Tihei Mauri Ora! Welcome to the December edition of Sexual Health opportunities! We hope this edition finds you all in a great festive spirit ready for the summer of fun! SHopp 2013 has been a hive of SRH activity as we have had the privilege of bringing each edition to you this year therefore a big PHAT job From all the Crew and Whanau of Te Ahurei a Rangatahi Trust
well done to all the amazing efforts rolled out this year. Find amazing updates from Family planning, Te Puawaitapu, POSH Waikato and CAFÉ Taupo in this edition. Next year we look to sharing the coordination role of SHopp with any provider who would like too.
Mauri Tu Mauri Ora
Nau te raurau naku te raurau ka ora ai te iwi With your basket and my basket combined our people will prevail.
Warm greetings to you all as we look forward to the Christmas break. This year has seen a lot of
IN THIS EDITION
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redevelopment and new activity around SRH despite funding being tight. Both the DHB PHU and NGO’s have reported on some innovative and effective approaches to improve sexual health outcomes for communities. Please remember to highlight these achievements via the SHopp so others can share some of these insights. There has been a marked increase in attending relevant workforce development and training networks that is continuing to build on the skill-set and knowledge within our sector. It is worthwhile going on line and downloading keynote speeches and presentations from both Family Planning’s and the NZSHS Conference. Congratulations to our many providers who shared their mahi – thank you for your courage and stepping up to show the difference you and your team are making. Congratulations also to all of you who mastered challenges this year- be it presenting at conferences, organising conferences or events or attending training and applying that knowledge in the workplace. While you may not realise it most of you are strong advocates and leaders in public health. Applications are now open for the 2014 Public Health Leadership Programme. This is free to attend (Ministry sponsored) and includes access to valuable learning about yourself- your strengths and engagement with others; and how to increase your effectiveness as a leader. I can highly recommend this. www.publichealthworkforce.org.nz/Public-Health-Leadership-Programm Next year we also have 2 one-day workshops delivered by Rape Prevention Education who deliver the Body safe programme. There will be one held in Hamilton and one in Auckland and will be free to attend (as it is funded from our budget). This will be facilitated by experts who work with Māori to address sexual violence issues in whānau. The workshop will provide Sexual Violence Prevention Education to services for families and their communities including understanding of children, young people and adults who have engaged in inappropriate or Harmful Sexual Behavior. The workshop will include • Managing of disclosures of harmful sexual behavior. • Increasing education of environments where harmful sexual behavior occurs. • Increasing safety through changing practices in families and communities. Ultimately, our goal is to support the development of local services to provide effective sexual violence prevention and intervention services to their communities to reduce the incidence of sexual violence. Note there are only 20 places available per workshop so register your interest with me soon. We are on the cusp of some exciting changes to advance the protection of vulnerable children in Aotearoa. This has implications for our sector too. I think that 2014 will see even more changes to improve how we work. I anticipate exciting times ahead for us all. Have a wonderful Christmas and safe New Year
Promoters of Sexual Health Waikato have had a busy 2013. Made up of SRH Services from over Waikato: Family Planning, Te Ahurei a Rangatahi, Kaute’ Pasifika, INA, Population health, Te Korowai Hauraki and Ngati Haua Hauora. projects and resources were key focuses this year. One resource new in the Waikato is a condom pack called itchy burny bits lead by SH doctor Jane Morgan. “This summer, the Midlands Primary Care Health network is launching a new campaign called Itchy Burny Bits, to help people find information and support about sexual health. Dr Jane Morgan, clinical director at Waikato DHB’s Sexual Health Service, says people are often embarrassed or shy about getting help or talking to the right person about STIs, and Itchy Burny Bits is a great way to help those who don’t know what to do. “The Itchy Burny Bits campaign targets men and women of all ages, but particularly young people who are most at risk of having an STI,” says Jane. “In the past year, only about a third of 1524 year olds in New Zealand had an STI check, so this campaign is about raising the awareness of having a regular check and ‘protecting ya bits’. Jane helped staff at Midlands Health Network to develop an informative and user friendly webtool. “When we were researching other websites and information on sexual health, we found most were text heavy & often quite boring.” says Jane.
“People often use the internet to source information on sexual health before any other means, so we wanted to create a more visual web-tool that would encourage them to check their risk of having an STI and point them towards information specific to New Zealanders. At www.itchyburnybits.co.nz, people check their risk online using an anonymous risk assessment tool and they can access all of the basic information they need in one place.” Itchy Burny Bits will be promoted at a number of events over the summer and also on the Edge radio station’s website and mobile application. You can visit the website at www.itchyburnybits.co.nz and ‘like’ the Face book page at www.facebook.com/itchyburnybits. Also, open to any suggestions or feedback about how to im2 prove the website’.
L-R: Shanara Tuaupiki, Louise West (Pop health), Sulita Povaru-Bourne (swipics), Marama Pala (Ina), Maryann Tuao, Valentine (Kaute’), Justeena Leaf (Te Ahurei a Rangatahi), Julia Dury (Family Planning)
NEW: Life Explorer Encouraging and supporting young people to make informed decisions about their future. The Life Explorer has been developed specifically for use with 11 – 13 year olds, and is aligned with the New Zealand Curriculum. Life Explorer is an interactive learning resource, designed to deliver key messages and to encourage discussion about future goals and healthy relationships. To order free class sets (including 30 Life Explorers + 30 blank templates and Lesson Plans), email or phone us, while stock lasts. Email: firstname.lastname@example.org or contact the Resource Unit (04) 802 1332.
Ka puāwai, ka hiki ki te haere - a blossoming takes place, a journey is set out on Sexuality Education for Years One to Four Following requests from primary schools for quality, curriculum-linked programmes, Family Planning has a resource to support the teaching of sexuality education to Years One to Four. The resource: Is designed to sit within the health strand of The New Zealand Curriculum. Is evidence based, aligning with international best practice in sexuality education. Was drafted by specialists from the University of Canterbury’s School of Education. Has been tested and trialed by a number of primary teachers from a range of schools. It acknowledges age and stage development, building on and reinforcing learning through the years. Interactive classroom activities can be used and adapted to meets the needs of different school communities and their children. The focus is on developing the knowledge, skills and attitudes required by children, particularly for their physical, emotional and social development. The materials also provide opportunities for families, whānau and the wider community to be involved. It does not include teaching about: Sex – masturbation, sexual intercourse or other sexual acts. Conception, reproduction, pregnancy. Contraception, condoms or sexually transmissible infections. The sexuality resource for Years One to Four is being released on 28 November 2013, to order a copy email: email@example.com or contact the Resource Unit (04) 802 1332.
Say and Show “Yes”
Family Planning is shocked at recent media reports of young men having sex with young women who are vulnerable and may be intoxicated and unable to say yes. Consent is an important part of safer sex – this is both people saying and showing “yes” to any sexual activity. Sixteen is the legal age to consent to have sex. Family Planning Chief Executive Jackie Edmond says that targeting or taking the opportunity for sexual activity with young women who are intoxicated and cannot consent is appalling and potentially criminal. Family Planning is addressing the situation in a couple of ways. "Doctors and nurses at our clinics can help young women with immediate sexual health issues – emergency contraception, sexually transmissible infection testing and so on – in a confidential and non-judgemental manner”, said Ms Edmond. “Outside this immediate and practical help, we know that comprehensive sexuality education programmes can help young people navigate their way through these situations. These programmes build on young people’s skills and knowledge year on year and cover issues such as consent, the impact of alcohol and making safety plans.” A number of our resources cover these issues – you can download heaps of free resources at http://www.familyplanning.org.nz/health_info_issues/family_planning_resources/free_resources. Check out Sex-What’s Your Position and the Purse Pack in particular.
Upcoming Courses When
Price (incl GST)
Friday, 29 Nov 2013 9:00 AM – 4:30 PM
HP – Hei Huarahi
Tuesday, 3 Dec 2013 9:00 AM – 4:30 PM
HP - Alcohol and Sexuality
For more information and to register visit http://education.familyplanning.org.nz/upcomingcourses/categories/25-health-promotion
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Kia ora koutou katoa. On Friday 8 to Saturday 9 November the New Zealand Sexual Health Society hosted the 35th Annual Conference 2013, at the Novotel Lakeside, Rotorua. What follows are my Conference highlights; listed in the order they were presented. Dr Kerry Sexton’s presentation gave us renewed hope that the STI national dataset is more accurate and comprehensive than in earlier years. Kerry is a long-time campaigner for comprehensive data, by age and ethnicity. Dr Jane Morgan from Waikato SHS presented the realities of STI control. Jane’s slides reported impressive numbers of people tested by GPs for Chlamydia, compared to the small numbers of people and partners, who successfully complete their treatment. This was compelling evidence for those of us who work with young people that our health promotion messages must go further than simply promoting STI testing. Kate Butterfield-Reece from Family Planning promoted an evidence-based teaching resource that links the misuse of alcohol to poor sexual health. Contact your nearest Family Planning clinic for information about how to get copies of the resource. The Pacific health promotion session was very successful, thanks to Robert Muller from Village Collective, Akarere Henry from SWIPIC, and Twiggy Johnston from Regional Public Health, Hutt valley DHB. Take home messages from this presentation were 1) know your Pacific communities before you start working with Pacific young people, and 2) Pacific communities are diverse and unique, and 3) the Pacific ‘urban’ village is as important as the villages spread across the many islands of the Pacific, and 4) Pacific knowledge's and worldviews are rich, life-enhancing, and enduring. Kataraina Davis from Auckland Sexual Health Services, got us all thinking about the separation of health promotion from clinical services in the SH sector. Kataraina challenged us to address how these two different but interdependent services ought to work closer together. In the aftermath of allegations of rape by the young men calling themselves ‘Roast Busters’, the presentations by Dr Kim McGregor and Shila Nair created a sense of urgency among Conference participants that unequal and unhealthy gender roles are strongly associated with sexual violence and violence against girls and women. Dr Terryann Clark presented a snapshot of the findings from the latest Youth Health Survey. The data indicate that most young people are doing well and making healthy decisions. Comprehensive and sustained health strategies are what young people need. High priority health issues for young people are 1) eating and activity, 2) sexual health, 3) mental health, and 4) access to primary care. Young Maori and Pacific people were more likely than other groups to have difficulty accessing sexual health care, and a sobering 19% of young people reported they were unable to access primary care, the majority from areas of high deprivation. Last, the presentation by Evelyn Mann and Gareth McMillan from THETA rocked the Conference! Their presentation demonstrated how young men and women can improve their sexual health when they are empowered with accurate information and respectful gender role-modeling. Gareth McMillan and Evelyn Mann were awarded the $250 Oliver Davidson Prize. NZSHS members elected the Executive for 2014. We welcome Alex Massey (representing PASHNZ) and Robert Muller (representing Pacific SH). Jane Morgan joins the Executive (Waikato SHS), along with Jeannie Oliphant (ASHS), Peter Saxton (AIDS Epidemiology Group), and Edward Coughlan who is the new President (Canterbury SHS). I was re-elected (representing Maori SH), along with Catherine Parkes (Canterbury SHS), Jackie Hilton (Auckland SHS) and Jane Kennedy (Wellington SHS). The 36th NZSHS Conference 2014 will be jointly hosted by Waikato SHS and Te Puāwai Tapu in Hamilton. Thank you Phyllis Tangitu and Eru George from Lakes DHB for welcoming us to your region, and thank you to the sponsors; the Ministry of Health, GILEAD, and bioCSL for supporting the Society to host an excellent Conference. Alison Green, Executive, NZSHS
The 2014 Conference will be jointly hosted by Te Puawai Tapu and the Waikato DHB in Hamilton around August / September 2014. BE SURE TO PENCIL THIS IN! WATCH THIS SPACE! http://tpt.org.nz/
Decriminalised sex work in New Zealand: Benefits and future challenges Alison Green and Leonie Simpson, Te Puāwai Tapu, November 2013 In this brief article we review progress against the rationale for decriminalising sex work in New Zealand and ask what further work is required to achieve benefits for all. Drawing upon peer-reviewed publications, conference presentations and doctoral research recommended by the New Zealand Prostitutes Collective, we note the challenges of decriminalisation as these apply to Māori. The Prostitution Reform Act came into law on 25 June 2003 following a lengthy and heated campaign to decriminalise sex work in New Zealand. At the third reading, the bill was passed narrowly. The rationale for decriminalisation was to make sex work safer and improve the rights of all people engaged in sex work (Barnett, Healy, Reed and Bennachie, 2010). Our review of publications indicates that decriminalisation has resulted in a number of improvements; however, we suggest that work is required to maintain improvements and ensure these are evenly distributed. We also suggest that public health work is required to reduce the stigma associated with sex work and support better health and safety for people engaged in sex work. In the decade following decriminalisation, there is evidence that knowledge of employment, health and safety, and legal rights has increased among sex workers. Sex workers report they are less likely to tolerate risk from clients, and more likely to receive the support of brothel owners and the police to maintain workplace health and safety (Abel, Fitzgerald and Brunton, 2007). However, some hard-won benefits are under threat. Some city councils and district councils have introduced by-laws that increase health and safety risks facing sex workers (Barnett, Healy, Reed and Bennachie, 2010). Medical Officers report that with few resources, they find it difficult to take pro-active approaches to sex work; instead, limiting their involvement to dealing with mostly anonymous and unfounded public complaints (Abel, Fitzgerald, & Brunton, 2007). While more sex workers report they will notify the police if a client is violent, it is brothel rather than street-based sex workers who are more likely to make a notification (Mossman & Mayhew, cited in Bennachie, 2010). Of concern is the fact that a higher proportion of Māori and transgendered people are engaged in street-based sex work where the risk of unreported violence and risk to workplace health and safety is greater (Abel, Fitzgerald, & Brunton, 2007). Despite early claims that decriminalising sex work would lead to more brothels and sex workers, research indicates no significant change (Abel, Fitzgerald & Brunton, 2007). Client requests for sex without a condom are common, but most sex workers report Department of Labour health and safety guidelines and pamphlets help them maintain consistent use of condoms (Abel, 2010). Most sex workers report they undergo regular sexual health checks, but many don’t tell the doctor about their sex work (Abel, Fitzgerald, & Brunton, 2007). Sex workers continue to experience high levels of stigma which limits access to services and is a significant contributor to poor mental health (Abel, 2010). While most people get involved in sex work for financial reasons, of concern is research that suggests sex work may be the only option for young people who cannot get government or family support for education and employment (Abel & Fitzgerald, 2008).
2014 Editions of SHopp MARCH JUNE SEPTMEBER DECEMBER Please get any updates, pictures, reports into us by the 20th of the month before firstname.lastname@example.org MERRY CHRISTMAS
Congratulations to all the fundraising efforts regarding these important kaupapa: prostate awareness month, Pink Ribbon Breast, Suicide prevention, Caner awareness and Cervical screening, Whare Tangatata me Tiaki Uu. November was the month collectiuons were made within communities to support HIV/AIDS awareness.
The December 2013 edition winds off another awesome year for SH providers in Aotearoa-NZ.