Aboriginal and Torres Strait Islander communities call for reproductive and sexual health services that are culturally sensitive and affirming, and embedded within cultural frameworks.
Considerations include: cultural competency of healthcare practitioners; and access to culturally appropriate support. The concept of ‘shame’ can still play a part in people’s experience of sexual health and their willingness to seek support and information. The impact of intergenerational trauma, a history of control over reproductive health rights, and broader health inequities requires consideration.
An understanding the local context is particular important in rural communities where services are limited, communities are closely connected and anonymity in relation to sexual health is very difficult to guarantee.
QLD Health: Aboriginal and Torres Strait Islander Adolescent Sexual Health Guidelines
Not specific to unplanned pregnancy and abortion, but useful learning and information about sexual and reproductive health more broadly.
The Royal Australian College of General Practitioners’ Practice Guidelines for working with patients experiencing violence and abuse
Includes a chapter dedicated to Aboriginal and Torres Strait Islander communities. Australian Institute of Health and Welfare. Family, domestic and sexual violence in Australia, 2018. AIHW Cat. no. FDV 2. Canberra: AIHW; 2018
Published Papers and Articles
Addressing structural challenges for the sexual health and well-being of Indigenous women in Australia
Arabena, K. Sexually Transmitted Infections. 2016 Mar; 92(2): 88–89.