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Geographical access to termination of pregnancy services in New Zealand

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From Māori Health Review Issue 19
Authors:
  • Silva M et al
Summary:

This study sought to determine geographic accessibility to first trimester termination of pregnancy (TOP) services. The analyses revealed that such services are relatively difficult to access for women who live in regions that do not offer local TOP services; these women must travel on average 221km to access TOP services, equating to an average return-trip distance of 442km. The data also have implications for equity in access to services, with three of the five regions that do not have local TOP services available having a higher than average proportion of Māori population.

Comment:
Some may believe that access to first trimester TOP is not an important health issue. However, the fact is that these services are not distributed equally across NZ and access is more difficult for Māori. As I understand, the barrier is not just distance to travel but also significant cost as women who live in regions that do not offer local TOP services may have to pay for these services when seen in another region. This is unfair and contributes further to inequities in access.
Reference: Aust N Z J Public Health. 2008;32(6):519-21.
Abstract
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Independent commentary by Dr. Matire Hardwood

Dr Matire Harwood (Ngapuhi) has worked in Hauora Māori, primary health and rehabilitation settings as clinician and researcher since graduating from Auckland Medical School in 1994. She also holds positions on a number of boards, committees and advisory groups including the Health Research Council. Matire lives in Auckland with her whānau including partner Haunui and two young children Te Rangiura and Waimarie.

Research Review publications are intended for New Zealand health professionals.

Disclaimer: This publication is not intended as a replacement for regular medical education but to assist in the process. The reviews are a summarised interpretation of the published study and reflect the opinion of the writer rather than those of the research group or scientific journal. It is suggested readers review the full trial data before forming a final conclusion on its merits.

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