When only select contraception is subsidised by the government, a woman’s choice of contraceptive is greatly influenced. Contraceptive choice should be based on her preferences and circumstances. However, I learned that although women were interested in having the Mirena, there is low use of this device. Since the Mirena is not subsidised by the New Zealand health system the cost was identified as a barrrier to use. This highlighted the inequality of access and choice of contraception.
I feel strongly about equity of access and choice of contraception. I work with youth clients at a sexual health outreach clinic, and for young people, cost is usually one of the first questions when it comes to any service provision. I also work with sex workers who primarily do not have access to Medicare in Australia. This presentation reminded me of the importance of being aware of which contraception is available in my health district under government subsidies, and which ones are not and the associated costs. Building on this knowledge, it important to learn the local services which provide contraceptive services and their costs. I can then give women realistic choices. Until we in Australia have equal access to all or most contraceptive options, women will be considering cost in their decision making process.
Author bio: I am a registered nurse working in Sexual Health and HIV at Sydney Sexual Health Centre (SSHC) with a lead role in advanced results management for the service. I have a special interest in youth sexual health and family planning and work autonomously in a dedicated outreach service providing holistic and comprehensive care to youth under the age of 25. I am passionate about patient centered and quality improvement initiatives.
