
54.8%
Unsure/don’t know
1
2.4%
TOTAL
42
62
ABORTION
Assist with travel
26.3%
Figure 61
What do you do
since it’s not a
local service?
Other*
31.6%
Refer out of town
42.1%
* Other includes referring on to Specialists or GPs (n=4), ringing (n=1) and
counselling (n=1).
Referred to Health
professionals
24.4%
Client makes own
appointment
11.1%
Unsure
11.1%
General information
2.2%
Written eg letter
13.3%
Phone
31.1%
Figure 62
What is the
process for
referral?
Other*
2.2%
Assisted to make an
appointment
4.4%
* Other includes referring to Choices counselling (n=1)
63
ABORTION
WHY DO YOU BELIEVE THIS IS THE CASE?
“This topic never seems to come up and I am sure if a worker would not refer for abortion they would
not disclose this to a group. In fact I cannot recall abortion ever being discussed with other workers as
an issue they deal with.”
“It is a very sensitive topic, client confidentiality.”
WHAT DO YOU THINK ARE THE BARRIERS TO ACCESS TO ABORTION IN YOUR LOCAL AREA?
RANK THE FOLLOWING BARRIERS IN ORDER OF IMPACT
0%
20%
40%
60%
80%
100%
Wait times
Health professionals with a conscientious objection to abortion
Distance to services, particularly in rural areas
Cost
Anonymity, particularly in rural areas
Access to medication abortions
Access to impartial counselling about pregnancy options
Access to accurate information about abortion
no impact
low
medium
significant
high impact
Figure 63 What do you think are the barriers to access to abortion in your local area?
64
ABORTION
LIST ANY OTHER BARRIERS YOU THINK STOP WOMEN ACCESSING ABORTION IN YOUR LOCAL AREA.
Information
10.7%
Other*
3.6%
Community & clients
attitudes
14.3%
Availability
17.9%
Professionals
attitudes & skills
3.6%
Privacy
16.1%
Support
3.6%
Cost
12.5%
Figure 64
List any other
barriers you think
stop women
accessing
abortion in your
local area.
Travel
17.9%
Other includes referring to choices counselling (n=1)
WHAT DO YOU THINK ARE THE KEY ISSUES RELATING TO ABORTION FOR HEALTH PROFESSIONALS AND
SERVICE PROVIDERS IN YOUR LOCAL AREA?
0%
20%
40%
60%
80%
Workforce development for medical professionals
Referral requirements for abortions after 24 weeks
Poor data collection
Lack of public service providers
Health professionals with a conscientious objection to abortion
Anti-choice picketers outside abortion service providers
Access to medication abortions
ranked 1st
2
3
4
5
6
ranked 7th
Figure 65 What do you think are the key issues relating to abortion for health professionals and service providers in your local area?
65
100%
ABORTION
LIST ANY OTHER KEY ISSUES YOU THINK RELATE TO ABORTION FOR HEALTH PROFESSIONALS
AND SERVICE PROVIDERS IN YOUR LOCAL AREA.
Information
26.7%
Privacy
6.7%
Professionals attitudes
& skills
16.7%
Cost
10.0%
Figure 66
List any other key
issues you think
relate to abortion
for health
professionals
and service
providers in
your local
area.
Travel
6.7%
Other*
3.3%
Availability
30.0%
* Other includes teen pregnancies (n=1).
HOW COULD ABORTION SERVICE PROVISION IN YOUR LOCAL AREA BE IMPROVED?
100%
80%
60%
40%
20%
0%
Information (n=16)
Other* (n=7)
* Other includes streamlining referrals (n=4), ensuring confidentiality, privacy and anonymity (n=3).
Figure 67 How could abortion service provision in you area be improved?
66
ABORTION
HOW DOES LIVING IN A RURAL AREA SPECIFICALLY IMPACT ON ACCESS TO ABORTION?
Cost
14.7%
Other*
1.0%
Information
2.9%
Availability
26.5%
Community & client
attitudes
2.9%
Privacy
19.6%
Figure 68
How does living
in a rural area
specifically impact
on access to
abortion?
Support
4.9%
Travel
27.5%
* Other includes availability of childcare (n=1).
“Myths about abortion, talk around town, lack of knowledge of
abortion, still seen as something not to be spoken about.
Needs to be more of an open topic!”
DO YOU HAVE ANY SUGGESTIONS FOR ADDRESSING ISSUES ABOUT ACCESS TO ABORTION OR EXAMPLES
OF GOOD PRACTICE IN THIS AREA?
100%
80%
60%
40%
20%
0%
Information (n=11)
Figure 69 Do you have any suggestions for addressing issues about access to abortion?
“Publically funded abortions - even if the hospitals agreed to do a list every fortnight.”
67
ABORTION
PLEASE LIST ANY SPECIFIC ISSUES THAT WOMEN WITH ADDITIONAL NEEDS FACE IN RELATION
TO ACCESSING ABORTION SERVICES.
Community &
clients attitudes
11.5%
Availability
15.4%
Support
23.1%
Privacy
1.9%
Travel
9.6%
Cost
11.5%
Other*
5.8%
Information
21.2%
Figure 70
Please list any
specific issues
that women with
additional needs
face in relation
to accessing
abortion
services.
* Other includes legal issues (n=3).
Figure 71 What do you
believe are the barriers for
abortion at any stage?
WHAT DO YOU BELIEVE ARE THE BARRIERS FOR ABORTION AT ANY STAGE?
Across all regions
Theme
Cost
29
29.3%
Travel
22
22.2%
Availability
20
20.2%
Information
16
16.2%
Privacy
14
14.1%
8
8.1%
3
3.0%
Support
3
3.0%
Other*
4
4.0%
TOTAL
99
* Other includes access to childcare (n=1) and cut off points (i.e. timing and criteria) (n=3).
Figure 72 What do you believe are the barriers for abortion at any stage?
“Lack of support from family/partner is huge, with some women continuing with pregnancies they don’t want
due to significant pressure from family - particularly younger women being pressured by mother/sister.”
68
NOTES
69
Key themes: cost, availability, information, privacy, travel
Please note: Medication Abortion or Medical Termination of Pregnancy (MTOP) is a method of terminating a pregnancy using medication (pills)
instead of a surgical procedure. It causes a process similar to a miscarriage.
1. When asked about access to medication abortion, the majority of respondents did not know if services were available (48.2%). Other respondents indicated that the service was available (28.6%) and some indicated that it was not available (23.2%).
2. For respondents who were aware of this service, most referred to Melbourne (50.0%) as the referral pathway.
3. Barriers to accessing medication abortion included availability (24.4%), information (22.0%) and cost (17.1%).
4. When commenting on the impact of living in a rural area, most respondents included availability (34.5%), privacy (13.8%), cost (13.8%), information (13.8%) and travel (13.8%).
5. Suggestions included increased availability (47.1%) and access to information (47.1%).
ARE WOMEN IN YOUR AREA ABLE TO ACCESS A MEDICATION ABORTION?
Figure 73
Are women in
your area able
to access a
medication
abortion?
Don’t know
48.2%
Yes
28.6%
No
23.2%
“Not without very good counselling first.
This choice can leave women
scarred for a very long time.”
Across all regions
Theme
Yes
9
22.0%
1
2.4%
No
12
29.3%
Unsure/don’t know
19
46.3%
TOTAL
41
1
70
Figure 75
What do you
do since it’s not a
local service?
Refer to Melbourne
50.0%
Give information
25.0%
Refer on
25.0%
WHAT DO YOU BELIEVE ARE THE BARRIERS TO ACCESS FOR MEDICATION ABORTION?
Across all regions
Theme
Availability
10
24.4%
Information
9
22.0%
Cost
7
17.1%
Travel
4
9.8%
Privacy
3
7.3%
1
2.4%
1
2.4%
Other*
6
14.6%
TOTAL
41
* Other includes the unpredictability of the drug and the need
for follow up care (n=5) and not being legal (n=1).
Figure 76 What do you believe are
the barriers to access for medication
abortion?
Figure 77 What do you believe are the barriers to access for
medication abortion?
“Very limited access in Australia -has become a political issue would have to travel to where
it is available e.g. New Zealand.”
71
HOW DOES LIVING IN A RURAL AREA SPECIFICALLY IMPACT ON ACCESS TO MEDICATION ABORTION?
Cost
13.8%
Availability
34.5%
Information
13.8%
Privacy
13.8%
Community &
client attitudes
3.4%
Figure 78
How does living
in a rural area
specifically
impact on access
to medication
abortion?
Travel
13.8%
Other*
6.9%
* Other includes being unsure (n=1) and child minding (n=1).
“No knowledge of it! Not many have heard of it.”
DO YOU HAVE ANY SUGGESTIONS FOR ADDRESSING ISSUES ABOUT ACCESS TO MEDICATION ABORTION
OR EXAMPLES OF GOOD PRACTICE IN THIS AREA?
100%
80%
60%
40%
20%
0%
Information (n=8)
Figure 79 Do you have any suggestions for addressing issues about access to medication abortion?
“Education of GPs, nurses etc. To be honest I don’t know much about it myself. Only that it is an option, has
been available in France for some time and that it is expensive in Australia.”
72
Key themes: cost, availability, information, travel
Please note: Surgical Abortions or Surgical Termination of Pregnancy (STOP) generally involves a suction curette or dilation and evacuation (D&E)
under anaesthetic in a Day Surgery Unit.
1. When asked about access to surgical abortions, the majority of respondents indicated that services were available (62.1%), although 22.4% indicated that they didn’t know. When asked if it was a local service, 45.5% indicated “no”.
2. For respondents who were aware of this service, most referred to Melbourne (50.0%) or referred out of town (46.4%) as the referral pathway.
3. Barriers to accessing surgical abortion included availability (22.7%), cost (22.7%) and travel (19.6%).
4. When commenting on the impact of living in a rural area, most respondents included travel (31.5%), availability (19.3%) and cost (19.3%).
5. Suggestions included increased availability (38.9%) and access to information (33.3%).
ARE WOMEN IN YOUR AREA ABLE TO ACCESS A SURGICAL ABORTION?
Figure 80
Are women in your
area able to access
a surgical abortion?
Yes
62.1%
No
15.5%
Don’t know
22.4%
Across all regions
Theme
Yes
13
23.6%
Yes and No
2
3.6%
2
3.6%
No
25
45.5%
Unsure/don’t know
13
23.6%
TOTAL
55
73
Refer to Melbourne
50.0%
Figure 82
What do you do
since it’s not a
local service?
Other
3.6%
Refer out of town
46.4%
Figure 83 What do you
believe are the barriers
for access to surgical
abortion?
WHAT DO YOU BELIEVE ARE THE BARRIERS FOR ACCESS TO SURGICAL ABORTION?
Across all regions
Theme
Availability
22
22.7%
Cost
22
22.7%
Travel
19
19.6%
Privacy
11
11.3%
Information
7
7.2%
Support
6
6.2%
3
3.1%
2
2.1%
Other*
5
5.2%
TOTAL
97
* Other includes counselling (n=2), childcare (n=2) and number of terminations of pregnancies (n=1)
Figure 84 What do you believe are the barriers for access to surgical abortion?
74
HOW DOES LIVING IN A RURAL AREA SPECIFICALLY IMPACT ON SURGICAL ABORTIONS?
Information
5.3%
Availability
19.3%
Community & client
attitudes
1.8%
Privacy
8.8%
Support
3.5%
Cost
19.3%
Figure 85
How does living
in a rural area
specifically impact
on surgical
abortions?
Travel
35.1%
Other*
7.0%
* Other includes getting time off (n=3) and referral process is hard (n=1)
“Local service provision doesn’t always allow for demand,
and I believe excludes a second TOP [Termination of Pregnancy]
by same provider.”
“There are just not the people or spaces on theatre lists to accommodate.”
DO YOU HAVE ANY SUGGESTIONS FOR ADDRESSING ISSUES ABOUT ACCESS TO SURGICAL ABORTIONS
OR EXAMPLES OF GOOD PRACTICE IN THIS AREA?
100%
80%
60%
40%
20%
0%
Information (n=6)
Other* (n=4)
* Other includes confidentiality (n=2), transport support (n=1) and increase funding (n=1)
Figure 86 Do you have any suggestions for addressing issues about access to surgical abortions?
“Better support for transport to and from procedure, better education in community.”
75
Key themes: cost, availability, information, confidentiality, travel, community & client attitudes
1. The majority of respondents indicated that they worked with women with additional needs (60.9%). The majority (46.8%) indicated that they were aware of strategies to cater for women with additional needs in regard to family planning, although 27.4% indicated that they were not aware and 25.8% reported that they “did not know”.
2.Specific barriers for women with additional needs included travel (19.4%), information (17.3%), availability of services (15.3%), cost (15.3%) and community and client attitudes (15.3%).
3. When asked about referral pathways, women with additional needs were referred to health professionals (26.9%), specialists (21.2%) or women’s health services (15.4%).
4. When commenting on the impact of living in a rural area, most respondents indicated availability (27.9%), travel (23.5%) and cost (14.7%).
5. Suggestions to improve access to family planning services for women with additional needs included increased availability of services (50%) and improved information (31.8%).
DO YOU WORK WITH WOMEN WITH ADDITIONAL NEEDS WITH REGARD TO FAMILY PLANNING?
No
39.1%
Yes
60.9%
Figure 87
Do you work
with women with
additional needs
with regard to
family planning?
76
ARE YOU AWARE OF STRATEGIES TO CATER FOR WOMEN WITH ADDITIONAL
NEEDS IN REGARD TO FAMILY PLANNING?
No
27.4%
Figure 88
Are you aware of
strategies to cater
for women with
additional needs
in regard to
family
planning?
Unsure/Don’t know
25.8%
Yes
46.8%
WHAT DO YOU BELIEVE ARE THE SPECIFIC BARRIERS FOR ACCESS FOR WOMEN WITH ADDITIONAL
NEEDS IN REGARD TO FAMILY PLANNING?
Figure 89 What do you believe are the specific
barriers for access for women with additional
needs in regard to family planning?
Across all regions
Theme
Travel
19
19.4%
Information
17
17.3%
Availability
15
15.3%
Cost
15
15.3%
15
15.3%
Support
7
7.1%
Privacy
4
4.1%
4
4.1%
Other*
2
2.0%
TOTAL
98
* Other includes counselling (n=1) and unsure (n=1)
Figure 90 What do you believe are the specific barriers for access for women with additional needs in regard to family planning?
77
WHAT TYPE OF SERVICE DO YOU REFER WOMEN WITH ADDITIONAL NEEDS
TO WITH REGARD TO FAMILY PLANNING SERVICES?
Specialists eg
Gynaecologists
21.2%
Hospitals
10%
Women’s Health
Services/Clinics
15.4%
Specialist medical
services 5.8%
Other*
15.4%
27%
Figure 91
What type of
service do you
refer women with
additional
needs to with
regard to
family
planning
services?
General medical or
health clinics or
services 5.8%
* Other includes handling the client in-house (n=5), referring to a counsellor
(n=2) and education (n=1).
“Guardian approval, access to medical advice and family planning
information. Level of knowledge and education of guardian/carer.”
DO YOU HAVE ANY SUGGESTIONS FOR ADDRESSING THE ISSUE OF FAMILY PLANNING FOR WOMEN
WITH ADDITIONAL NEEDS OR ANY GOOD EXAMPLES OF WHERE FAMILY PLANNING FOR WOMEN WITH
ADDITIONAL NEEDS IS AVAILABLE TO ALL?
Information
5.9%
Unsure
1.5%
Community &
client attitudes
1.5%
Availability
27.9%
Professionals
attitudes & skills
2.9%
Privacy
8.8%
Support
13.2%
Cost
14.7%
Figure 92
How does living
in a rural area
specifically impact
on access for
women with
additional
needs
Travel
23.5%
“There is a lack of community advocates and specialist services.”
78
DO YOU HAVE ANY SUGGESTIONS FOR ADDRESSING THE ISSUE OF FAMILY PLANNING FOR WOMEN WITH
ADDITIONAL NEEDS OR ANY GOOD EXAMPLES OF WHERE FAMILY PLANNING FOR WOMEN WITH
ADDITIONAL NEEDS IS AVAILABLE TO ALL?
100%
80%
60%
40%
20%
0%
Information (n=7)
Other* (9=4)
* Other includes providing additional funding (n=1), providing support and counselling (n=1), surveying GPs (n=1) and unsure (n=1).
Figure 93 Do you have any suggestions for addressing the issues of family planning for women with additional needs?
“Carer/parent puberty information nights, where a number of range of topics from hygiene, self care, sexuality,
law and contraception etc can be discussed.”
“Good example: education sessions over the years with Women’s Health for women with
CALD and other needs.” - Grampians
79
Key themes: local/regional workshops, information on services, regular updates
1. The majority of respondents indicated professional development needs that included workshops (23.6%), regular updates (24.4%) and information on services (22.0%) would be helpful.
2. The majority (58.2%) indicated that local/regional workshops would be the best way to access this professional development, followed by online learning modules (35.3%).
3. Barriers to accessing professional development included costs (28.1%), travel (19.5%), time (18.1%) and staffing/backfill (18.1%).
IN YOUR ROLE, WHAT PROFESSIONAL DEVELOPMENT RELATED TO FAMILY PLANNING AND
CONTRACEPTION DO YOU, YOUR PEERS OR NETWORKS NEED?
Information on
services
22.0%
Dealing with
adolescence
4.9%
Information on
contraception options
11.4%
Other*
2.4%
Training
4.9%
Workshops
23.6%
Increase services
1.6%
Regular updates
24.4%
Figure 94
In your role,
what professional
development
related to family
planning and
contraception
do you, your
peers or
networks
need?
Support
4.9%
* Other includes being unsure (n=2) and more research (n=1)
80
WHAT IS THE BEST WAY FOR YOU TO ACCESS FURTHER PROFESSIONAL DEVELOPMENT ABOUT THIS TOPIC?
0%
20%
40%
Skype session
Secondary consultation
Online learning module
Melbourne workshops
Local/regional workshops
1-most important
2
3
4
5-least important
Figure 95 What is the best way for you to access further professional development about this topic?
PLEASE LIST ANY OTHER WAYS YOU’D PREFER TO ACCESS PROFESSIONAL
DEVELOPMENT ABOUT THIS TOPIC.
Newsletters/
brochures
18%
Further education/
study days
12%
Networking
8.8%
Online
20.6%
Figure 96
Please list any
other ways you’d
prefer to access
professional
development
about this topic.
Other*
20.6%
Workshops/
conferences
20%
* Other includes MSHC (n=1), more relevant information (n=1), clinical
supervision reviews (n=1), CHECK (n=1), low cost (n=1), supported by the
workplace (n=1) and journal articles (n=1).
81
60%
80%
100%
WHAT ARE THE BARRIERS FOR ACCESS TO PROFESSIONAL DEVELOPMENT?
Figure 97 What are the
barriers for access to
professional development?
Theme
Across all regions
Cost
62
28.1%
Travel
43
19.5%
Time
40
18.1%
Staffing/Backfill
40
18.1%
Support
19
8.6%
Access to appropriate opportunities
5
2.3%
Other*
12
5.4%
TOTAL
221
* Other includes not local (n=5), accommodation (n=2), employing educated staff (n=1), weather (n=1), other jobs (n=1), timely information (n=1) and
knowing what professional development is out there (n=1).
Figure 98 What are the barriers for access to professional development?
“TIME!!!! If it’s not local, it’s time to get to, time there and time to return... the days end up being too long to be
beneficial. Best PD is half a day, succinct and well catered for.... Generic simplified and obvious PD feels like
a waste of time.”
82
HOW DOES LIVING IN A RURAL AREA SPECIFICALLY IMPACT ON ACCESS TO PROFESSIONAL DEVELOPMENT?
Staffing/Backfill
10.6%
Access to appropriate
opportunities
11.1%
Support
3.7%
Time
19.0%
Travel
31.2%
Figure 99
How does living
in a rural area
specifically impact
on access to
professional
development?
Other*
4.8%
Cost
19.6%
* Other includes impacts on family life (n=4), less face-to-face opportunities
(n=2), childcare (n=1), weather (n=1), and clinicians working
independently (n=1)
83
FAMILY PLANNING AND CONTRACEPTION SERVICES
Key themes: availability (specialist clinics, contraception), information
More information: Table 108 (page 129) in the Appendix
1. When asked about family planning and contraception services that women need and which do not currently exist, the majority of respondents indicated specialist clinics e.g. family planning services, sexual health (26.0%). This was followed by better availability of
contraception (21.5%) and more education/programs (13.1%).
WHAT FAMILY PLANNING AND CONTRACEPTION SERVICES DO YOU THINK WOMEN NEED IN YOUR AREA
THAT DOES NOT CURRENTLY EXIST?
Specialist clinics
26%
Free or bulk billed
services 4%
Outreach services
4.7%
Abortion services
6.5%
Women’s Health Clinic
4.7%
Counselling
4.7%
More health
professionals
3.7%
Condom vending
1.9%
Better access to
contraception
21.5%
More education/
programs
13.1%
Free transport
1.9%
Youth friendly clinics
7.5%
Figure 100
What family
planning and
contraception
services do you
think women
need in your
area that
does not
currently
exist?
* Other includes being unsure (n=2) and more research (n=1)
84
OTHER COMMENTS AND FURTHER INFORMATION
PLEASE FEEL FREE TO ADD OTHER COMMENTS ABOUT RURAL WOMEN’S ACCESS TO FAMILY PLANNING
AND CONTRACEPTION SERVICES
“Like most things information about contraception changes a lot and has done since I completed family
planning training. Maybe it would be good if we could easily access a local service that would provide
secondary consults to get the most up to date information. A proactive GP or gynaecologist would be useful as
they tend to maintain the up to date knowledge and research. How we access them for secondary consultation
I am not sure. Aim to get at least one GP clinic beside the youth clinic to become a true Youth Friendly Clinic.”
“Working with young people I am frustrated by the lack of information, options for referral and access to sexual
health including contraception, family planning and STI services that the young people feel comfortable with.
Cost is a big factor in young people not getting the emergency contraception or getting contraception in
general. They don’t like going into the local pharmacy for things like emergency contraception or
condoms as its public and they worry about their privacy.”
“A very important service, often over looked.”
“Rural women need to feel confident and have the right to prompt, efficient and discreet choices and be well
informed about these.”
“Well Women’s Clinics are absolutely fantastic and have made access in rural areas and for vulnerable
communities that little bit easier. Education however needs to happen early for both girls and boys to
increase knowledge, awareness and acceptance of sexual health.”
“I am also a School Nurse in two rural secondary schools. Being able to access youth friendly services is
important and also being able to access health services at school would be good. For example being able to
access condoms freely from the nurse, being able to use schools as the postal address for Test Me Chlamydia Screening (not contraception, but important).”
“Clients feel uncomfortable accessing services when provided by community members.”
“Limited access in our area - especially when the given statistics for sexual health matters are one of
the highest for the La Trobe Valley.”
“If you made it available for all Drs surgeries to have access to free emergency contraception for
young people it might be better for all.”
“Client anonymity is important but not a concern.”
“More awareness is needed on what is available and where to access it.”
“Need family planning trained nurses to have prescribing and referral rights.”
“Not having local access to these services means that women miss the opportunity to discuss their sexual
health and this impinges on not only the health of the women but the whole family.”
“The TEST-ME program has been well received in rural schools.”
85
“Self-imposed barriers by members of our community because of tradition, lack of education and transport to
explore education and lack of taking responsibility for their own health needs impacts on family planning and
contraception and services available in our community.”
“Keep this on the agenda please!”
“Sometimes my experience with young people can be though they have the knowledge and access, they still do
not make the right choice as they are experiencing non-respectful relationships and have poor self-esteem or
self-respect. They may have poor role models and high risk taking behaviour through childhood trauma.
Access will not address this and this is where increased mental health services and support also plays a part,
as well as supported behavioural approaches in education.”
PLEASE FILL FREE TO ADD OTHER COMMENTS ABOUT WOMEN’S ACCESS TO ABORTION SERVICES IN
YOUR AREA.
“There is no access to abortion services locally. The only option is to travel to Melbourne.”
-Grampians
“At the moment it seems that a lot of women are “shipped off” to Melbourne, there is limited amount of local
counselling available and they have to find their own way to appointments etc. This is archaic.” - Barwon-South
Western
“I feel my work as a Women’s Health nurse is restricted by not having a GP to work with. I would love to be able
to work in a model like Family Planning Victoria clinics, even for just a few hours a week or one day.” - Gippsland
“I personally don’t know much information on this topic or where the nearest service would be.” - Hume
“I would prefer (in relation to the questions below) to be provided with information in regard to access to
abortions and abortion counselling services that are NOT run by religious groups.”
- Loddon Mallee
“I in no way wish to give a negative view of the local surgical termination provision. The specialist is a wonderful
health professional who has limitations within our health service. Similarly with GPs. I do my best to have a
positive work relationship with health professionals and would only ever want to provide constructive input.
I hope that the information collected is used with this in mind. ”- Grampians
86
WOULD YOU LIKE TO BE CONTACTED TO DISCUSS RURAL WOMEN’S ACCESS TO FAMILY PLANNING AND
CONTRACEPTION SERVICES?
No
55.7%
Yes
44.3%
Figure 101
Would you like
to be contacted
to discuss rural
women’s access
to family
planning and
contraception
services?
More information: Table 109 to Table 111 (page 130) in the Appendix
87
NOTES
88
APPENDIX BACKGROUND INFORMATION
Qualitative questions are indicated in the appendices by ^ and quantitative questions are indicated by ^^.
WHAT TYPE OF ORGANISATION DO YOU WORK FOR? ^
Table 1
Across all
regions
Barwon
Gippsland
Grampians
Hume
Aboriginal Health
5
0
1
1
0
2%
0%
4%
3%
Loddon
Mallee
0%
3
6%
CASA
4
2%
1
2%
0
0%
2
6%
0
0%
1
2%
Community Health
58
28%
15
29%
9
35%
8
22%
14
38%
11
20%
Family Support Service
12
6%
0
0%
0
0%
3
8%
1
3%
8
15%
General Practice
10
5%
1
2%
6
23%
0
0%
1
3%
2
4%
Local Government
35
17%
22
42%
1
4%
2
6%
6
16%
3
6%
Local Health Services
20
10%
4
8%
4
15%
4
11%
3
8%
5
9%
Maternal & Child Health
10
5%
3
6%
1
4%
5
14%
0
0%
1
2%
School Nursing
14
7%
2
4%
2
8%
2
6%
5
14%
3
6%
Sexual Health
2
1%
0
0%
0
0%
0
0%
2
5%
0
0%
Women’s Health
6
3%
1
2%
0
0%
1
3%
0
0%
3
6%
Other*
34
16%
3
6%
2
8%
8
22%
5
14%
14
26%
TOTAL
210
52
26
36
37
54
Loddon
Mallee
ARE YOU A GENERAL PRACTITIONER? ^^
Table 2
Across all
regions
Barwon
Gippsland
Grampians
Hume
Yes
6
3%
1
2%
4
16%
0
0%
0
0%
1
2%
No
198
97%
53
98%
21
84%
33
100%
35
100%
50
98%
TOTAL
204
54
25
33
35
WHICH REGION ARE YOU LOCATED IN? ^^
Table 3
Number of participants
Barwon-South Western
54
26%
Gippsland
26
12%
Grampians
36
17%
Hume
38
18%
Loddon Mallee
57
27%
TOTAL
211
89
51
WHICH COUNCIL AREAS DO YOU PROVIDE SERVICES TO? ^^
Table 4
Which council areas do you provide services to in Barwon-South Western
LGA
Number
Percentage
Borough of Queenscliff
2
2.7%
City of Greater Geelong
3
4.0%
City of Warrnambool
24
32.0%
Colac-Otway Shire
9
12.0%
Corangamite Shire
10
13.3%
Glenelg Shire
10
13.3%
Moyne Shire
11
14.7%
Southern Grampians Shire
4
5.3%
Surf Coast Shire
2
2.7%
TOTAL
75
Table 5
Which council areas do you provide services to in Gippsland
LGA
Number
Percentage
All council areas in Gippsland
1
3.1%
Bass Coast Shire Council
2
6.3%
Baw Baw Shire Council
3
9.4%
East Gippsland Shire Council
12
37.5%
Latrobe City Council
2
6.3%
South Gippsland Shire Council
6
18.8%
Wellington Shire Council
6
18.8%
TOTAL
32
Table 6
Which council areas do you provide services to in Grampians
LGA
Number
Percentage
Borough of Queenscliff
2
2.7%
City of Greater GeelongLGA
Number
Percentage
All council areas in Grampians
4
5.7%
Ararat Rural City Council
5
7.1%
City of Ballarat
13
18.6%
Hepburn Shire Council
6
8.6%
Hindmarsh Shire Council
5
7.1%
Horsham Rural City Council
4
5.7%
Golden Plains Shire Council
6
8.6%
Moorabool Shire Council
4
5.7%
Northern Grampians Shire Council
6
8.6%
Pyrenees Shire Council
4
5.7%
Yarriambiack Shire Council
8
11.4%
West Wimmera Shire Council
5
7.1%
TOTAL
70
90
Table 7
Which council areas do you provide services to in Hume
LGA
Number
Percentage
All council areas in Hume
4
5.1%
Alpine Shire Council
5
6.4%
Benalla Rural City Council
6
7.7%
City of Wodonga
5
6.4%
Greater City of Shepparton
5
6.4%
Indigo Shire Council
9
11.5%
Mansfield Shire Council
7
9.0%
Mitchell Shire Council
3
3.8%
Moira Shire Council
8
10.3%
Murrindindi Shire Council
6
7.7%
Strathbogie Shire Council
3
3.8%
Towong Shire Council
4
5.1%
Wangaratta Rural City
Council
13
16.7%
TOTAL
78
Table 8
Which council areas do you provide services to in Loddon Mallee
LGA
Number
Percentage
All council areas in Hume
4
5.1%
Alpine Shire Council
5
6.4%
Benalla Rural City Council
6
7.7%
City of Wodonga
5
6.4%
Greater City of Shepparton
5
6.4%
Indigo Shire Council
9
11.5%
Mansfield Shire Council
7
9.0%
Mitchell Shire Council
3
3.8%
Moira Shire Council
8
10.3%
Murrindindi Shire Council
6
7.7%
Strathbogie Shire Council
3
3.8%
Towong Shire Council
4
5.1%
Wangaratta Rural City
Council
13
16.7%
TOTAL
78
91
OPTING OUT
THIS SURVEY IS MADE UP OF A NUMBER OF SECTIONS. PLEASE CHOOSE WHICH SECTIONS YOU WISH
NOT TO CONTRIBUTE TO ^^
Table 9
Across all
regions
Barwon
Gippsland
Grampians
Hume
Access to condoms
44
20%
12
22%
5
19%
7
19%
4
11%
16
28%
46
20%
11
20%
4
15%
8
22%
5
13%
18
32%
Contraception referrals
43
19%
11
20%
2
8%
6
17%
9
24%
15
26%
Emergency contraception
52
23%
11
20%
6
23%
8
22%
7
18%
20
35%
Pregnancy options
counselling
66
29%
16
30%
8
31%
9
25%
14
37%
18
32%
Abortion
79
35%
16
30%
13
50%
11
31%
12
32%
25
44%
95
42%
21
39%
14
54%
13
36%
16
42%
29
51%
Surgical abortion
97
43%
23
43%
11
42%
14
39%
18
47%
29
51%
Loddon
Mallee
Medication abortion
101
45%
26
48%
13
50%
13
36%
16
42%
30
53%
Women with
additional needs
76
34%
15
28%
9
35%
14
39%
15
39%
21
37%
92
ANONYMITY
DO YOU CONSIDER CLIENT ANONYMITY TO BE AN ISSUE IN YOUR AREA? ^^
Table 10
Across all
regions
Barwon
Gippsland
Grampians
Hume
Loddon
Mallee
Yes
88
72.1%
24
82.8%
11
68.8%
13
61.9%
15
83.3%
23
65.7%
No
34
27.9%
5
17.2%
5
31.3%
8
38.1%
3
16.7%
12
34.3%
TOTAL
122
29
16
21
18
35
Barwon
Gippsland
Grampians
Hume
Loddon
Mallee
WHAT DO YOU ATTRIBUTE THIS TO? ^
Table 11
Across all
regions
Limited options
14
14.4%
5
17.9%
2
12.5%
4
33.3%
1
6.3%
2
9.1%
Perception rather than reality
11
11.3%
1
3.6%
3
18.8%
0
0.0%
1
6.3%
5
22.7%
Small town syndrome
60
61.9%
19
67.9%
8
50.0%
8
66.7%
12
75.0%
12
54.5%
Other
12
12.4%
3
10.7%
3
18.8%
0
0.0%
2
12.5%
3
13.6%
TOTAL
97
28
16
12
16
22
Loddon
Mallee
HOW WOULD YOU ADDRESS THIS ISSUE? ^
Table 12
Across all
regions
Barwon
Gippsland
Grampians
Hume
Educate the public
27
33.3%
9
37.5%
7
58.3%
2
16.7%
2
18.2%
7
35.0%
Provide discrete services
19
23.5%
4
16.7%
2
16.7%
4
33.3%
3
27.3%
6
30.0%
Provide outreach and visiting
services
7
8.6%
0
0.0%
0
0.0%
3
25.0%
1
9.1%
3
15.0%
Staff training
13
16.0%
3
12.5%
3
25.0%
1
8.3%
3
27.3%
2
10.0%
Other
15
18.5%
8
33.3%
0
0.0%
2
16.7%
2
18.2%
2
10.0%
TOTAL
81
1
24
1
12
1
12
1
11
1
20
1
HOW DOES LIVING IN A RURAL AREA SPECIFICALLY IMPACT ON CONFIDENTIALITY? ^
Table 13
Across all
regions
Barwon
Gippsland
Grampians
Hume
Everyone knows everyone
36
69.2%
12
63.2%
6
75.0%
5
83.3%
6
75.0%
6
60.0%
Perceived lack of
confidentiality
5
9.6%
3
15.8%
0
0.0%
0
0.0%
0
0.0%
2
20.0%
Can prevent or limit access
to services
10
19.2%
3
15.8%
2
25.0%
1
16.7%
2
25.0%
2
20.0%
Little consequence breaches
of confidentiality
1
1.9%
1
5.3%
0
0.0%
0
0.0%
0
0.0%
0
0.0%
TOTAL
52
19
93
8
6
8
Loddon
Mallee
10
ACCESS TO CONDOMS
WHERE CAN WOMEN IN YOUR AREA ACCESS CONDOMS? ^^
Table 14
Across all
regions
Barwon
Gippsland
Grampians
Hume
Loddon
Mallee
Supermarkets
148
27.4%
38
28.4%
17
27.9%
27
27.8%
29
27.9%
34
25.6%
Pharmacists
147
27.2%
38
28.4%
16
26.2%
27
27.8%
30
28.8%
33
24.8%
Vending machines
65
12.0%
11
8.2%
6
9.8%
15
15.5%
13
12.5%
17
12.8%
Clinics
99
18.3%
22
16.4%
10
16.4%
19
19.6%
18
17.3%
28
21.1%
Schools
33
6.1%
11
8.2%
4
6.6%
3
3.1%
6
5.8%
9
6.8%
Other
48
8.9%
14
10.4%
8
13.1%
6
6.2%
8
7.7%
12
9.0%
Total
540
134
61
97
104
133
Loddon
Mallee
WHAT DO YOU BELIEVE ARE THE BARRIERS FOR ACCESS TO CONDOMS? ^
Table 15
Across all
regions
Barwon
Gippsland
Grampians
Hume
Availability
43
13
5
5
14
15.5%
17.3%
12.5%
11.6%
23.7%
5
8.8%
Privacy
85
30.6%
23
30.7%
8
20.0%
16
37.2%
20
33.9%
17
29.8%
Cost
59
21.2%
13
17.3%
12
30.0%
8
18.6%
12
20.3%
12
21.1%
Information
26
9.4%
8
10.7%
2
5.0%
5
11.6%
4
6.8%
7
12.3%
27
9.7%
9
12.0%
5
12.5%
2
4.7%
3
5.1%
8
14.0%
Support
16
5.8%
6
8.0%
4
10.0%
3
7.0%
0
0.0%
3
5.3%
Travel
22
7.9%
3
4.0%
4
10.0%
4
9.3%
6
10.2%
5
8.8%
TOTAL
278
75
40
43
59
57
HOW DOES LIVING IN A RURAL AREA SPECIFICALLY IMPACT ON ACCESS TO CONDOMS? ^
Table 16
Across all
regions
Barwon
Gippsland
Grampians
Hume
Availability
44
11
4
5
13
24.6%
24.4%
17.4%
16.1%
Loddon
Mallee
35.1%
10
25.0%
Privacy
85
47.5%
20
44.4%
15
65.2%
16
51.6%
17
45.9%
16
40.0%
Cost
6
3.4%
1
2.2%
0
0.0%
2
6.5%
1
2.7%
2
5.0%
Information
5
2.8%
1
2.2%
0
0.0%
1
3.2%
2
5.4%
1
2.5%
2
1.1%
1
2.2%
0
0.0%
0
0.0%
1
2.7%
0
0.0%
Support
4
2.2%
2
4.4%
1
4.3%
0
0.0%
0
0.0%
1
2.5%
Travel
33
18.4%
9
20.0%
3
13.0%
7
22.6%
3
8.1%
10
25.0%
TOTAL
179
45
23
31
37
40
94
ACCESS TO CONDOMS
Table 17
Across all
regions
Barwon
Gippsland
Grampians
Hume
Loddon
Mallee
Education
18
14.6%
9
29.0%
2
11.8%
2
10.0%
3
11.1%
2
8.0%
Free condoms
17
13.8%
2
6.5%
3
17.6%
2
10.0%
5
18.5%
4
16.0%
Increase availability
37
30.1%
7
22.6%
6
35.3%
6
30.0%
7
25.9%
9
36.0%
Vending machines
47
38.2%
10
32.3%
6
35.3%
9
45.0%
12
44.4%
10
40.0%
Other
4
3.3%
3
9.7%
0
0.0%
1
5.0%
0
0.0%
0
0.0%
TOTAL
123
31
95
17
20
27
25
WHERE CAN WOMEN IN YOUR AREA ACCESS THE FOLLOWING CONTRACEPTION?
Table 18
The Pill
Across all
regions
Barwon
Gippsland
Grampians
Hume
Loddon
Mallee
Doctors
123
72.4%
36
75.0%
14
93.3%
20
71.4%
24
75.0%
27
62.8%
Pharmacy
23
13.5%
4
8.3%
1
6.7%
4
14.3%
4
12.5%
8
18.6%
Youth Clinic
1
0.6%
1
2.1%
0
0.0%
0
0.0%
0
0.0%
0
0.0%
Women’s Clinic
5
2.9%
2
4.2%
0
0.0%
0
0.0%
1
3.1%
2
4.7%
Hospital
1
0.6%
1
2.1%
0
0.0%
0
0.0%
0
0.0%
0
0.0%
9
5.3%
1
2.1%
0
0.0%
3
10.7%
2
6.3%
3
7.0%
Community Health
6
3.5%
1
2.1%
0
0.0%
1
3.6%
1
3.1%
3
7.0%
Family Planning
2
1.2%
2
4.2%
0
0.0%
0
0.0%
0
0.0%
0
0.0%
TOTAL
170
Table 19
IUD’s
48
Across all
regions
15
Barwon
28
Gippsland
32
Grampians
43
Hume
Loddon
Mallee
Doctors
95
65.5%
33
70.2%
11
84.6%
14
70.0%
19
70.4%
17
47.2%
Pharmacy
6
4.1%
1
2.1%
0
0.0%
0
0.0%
0
0.0%
4
11.1%
Youth Clinic
1
0.7%
1
2.1%
0
0.0%
0
0.0%
0
0.0%
0
0.0%
Women’s Clinic
4
2.8%
1
2.1%
0
0.0%
0
0.0%
0
0.0%
3
8.3%
Hospital
4
2.8%
0
0.0%
0
0.0%
1
5.0%
0
0.0%
3
8.3%
7
4.8%
1
2.1%
0
0.0%
2
10.0%
1
3.7%
3
8.3%
Community Health
7
4.8%
2
4.3%
0
0.0%
0
0.0%
2
7.4%
3
8.3%
Family Planning
1
0.7%
0
0.0%
0
0.0%
0
0.0%
0
0.0%
1
2.8%
Gynaecologist or Specialist
19
13.1%
7
14.9%
2
15.4%
3
15.0%
5
18.5%
2
5.6%
Indigenous Health Service
1
0.7%
1
2.1%
0
0.0%
0
0.0%
0
0.0%
0
0.0%
TOTAL
145
47
13
20
27
36
96
Table 20 Implanon
Across all
regions
Barwon
Gippsland
Grampians
Hume
Loddon
Mallee
Doctors
109
74.1%
34
77.3%
12
100%
17
77.3%
23
82.1%
21
55.3%
Pharmacy
9
6.1%
2
4.5%
0
0.0%
1
4.5%
0
0.0%
5
13.2%
Youth Clinic
1
0.7%
1
2.3%
0
0.0%
0
0.0%
0
0.0%
0
0.0%
Women’s Clinic
3
2.0%
1
2.3%
0
0.0%
0
0.0%
0
0.0%
2
5.3%
Hospital
1
0.7%
0
0.0%
0
0.0%
0
0.0%
0
0.0%
1
2.6%
9
6.1%
1
2.3%
0
0.0%
3
13.6%
2
7.1%
3
7.9%
Community Health
9
6.1%
3
6.8%
0
0.0%
0
0.0%
2
7.1%
4
10.5%
Family Planning
1
0.7%
0
0.0%
0
0.0%
0
0.0%
0
0.0%
1
2.6%
4
2.7%
1
2.3%
0
0.0%
1
4.5%
1
3.6%
1
2.6%
Indigenous health service
1
0.7%
1
2.3%
0
0.0%
0
0.0%
0
0.0%
0
0.0%
TOTAL
147
44
12
22
28
38
Across all
regions
Barwon
Gippsland
Grampians
Hume
Loddon
Mallee
OTHER
Table 21
Doctors
19
55.9%
5
41.7%
4
66.7%
1
100%
5
100%
4
44.4%
Pharmacy
6
17.6%
1
8.3%
1
16.7%
0
0.0%
0
0.0%
3
33.3%
Nurses
1
2.9%
1
8.3%
0
0.0%
0
0.0%
0
0.0%
0
0.0%
Women’s Clinic
3
8.8%
2
16.7%
0
0.0%
0
0.0%
0
0.0%
1
11.1%
2
5.9%
1
8.3%
1
16.7%
0
0.0%
0
0.0%
0
0.0%
Hospital
1
2.9%
1
8.3%
0
0.0%
0
0.0%
0
0.0%
0
0.0%
Family Planning
1
2.9%
1
8.3%
0
0.0%
0
0.0%
0
0.0%
0
0.0%
Community Health
1
2.9%
0
0.0%
0
0.0%
0
0.0%
0
0.0%
1
11.1%
TOTAL
34
12
6
1
5
9
WHAT DO YOU BELIEVE ARE THE BARRIERS FOR ACCESS TO CONTRACEPTION? ^
Table 22
Across all
regions
Barwon
Gippsland
Grampians
Hume
Availability
51
17.2%
10
11.8%
12
34.3%
7
17.5%
9
13.6%
11
17.5%
Privacy
45
15.2%
13
15.3%
4
11.4%
6
15.0%
9
13.6%
12
19.0%
Cost
75
25.3%
21
24.7%
9
25.7%
8
20.0%
19
28.8%
15
23.8%
Information
44
14.9%
15
17.6%
3
8.6%
6
15.0%
10
15.2%
10
15.9%
Loddon
Mallee
10
3.4%
1
1.2%
1
2.9%
2
5.0%
2
3.0%
4
6.3%
Professional’s attitudes &
skills
9
3.0%
4
4.7%
0
0.0%
1
2.5%
2
3.0%
2
3.2%
Support
20
6.8%
9
10.6%
1
2.9%
1
2.5%
7
10.6%
2
3.2%
Travel
36
12.2%
10
11.8%
4
11.4%
7
17.5%
8
12.1%
6
9.5%
Other
6
2.0%
2
2.4%
1
2.9%
2
5.0%
0
0.0%
1
1.6%
TOTAL
296
97
85
35
40
66
63
HOW DOES LIVING IN A RURAL AREA SPECIFICALLY IMPACT ON ACCESS TO CONTRACEPTION? ^
Table 23
Across all
regions
Barwon
Gippsland
Grampians
Hume
Loddon
Mallee
Availability
60
37.3%
21
46.7%
9
42.9%
6
28.6%
11
29.7%
11
34.4%
Privacy
20
12.4%
4
8.9%
1
4.8%
5
23.8%
5
13.5%
5
15.6%
Cost
26
16.1%
8
17.8%
4
19.0%
1
4.8%
7
18.9%
5
15.6%
Information
6
3.7%
0
0.0%
1
4.8%
2
9.5%
2
5.4%
1
3.1%
8
5.0%
1
2.2%
0
0.0%
1
4.8%
4
10.8%
2
6.3%
skills
1
0.6%
0
0.0%
0
0.0%
0
0.0%
1
2.7%
0
0.0%
Support
3
1.9%
1
2.2%
1
4.8%
0
0.0%
0
0.0%
1
3.1%
Travel
37
23.0%
10
22.2%
5
23.8%
6
28.6%
7
18.9%
7
21.9%
TOTAL
161
45
21
21
37
32
DO YOU HAVE ANY SUGGESTIONS FOR ADDRESSING THE ISSUE OF ACCESS TO CONTRACEPTION OR ANY
GOOD EXAMPLES OF WHERE ACCESS TO CONTRACEPTION IS AVAILABLE TO ALL? ^
Table 24
Across all
regions
Barwon
Gippsland
Grampians
Hume
Free or bulk billed services
12
17.1%
4
18.2%
2
28.6%
0
0.0%
4
28.6%
1
7.7%
31
44.3%
10
45.5%
4
57.1%
7
63.6%
5
35.7%
5
38.5%
Information
12
17.1%
5
22.7%
0
0.0%
0
0.0%
2
14.3%
4
30.8%
Other
15
21.4%
3
13.6%
1
14.3%
4
36.4%
3
21.4%
3
23.1%
TOTAL
70
22
7
11
14
Loddon
Mallee
13
98
CONTRACEPTION? ^^
Table 25
Across all
regions
Barwon
Gippsland
Grampians
Hume
Yes
108
89.3%
27
84.4%
13
76.5%
19
90.5%
17
94.4%
30
100%
No
13
10.7%
5
15.6%
4
23.5%
2
9.5%
1
5.6%
0
0.0%
TOTAL
121
32
Loddon
Mallee
17
21
18
30
Gippsland
Grampians
Hume
Loddon
Mallee
WHAT TYPE OF SERVICE ARE THEY REFERRED TO? ^
Table 26
Across all
regions
Barwon
87
49.7%
25
56.8%
11
52.4%
14
41.2%
12
42.9%
23
51.1%
General medical or health
clinics or services
23
13.1%
2
4.5%
2
9.5%
4
11.8%
4
14.3%
11
24.4%
Hospitals including ER
departments
5
2.9%
2
4.5%
0
0.0%
0
0.0%
0
0.0%
3
6.7%
Pharmacy
1
0.6%
0
0.0%
0
0.0%
1
2.9%
0
0.0%
0
0.0%
Specialist medical or health
clinics or services
25
14.3%
2
4.5%
6
28.6%
10
29.4%
5
17.9%
2
4.4%
Specialists eg Gynaecologist
13
7.4%
5
11.4%
1
4.8%
1
2.9%
5
17.9%
1
2.2%
Women’s Health Services/
Clinics
18
10.3%
7
15.9%
1
4.8%
3
8.8%
1
3.6%
5
11.1%
Other
3
1.7%
1
2.3%
0
0.0%
1
2.9%
1
3.6%
0
0.0%
TOTAL
175
44
21
34
28
45
Loddon
Mallee
WHAT IS THE PROCESS FOR REFERRAL? ^
Table 27
Across all
regions
Barwon
Gippsland
Grampians
Hume
Assistance to make an
appointment including
possible accompanying
19
12.8%
3
7.9%
3
17.6%
4
11.1%
2
10.5%
6
16.7%
Client makes own
appointment including selfreferral
20
13.4%
6
15.8%
1
5.9%
7
19.4%
0
0.0%
6
16.7%
General information
15
10.1%
3
7.9%
3
17.6%
3
8.3%
2
10.5%
4
11.1%
Phone
25
16.8%
9
23.7%
3
17.6%
5
13.9%
2
10.5%
6
16.7%
Referred to GP
18
12.1%
4
10.5%
2
11.8%
6
16.7%
5
26.3%
1
2.8%
Unsure
4
2.7%
1
2.6%
1
5.9%
0
0.0%
1
5.3%
1
2.8%
Verbal
10
6.7%
1
2.6%
1
5.9%
2
5.6%
2
10.5%
3
8.3%
Written
28
18.8%
9
23.7%
2
11.8%
6
16.7%
2
10.5%
8
22.2%
Other
10
6.7%
2
5.3%
1
5.9%
3
8.3%
3
15.8%
1
2.8%
TOTAL
149
99
38
17
36
19
36
IS IT A LOCAL SERVICE? ^
Table 28
Across all
regions
Barwon
Gippsland
Grampians
Hume
Loddon
Mallee
Yes
81
75.7%
20
74.1%
8
61.5%
17
85.0%
13
76.5%
22
78.6%
Yes and No
6
5.6%
2
7.4%
2
15.4%
1
5.0%
1
5.9%
0
0.0%
Yes, but travel is sometimes
required
8
7.5%
4
14.8%
0
0.0%
1
5.0%
2
11.8%
1
3.6%
Yes, but this is going to
change
1
0.9%
0
0.0%
0
0.0%
0
0.0%
0
0.0%
1
3.6%
No
7
6.5%
0
0.0%
3
23.1%
1
5.0%
1
5.9%
2
7.1%
Unsure/don’t know
4
3.7%
1
3.7%
0
0.0%
0
0.0%
0
0.0%
2
7.1%
TOTAL
107
27
13
20
17
28
WHAT DO YOU BELIEVE ARE THE BARRIERS FOR ACCESS TO CONTRACEPTION REFERRALS? ^
Table 29
Across all
regions
Barwon
Gippsland
Grampians
Hume
Loddon
Mallee
Availability
38
21.8%
8
16.0%
7
28.0%
4
16.7%
10
34.5%
9
22.0%
Privacy
19
10.9%
7
14.0%
1
4.0%
6
25.0%
1
3.4%
3
7.3%
Cost
42
24.1%
10
20.0%
9
36.0%
6
25.0%
6
20.7%
10
24.4%
Information
25
14.4%
12
24.0%
1
4.0%
1
4.2%
3
10.3%
7
17.1%
Other
2
1.1%
0
0.0%
0
0.0%
0
0.0%
1
3.4%
1
2.4%
12
6.9%
3
6.0%
0
0.0%
1
4.2%
2
6.9%
5
12.2%
skills
3
1.7%
0
0.0%
1
4.0%
1
4.2%
1
3.4%
0
0.0%
Support
10
5.7%
5
10.0%
0
0.0%
1
4.2%
2
6.9%
2
4.9%
Travel
23
13.2%
5
10.0%
6
24.0%
4
16.7%
3
10.3%
4
9.8%
TOTAL
174
50
25
24
29
41
HOW DOES LIVING IN A RURAL AREA SPECIFICALLY IMPACT ON ACCESS TO CONTRACEPTION
REFERRALS? ^
Table 30
Across all
regions
Barwon
Gippsland
Grampians
Hume
Availability
39
33.3%
11
28.2%
5
35.7%
7
38.9%
6
37.5%
10
34.5%
Privacy
27
23.1%
8
20.5%
3
21.4%
4
22.2%
4
25.0%
7
24.1%
Loddon
Mallee
Cost
16
13.7%
6
15.4%
2
14.3%
2
11.1%
2
12.5%
4
13.8%
Information
5
4.3%
3
7.7%
0
0.0%
0
0.0%
0
0.0%
2
6.9%
skills
1
0.9%
0
0.0%
0
0.0%
1
5.6%
0
0.0%
0
0.0%
Support
1
0.9%
0
0.0%
0
0.0%
0
0.0%
0
0.0%
1
3.4%
Travel
28
23.9%
11
28.2%
4
28.6%
4
22.2%
4
25.0%
5
17.2%
TOTAL
117
39
14
18
16
29
100
REFERRALS OR ANY GOOD EXAMPLES OF WHERE ACCESS TO CONTRACEPTION REFERRALS ARE
AVAILABLE TO ALL? ^
Table 31
Across all
regions
Barwon
Gippsland
Grampians
Hume
23
52.3%
7
46.7%
5
83.3%
4
66.7%
4
57.1%
3
33.3%
Information
10
22.7%
4
26.7%
1
16.7%
1
16.7%
1
14.3%
3
33.3%
More power to family
planning trained nurses and/
or school nurses
6
13.6%
1
6.7%
0
0.0%
1
16.7%
2
28.6%
2
22.2%
Other
5
11.4%
3
20.0%
0
0.0%
0
0.0%
0
0.0%
1
11.1%
TOTAL
44
15
101
6
6
7
Loddon
Mallee
9
WHICH OF THE FOLLOWING LOCATIONS ARE WOMEN IN YOUR AREA ABLE TO ACCESS EMERGENCY
CONTRACEPTION? (E.G. MORNING AFTER PILL) ^^
Table 32
Across all
regions
Barwon
Gippsland
Grampians
Hume
Pharmacy
96
33.4%
24
29.3%
9
39.1%
15
32.6%
22
37.3%
23
33.3%
Doctor
92
32.1%
29
35.4%
8
34.8%
16
34.8%
19
32.2%
19
27.5%
Local family planning and
contraception clinic
33
11.5%
7
8.5%
0
0.0%
6
13.0%
9
15.3%
10
14.5%
School nurse
8
2.8%
2
2.4%
1
4.3%
1
2.2%
1
1.7%
2
2.9%
Loddon
Mallee
Community health nurse
27
9.4%
11
13.4%
2
8.7%
2
4.3%
3
5.1%
8
11.6%
Other
31
10.8%
9
11.0%
3
13.0%
6
13.0%
5
8.5%
7
10.1%
TOTAL
287
82
23
46
59
69
OTHER LOCATIONS WHERE WOMEN CAN ACCESS EMERGENCY CONTRACEPTION ^
Table 33
Across all
regions
Barwon
Gippsland
Grampians
Hume
Loddon
Mallee
Youth clinic
2
6.5%
1
7.7%
0
0.0%
1
25.0%
0
0.0%
0
0.0%
Hospital
23
74.2%
10
76.9%
4
57.1%
2
50.0%
6
100%
1
100%
Local Indigenous health
1
3.2%
1
7.7%
0
0.0%
0
0.0%
0
0.0%
0
0.0%
Youth worker (referral)
1
3.2%
1
7.7%
0
0.0%
0
0.0%
0
0.0%
0
0.0%
Sexual health clinic
1
3.2%
0
0.0%
0
0.0%
1
25.0%
0
0.0%
0
0.0%
Bush Nursing centres
1
3.2%
0
0.0%
1
14.3%
0
0.0%
0
0.0%
0
0.0%
Unsure
1
3.2%
0
0.0%
1
14.3%
0
0.0%
0
0.0%
0
0.0%
Not able to
1
3.2%
0
0.0%
1
14.3%
0
0.0%
0
0.0%
0
0.0%
TOTAL
31
13
7
4
6
1
Loddon
Mallee
Table 34
Across all
regions
Barwon
Gippsland
Grampians
Hume
Yes
91
81.3%
26
81.3%
9
75.0%
17
89.5%
20
87.0%
18
81.8%
Yes and No
4
3.6%
0
0.0%
0
0.0%
1
5.3%
0
0.0%
2
9.1%
required
1
0.9%
0
0.0%
0
0.0%
0
0.0%
1
4.3%
0
0.0%
Yes, but there are issues
4
3.6%
2
6.3%
0
0.0%
0
0.0%
0
0.0%
1
4.5%
No
2
1.8%
0
0.0%
2
16.7%
0
0.0%
0
0.0%
0
0.0%
Unsure/don’t know
10
8.9%
4
12.5%
1
8.3%
1
5.3%
2
8.7%
1
4.5%
TOTAL
112
32
12
19
23
22
102
WHAT DO YOU BELIEVE ARE THE BARRIERS FOR ACCESS TO EMERGENCY CONTRACEPTION? ^
Table 35
Across all
regions
Barwon
Gippsland
Grampians
Hume
Loddon
Mallee
Availability
36
14.3%
13
15.1%
2
8.3%
6
15.0%
7
14.9%
7
15.2%
Privacy
46
18.3%
17
19.8%
5
20.8%
7
17.5%
8
17.0%
7
15.2%
Cost
50
19.8%
17
19.8%
6
25.0%
8
20.0%
7
14.9%
9
19.6%
Information
44
17.5%
14
16.3%
5
20.8%
5
12.5%
9
19.1%
10
21.7%
14
5.6%
5
5.8%
1
4.2%
3
7.5%
3
6.4%
1
2.2%
skills
14
5.6%
4
4.7%
1
4.2%
2
5.0%
3
6.4%
4
8.7%
Support
12
4.8%
5
5.8%
0
0.0%
2
5.0%
3
6.4%
2
4.3%
Travel
26
10.3%
8
9.3%
3
12.5%
5
12.5%
4
8.5%
5
10.9%
Other
10
4.0%
3
3.5%
1
4.2%
2
5.0%
3
6.4%
1
2.2%
TOTAL
252
86
24
40
47
46
HOW DOES LIVING IN A RURAL AREA SPECIFICALLY IMPACT ON ACCESS TO EMERGENCY
CONTRACEPTION? ^
Table 36
Across all
regions
Barwon
Gippsland
Grampians
Hume
Availability
39
30.7%
15
30.0%
5
45.5%
8
38.1%
6
28.6%
4
19.0%
4
3.1%
1
2.0%
0
0.0%
1
4.8%
1
4.8%
1
4.8%
skills
2
1.6%
0
0.0%
0
0.0%
0
0.0%
0
0.0%
0
0.0%
Privacy
39
30.7%
15
30.0%
4
36.4%
5
23.8%
7
33.3%
8
38.1%
Cost
12
9.4%
7
14.0%
1
9.1%
0
0.0%
2
9.5%
2
9.5%
Information
4
3.1%
1
2.0%
0
0.0%
1
4.8%
0
0.0%
2
9.5%
Loddon
Mallee
Support
2
1.6%
0
0.0%
0
0.0%
1
4.8%
0
0.0%
1
4.8%
Travel
22
17.3%
9
18.0%
1
9.1%
4
19.0%
5
23.8%
3
14.3%
Other
3
2.4%
2
4.0%
0
0.0%
1
4.8%
0
0.0%
0
0.0%
TOTAL
127
50
11
21
21
21
DO YOU HAVE ANY SUGGESTIONS FOR ADDRESSING THE ISSUE OF ACCESS TO EMERGENCY
CONTRACEPTION OR ANY GOOD EXAMPLES OF WHERE ACCESS TO EMERGENCY CONTRACEPTION IS
AVAILABLE TO ALL? ^
Table 37
Across all
regions
Barwon
Gippsland
Grampians
Hume
Loddon
Mallee
27
56.3%
10
71.4%
3
100.0%
3
33.3%
5
50.0%
4
40.0%
Information
11
22.9%
2
14.3%
0
0.0%
4
44.4%
2
20.0%
3
30.0%
Other
10
20.8%
2
14.3%
0
0.0%
2
22.2%
3
30.0%
3
30.0%
TOTAL
48
14
103
3
9
10
10
WHERE CAN WOMEN IN YOUR AREA ACCESS PREGNANCY OPTIONS COUNSELLING? ^
Table 38
Across all
regions
Barwon
Gippsland
Grampians
Hume
Counselling and support
services
7
5.4%
3
10.7%
1
7.7%
2
11.1%
1
6.3%
0
0.0%
Doctors & nurses eg
GP, school nurse, nurse
practitioner
55
42.3%
14
50.0%
8
61.5%
9
50.0%
9
56.3%
14
37.8%
clinics or services
27
20.8%
4
14.3%
1
7.7%
5
27.8%
4
25.0%
12
32.4%
Loddon
Mallee
Pharmacy
1
0.8%
0
0.0%
0
0.0%
0
0.0%
0
0.0%
1
2.7%
clinics or services
9
6.9%
2
7.1%
1
7.7%
2
11.1%
2
12.5%
2
5.4%
Women’s Health Services/
Clinics
10
7.7%
1
3.6%
2
15.4%
0
0.0%
0
0.0%
7
18.9%
Unsure
5
3.8%
4
14.3%
0
0.0%
0
0.0%
0
0.0%
1
2.7%
Nowhere
1
0.8%
0
0.0%
0
0.0%
0
0.0%
1
6.3%
0
0.0%
Other
15
11.5%
4
14.3%
2
15.4%
2
11.1%
2
12.5%
5
13.5%
TOTAL
130
28
13
18
16
37
PREGNANCY OPTIONS COUNSELLING? ^^
Table 39
Across all
regions
Barwon
Gippsland
Grampians
Hume
Loddon
Mallee
Yes
84
91.3%
21
84.0%
8
72.7%
16
100%
12
100%
25
96.2%
No
8
8.7%
4
16.0%
3
27.3%
0
0.0%
0
0.0%
1
3.8%
TOTAL
92
25
11
16
12
26
Loddon
Mallee
Table 40
Across all
regions
Barwon
Gippsland
Grampians
Hume
Yes
54
15
7
9
6
62.1%
62.5%
77.8%
56.3%
50.0%
16
66.7%
Yes and No
10
11.5%
2
8.3%
1
11.1%
2
12.5%
2
16.7%
3
12.5%
Yes, but there are some
issues
2
2.3%
0
0.0%
0
0.0%
1
6.3%
0
0.0%
0
0.0%
No
13
14.9%
1
4.2%
1
11.1%
2
12.5%
4
33.3%
5
20.8%
Unsure/don’t know
8
9.2%
6
25.0%
0
0.0%
2
12.5%
0
0.0%
0
0.0%
TOTAL
87
24
9
16
12
24
104
WHAT IS THE PROCESS FOR REFERRAL? ^
Table 41
Across all
regions
Barwon
Gippsland
Grampians
Hume
8
7.7%
0
0.0%
2
16.7%
0
0.0%
1
6.7%
4
13.3%
Client makes own
19
18.3%
6
21.4%
3
25.0%
5
29.4%
2
13.3%
3
10.0%
General information
6
5.8%
1
3.6%
1
8.3%
2
11.8%
1
6.7%
1
3.3%
Loddon
Mallee
Phone
30
28.8%
5
17.9%
2
16.7%
3
17.6%
7
46.7%
12
40.0%
Referred to GP
14
13.5%
4
14.3%
1
8.3%
3
17.6%
3
20.0%
3
10.0%
Unsure
6
5.8%
5
17.9%
1
8.3%
0
0.0%
0
0.0%
0
0.0%
Verbal
3
2.9%
1
3.6%
1
8.3%
0
0.0%
1
6.7%
0
0.0%
Written
14
13.5%
3
10.7%
1
8.3%
4
23.5%
0
0.0%
6
20.0%
Other
4
3.8%
3
10.7%
0
0.0%
0
0.0%
0
0.0%
1
3.3%
TOTAL
104
28
12
17
15
30
Loddon
Mallee
WHAT DO YOU KNOW ABOUT THE PREGNANCY OPTIONS COUNSELLING? ^
Table 42
Across all
regions
Barwon
Gippsland
Grampians
Hume
Believe it’s professional etc.
48
53.9%
7
26.9%
7
53.8%
8
72.7%
7
53.8%
17
73.9%
Specific training required eg
FPV Choices counselling
7
7.9%
4
15.4%
1
7.7%
0
0.0%
1
7.7%
1
4.3%
There are issues
17
19.1%
8
30.8%
3
23.1%
2
18.2%
1
7.7%
3
13.0%
Very little knowledge/not sure
14
15.7%
6
23.1%
1
7.7%
0
0.0%
4
30.8%
2
8.7%
Other
3
3.4%
1
3.8%
1
7.7%
1
9.1%
0
0.0%
0
0.0%
TOTAL
89
105
26
13
11
13
23
WHAT DO YOU BELIEVE ARE THE BARRIERS FOR PREGNANCY OPTIONS COUNSELLING? ^
Table 43
Across all
regions
Barwon
Gippsland
Grampians
Hume
Loddon
Mallee
Availability
25
17.5%
6
11.1%
1
7.7%
2
11.8%
5
38.5%
10
25.6%
Privacy
21
14.7%
9
16.7%
2
15.4%
3
17.6%
2
15.4%
3
7.7%
Cost
13
9.1%
5
9.3%
3
23.1%
1
5.9%
0
0.0%
3
7.7%
Information
19
13.3%
10
18.5%
1
7.7%
1
5.9%
1
7.7%
5
12.8%
11
7.7%
5
9.3%
1
7.7%
1
5.9%
1
7.7%
3
7.7%
skills
10
7.0%
3
5.6%
2
15.4%
2
11.8%
1
7.7%
2
5.1%
Support
14
9.8%
6
11.1%
1
7.7%
1
5.9%
1
7.7%
5
12.8%
Travel
27
18.9%
9
16.7%
2
15.4%
5
29.4%
2
15.4%
7
17.9%
Other
3
2.1%
1
1.9%
0
0.0%
1
5.9%
0
0.0%
1
2.6%
TOTAL
143
54
13
17
13
39
HOW DOES LIVING IN A RURAL AREA SPECIFICALLY IMPACT ON PREGNANCY OPTIONS
COUNSELLING? ^
Table 44
Across all
regions
Barwon
Gippsland
Grampians
Hume
Availability
37
35.2%
9
27.3%
5
38.5%
5
35.7%
7
53.8%
10
35.7%
Privacy
21
20.0%
6
18.2%
2
15.4%
1
7.1%
4
30.8%
7
25.0%
Loddon
Mallee
Cost
9
8.6%
5
15.2%
1
7.7%
1
7.1%
0
0.0%
1
3.6%
Information
8
7.6%
4
12.1%
1
7.7%
0
0.0%
0
0.0%
3
10.7%
4
3.8%
1
3.0%
0
0.0%
1
7.1%
1
7.7%
1
3.6%
skills
2
1.9%
0
0.0%
1
7.7%
0
0.0%
1
7.7%
0
0.0%
Support
4
3.8%
1
3.0%
0
0.0%
0
0.0%
0
0.0%
3
10.7%
Travel
20
19.0%
7
21.2%
3
23.1%
6
42.9%
0
0.0%
3
10.7%
TOTAL
105
33
13
14
13
28
DO YOU HAVE ANY SUGGESTIONS FOR ADDRESSING THE ISSUE OF PREGNANCY OPTIONS COUNSELLING
OR ANY GOOD EXAMPLES OF WHERE PREGNANCY OPTIONS COUNSELLING IS AVAILABLE TO ALL? ^
Table 45
Across all
regions
Barwon
Gippsland
Grampians
Hume
Loddon
Mallee
Free or bulk billed services
1
2.4%
1
7.1%
0
0.0%
0
0.0%
0
0.0%
0
0.0%
18
42.9%
3
21.4%
1
25.0%
5
62.5%
2
40.0%
6
66.7%
Information
20
47.6%
9
64.3%
3
75.0%
3
37.5%
2
40.0%
2
22.2%
More power to family
planning trained nurses and/
or school nurses
3
7.1%
1
7.1%
0
0.0%
0
0.0%
1
20.0%
1
11.1%
TOTAL
42
14
4
8
5
9
106
DID YOU KNOW ABOUT THIS LAW REFORM? ^^
Table 46
Across all
regions
Barwon
Gippsland
Grampians
Hume
Loddon
Mallee
Yes
52
76.5%
15
78.9%
5
71.4%
10
76.9%
10
83.3%
11
68.8%
No
16
23.5%
4
21.1%
2
28.6%
3
23.1%
2
16.7%
5
31.3%
TOTAL
68
19
7
13
12
16
Barwon
Gippsland
Grampians
Hume
Loddon
Mallee
HAS IT AFFECTED YOUR PRACTICE? ^^
Table 47
Across all
regions
Yes
4
7.7%
3
23.1%
0
0.0%
0
0.0%
0
0.0%
1
7.7%
No
48
92.3%
10
76.9%
5
100%
11
100%
9
100%
12
92.3%
TOTAL
52
13
107
5
11
9
13
WHAT ABORTION SERVICES ARE AVAILABLE FOR PREGNANCIES UP TO 12 WEEKS? ^
Table 48
Across all
regions
Barwon
Gippsland
Grampians
Hume
Loddon
Mallee
Medication
4
6.9%
1
5.9%
1
11.1%
1
9.1%
0
0.0%
1
7.1%
Public/Private clinics
7
12.1%
1
5.9%
1
11.1%
0
0.0%
3
50.0%
2
14.3%
Referred to GP or specialist
9
15.5%
2
11.8%
1
11.1%
5
45.5%
0
0.0%
1
7.1%
Referred to Hospital
14
24.1%
6
35.3%
2
22.2%
1
9.1%
0
0.0%
5
35.7%
Referred to Melbourne
service
4
6.9%
0
0.0%
0
0.0%
2
18.2%
1
16.7%
1
7.1%
Surgical
3
5.2%
2
11.8%
0
0.0%
0
0.0%
0
0.0%
1
7.1%
None locally
6
10.3%
1
5.9%
2
22.2%
1
9.1%
0
0.0%
2
14.3%
Unsure
8
13.8%
4
23.5%
2
22.2%
1
9.1%
0
0.0%
0
0.0%
Other
3
5.2%
0
0.0%
0
0.0%
0
0.0%
2
33.3%
1
7.1%
TOTAL
58
17
9
11
6
14
WHAT IS THE CURRENT PRACTICE IN YOUR AREA (FOR ABORTION SERVICES UP TO 12 WEEKS)? ^
Table 49
Across all
regions
Barwon
Gippsland
Grampians
Hume
Refer locally
2
3.5%
0
0.0%
0
0.0%
0
0.0%
1
14.3%
1
10.0%
Refer out of town
3
5.3%
0
0.0%
1
8.3%
1
9.1%
1
14.3%
0
0.0%
Loddon
Mallee
Refer to GP or Specialist
10
17.5%
5
31.3%
2
16.7%
1
9.1%
1
14.3%
1
10.0%
Refer to Melbourne
11
19.3%
1
6.3%
3
25.0%
3
27.3%
2
28.6%
2
20.0%
Refer to public hospital
6
10.5%
4
25.0%
2
16.7%
0
0.0%
0
0.0%
0
0.0%
No access
12
21.1%
1
6.3%
3
25.0%
3
27.3%
2
28.6%
3
30.0%
Unsure
12
21.1%
4
25.0%
1
8.3%
3
27.3%
0
0.0%
3
30.0%
Other
1
1.8%
1
6.3%
0
0.0%
0
0.0%
0
0.0%
0
0.0%
Total
57
16
12
11
7
10
108
ARE YOU WILLING TO REFER WOMEN BETWEEN 12 AND 24 WEEKS FOR ABORTION SERVICES? ^^
Table 50
Across all
regions
Barwon
Gippsland
Grampians
Hume
Loddon
Mallee
Yes
46
93.9%
13
92.9%
5
83.3%
8
100%
7
100%
13
92.9%
No
3
6.1%
1
7.1%
1
16.7%
0
0.0%
0
0.0%
1
7.1%
Total
49
14
6
8
7
14
WHAT IS THE CURRENT PRACTICE IN YOUR AREA (FOR ABORTION SERVICES BETWEEN
12 AND 24 WEEKS)? ^
Table 51
Across all
regions
Barwon
Gippsland
Grampians
Hume
Loddon
Mallee
Refer out of town
6
12.0%
3
17.6%
1
14.3%
1
11.1%
0
0.0%
1
9.1%
Refer to GP or Specialist
9
18.0%
6
35.3%
0
0.0%
2
22.2%
0
0.0%
1
9.1%
Refer to Melbourne
16
32.0%
2
11.8%
3
42.9%
2
22.2%
3
50.0%
6
54.5%
Refer to public hospital
2
4.0%
1
5.9%
0
0.0%
0
0.0%
0
0.0%
1
9.1%
No access
3
6.0%
1
5.9%
1
14.3%
1
11.1%
0
0.0%
0
0.0%
Unsure
8
16.0%
2
11.8%
1
14.3%
2
22.2%
2
33.3%
1
9.1%
Other*
6
12.0%
2
11.8%
1
14.3%
1
11.1%
1
16.7%
1
9.1%
Total
50
17
7
9
6
11
WHERE DO YOU REFER WOMEN TO FOR ABORTION SERVICES (FOR PREGNANCIES BETWEEN
12 AND 24 WEEKS)? ^
Table 52
Across all
regions
Barwon
Gippsland
Grampians
Hume
12
27.3%
5
35.7%
3
50.0%
2
28.6%
1
14.3%
1
10.0%
clinics or services
8
18.2%
1
7.1%
1
16.7%
2
28.6%
3
42.9%
1
10.0%
Refer to Melbourne
14
31.8%
4
28.6%
0
0.0%
2
28.6%
3
42.9%
5
50.0%
Loddon
Mallee
Unsure
2
4.5%
1
7.1%
0
0.0%
1
14.3%
0
0.0%
0
0.0%
Other
8
18.2%
3
21.4%
2
33.3%
0
0.0%
0
0.0%
3
30.0%
TOTAL
44
14
109
6
7
7
10
ABORTION
ARE YOU AWARE OF HEALTH PROFESSIONALS (INCLUDING YOURSELF) WHO WILL NOT REFER
WOMEN FOR ABORTION? ^^
Table 53
Across all
regions
Barwon
Gippsland
Grampians
Hume
Yes
22
44.9%
7
50.0%
3
42.9%
1
14.3%
3
42.9%
8
61.5%
No
27
55.1%
7
50.0%
4
57.1%
6
85.7%
4
57.1%
5
38.5%
TOTAL
49
14
7
Loddon
Mallee
7
7
13
Loddon
Mallee
WHY DO YOU THINK THE REFERRALS ARE NOT MADE? ^
Table 54
Across all
regions
Barwon
Gippsland
Grampians
Hume
Professional’s attitudes
& skills
9
37.5%
2
33.3%
1
33.3%
0
0.0%
1
33.3%
5
50.0%
Knowledge/Information
3
12.5%
0
0.0%
0
0.0%
1
50.0%
0
0.0%
2
20.0%
Personal beliefs
11
45.8%
4
66.7%
2
66.7%
1
50.0%
1
33.3%
3
30.0%
Not a health risk
1
4.2%
0
0.0%
0
0.0%
0
0.0%
1
33.3%
0
0.0%
TOTAL
24
6
3
2
3
10
ABORTIONS? ^^
Table 55
Across all
regions
Barwon
Gippsland
Grampians
Hume
Yes
46
90.2%
14
93.3%
6
85.7%
7
87.5%
6
100%
13
92.9%
No
5
9.8%
1
6.7%
1
14.3%
1
12.5%
0
0.0%
1
7.1%
TOTAL
51
15
Loddon
Mallee
7
8
6
14
Loddon
Mallee
WHAT TYPE OF SERVICE ARE THEY REFERRED TO? ^
Table 56
Across all
regions
Barwon
Gippsland
Grampians
Hume
clinics or services
2
3.9%
0
0.0%
0
0.0%
0
0.0%
0
0.0%
2
16.7%
12
23.5%
5
31.3%
2
20.0%
3
37.5%
1
20.0%
1
8.3%
Hospital
8
15.7%
3
18.8%
3
30.0%
1
12.5%
0
0.0%
1
8.3%
Private/Public Clinics
8
15.7%
2
12.5%
3
30.0%
0
0.0%
1
20.0%
2
16.7%
Refer to Melbourne
4
7.8%
3
18.8%
0
0.0%
0
0.0%
0
0.0%
1
8.3%
clinics or services
11
21.6%
0
0.0%
2
20.0%
3
37.5%
2
40.0%
4
33.3%
Unsure
1
2.0%
1
6.3%
0
0.0%
0
0.0%
0
0.0%
0
0.0%
Other
5
9.8%
2
12.5%
0
0.0%
1
12.5%
1
20.0%
1
8.3%
TOTAL
51
16
10
8
5
12
110
ABORTION
Table 57
Across all
regions
Barwon
Gippsland
Grampians
Hume
Loddon
Mallee
Yes
11
26.2%
3
23.1%
1
16.7%
3
50.0%
3
50.0%
1
9.1%
Yes and No
3
7.1%
1
7.7%
1
16.7%
0
0.0%
0
0.0%
1
9.1%
required
1
2.4%
1
7.7%
0
0.0%
0
0.0%
0
0.0%
0
0.0%
Yes, but there are some
issues
3
7.1%
1
7.7%
0
0.0%
0
0.0%
2
33.3%
0
0.0%
No
23
54.8%
6
46.2%
4
66.7%
3
50.0%
1
16.7%
9
81.8%
Unsure/don’t know
1
2.4%
1
7.7%
0
0.0%
0
0.0%
0
0.0%
0
0.0%
TOTAL
42
13
6
6
6
11
Grampians
Hume
Loddon
Mallee
WHAT DO YOU DO SINCE IT’S NOT A LOCAL SERVICE? ^
Table 58
Across all
regions
Barwon
Gippsland
Refer out of town
8
42.1%
0
0.0%
1
25.0%
2
66.7%
0
0
5
62.5%
Assist with travel
5
26.3%
2
50.0%
2
50.0%
0
0.0%
0
0
1
12.5%
Other
6
31.6%
2
50.0%
1
25.0%
1
33.3%
0
0
2
25.0%
TOTAL
19
4
4
3
0
8
Loddon
Mallee
WHAT IS THE PROCESS FOR THE REFERRAL? ^
Table 59
Across all
regions
Barwon
Gippsland
Grampians
Hume
2
4.4%
0
0.0%
0
0.0%
0
0.0%
2
28.6%
0
0.0%
Client makes own
5
11.1%
0
0.0%
1
16.7%
1
16.7%
1
14.3%
2
14.3%
General information
1
2.2%
0
0.0%
1
16.7%
0
0.0%
0
0.0%
0
0.0%
Phone
14
31.1%
3
25.0%
1
16.7%
1
16.7%
2
28.6%
7
50.0%
Referred to Health
professionals
11
24.4%
4
33.3%
1
16.7%
4
66.7%
1
14.3%
1
7.1%
Unsure
5
11.1%
2
16.7%
1
16.7%
0
0.0%
1
14.3%
1
7.1%
Written
6
13.3%
2
16.7%
1
16.7%
0
0.0%
0
0.0%
3
21.4%
Other
1
2.2%
1
8.3%
0
0.0%
0
0.0%
0
0.0%
0
0.0%
TOTAL
45
111
12
6
6
7
14
ABORTION
WHAT DO YOU THINK ARE THE BARRIERS TO ACCESS TO ABORTION IN YOUR LOCAL AREA? RANK THE
FOLLOWING BARRIERS IN ORDER OF IMPACT WHERE 1 IS NO IMPACT AND 5 IS HIGH IMPACT. (AVERAGE) ^^
Table 60
All
Barwon
Gippsland
Grampians
Hume
Loddon
Mallee
Cost
4.0
3.7
3.7
3.9
4.8
3.9
4.6
4.4
4.9
4.3
4.9
4.7
3.9
4.1
3.2
3.8
4.1
3.8
Access to impartial counselling about pregnancy
options
3.6
3.8
3.4
3.4
3.8
3.5
4.4
4.4
4.3
4.5
4.6
4.1
4.5
4.6
4.6
4.5
4.9
4.1
Health professionals with a conscientious
objection to abortion
3.2
3.3
3.1
2.5
3.8
3.3
Wait times
3.7
3.6
3.7
3.5
3.9
3.8
*results are shown for the average
Table 61
1
Cost
3
3.8%
3
3.8%
12
15.4%
33
42.3%
27
34.6%
0
0.0%
1
1.2%
6
7.2%
20
24.1%
56
67.5%
2
3
4
5
2
2.7%
5
6.8%
11
15.1%
36
49.3%
19
26.0%
options
3
4.2%
10
14.1%
16
22.5%
23
32.4%
19
26.8%
1
1.2%
3
3.7%
6
7.4%
25
30.9%
46
56.8%
0
0.0%
2
2.4%
8
9.6%
16
19.3%
57
68.7%
1
1.8%
20
35.7%
11
19.6%
14
25.0%
10
17.9%
Wait times
1
1.4%
9
12.7%
18
25.4%
24
33.8%
19
26.8%
*results are how many people selected that answer
FOLLOWING BARRIERS IN ORDER OF IMPACT WHERE 1 IS NO IMPACT AND 5 IS HIGH IMPACT. (BARWON) ^^
Table 62
1
Cost
3
12.5%
1
4.2%
3
12.5%
11
45.8%
6
25.0%
0
0.0%
1
4.0%
2
8.0%
9
36.0%
13
52.0%
2
3
4
5
0
0.0%
1
4.2%
4
16.7%
10
41.7%
9
37.5%
options
2
8.7%
2
8.7%
2
8.7%
10
43.5%
7
30.4%
1
4.0%
0
0.0%
1
4.0%
8
32.0%
15
60.0%
0
0.0%
0
0.0%
3
12.5%
3
12.5%
18
75.0%
0
0.0%
5
31.3%
5
31.3%
3
18.8%
3
18.8%
Wait times
1
5.0%
3
15.0%
3
15.0%
9
45.0%
4
20.0%
112
ABORTION
FOLLOWING BARRIERS IN ORDER OF IMPACT WHERE 1 IS NO IMPACT AND 5 IS HIGH IMPACT. (GIPPSLAND) ^^
Table 63
1
Cost
0
0.0%
0
0.0%
2
28.6%
5
71.4%
0
0.0%
0
0.0%
0
0.0%
0
0.0%
1
12.5%
7
87.5%
1
16.7%
1
16.7%
1
16.7%
2
33.3%
1
16.7%
options
0
0.0%
2
28.6%
1
14.3%
3
42.9%
1
14.3%
0
0.0%
1
12.5%
0
0.0%
3
37.5%
4
50.0%
0
0.0%
0
0.0%
0
0.0%
3
37.5%
5
62.5%
1
14.3%
2
28.6%
1
14.3%
1
14.3%
2
28.6%
Wait times
0
0.0%
2
28.6%
1
14.3%
1
14.3%
3
42.9%
2
3
4
5
WHAT DO YOU THINK ARE THE BARRIERS TO ACCESS TO ABORTION IN YOUR LOCAL AREA? RANK
THE FOLLOWING BARRIERS IN ORDER OF IMPACT WHERE 1 IS NO IMPACT AND 5 IS HIGH IMPACT.
(GRAMPIANS) ^^
Table 64
1
Cost
0
0.0%
1
7.1%
3
21.4%
6
42.9%
4
28.6%
0
0.0%
0
0.0%
3
21.4%
4
28.6%
7
50.0%
2
3
4
5
0
0.0%
1
7.7%
3
23.1%
7
53.8%
2
15.4%
options
0
0.0%
2
16.7%
6
50.0%
1
8.3%
3
25.0%
0
0.0%
0
0.0%
1
8.3%
4
33.3%
7
58.3%
0
0.0%
0
0.0%
2
14.3%
3
21.4%
9
64.3%
0
0.0%
5
62.5%
2
25.0%
1
12.5%
0
0.0%
Wait times
0
0.0%
2
18.2%
4
36.4%
2
18.2%
3
27.3%
113
ABORTION
FOLLOWING BARRIERS IN ORDER OF IMPACT WHERE 1 IS NO IMPACT AND 5 IS HIGH IMPACT. (HUME) ^^
Table 65
1
Cost
0
0.0%
0
0.0%
0
0.0%
3
21.4%
11
78.6%
0
0.0%
0
0.0%
0
0.0%
1
6.7%
14
93.3%
0
0.0%
1
7.7%
0
0.0%
9
69.2%
3
23.1%
2
3
4
5
Access to impartial counselling about pregnancy options
0
0.0%
1
9.1%
2
18.2%
6
54.5%
2
18.2%
0
0.0%
0
0.0%
1
6.7%
4
26.7%
10
66.7%
0
0.0%
0
0.0%
0
0.0%
1
6.3%
15
93.8%
0
0.0%
2
22.2%
1
11.1%
3
33.3%
3
33.3%
Wait times
0
0.0%
1
7.7%
4
30.8%
3
23.

Victorian Rural Women`s Access to Family

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