ParticipatoryAppraisal-PHEObesity.ppt

Involvement engagement in developing Sexual Health Services  A participatory action research study Anne McNall - Senior Lecturer, HCES, Northumbria University anne.mcnall@northumbria.ac.uk Principal Supervisor – Dr Sue Carr, Reader in Public Health, HCES, Northumbria University. In partnership with: Dr. Helen McIlveen – Sexual Health Lead, North Tyneside PCT Ian Atkinson – Commissioner, NorthTyneside PCT This presentation aims to Explain background/rationale for study Explore the approach used Highlight issues linked to this approach Consider usefulness of approach to other contexts Example of outcomes – what can we learn Locally, regionally, nationally Commissioners and Services should: Promote active user participation and involvement in the planning and organization of services Develop their understanding of the various communities they serve Recognise and respond to social exclusion, discrimination and power imbalances (such as those between genders or individuals) in a way that enhances access, and promotes effective use of services Ensure all staff involved in sexual health services are committed to non-discriminatory working practices and delivery of care” Recommended Standards for Sexual Health Services, MedfASH 2005, p33 Why do people access sexual health services? Sexually transmitted infection Sexually assaulted Unintended pregnancy, may want an abortion Sexual difficulty, eg erectile dysfunction Contraception/ Condoms HIV positive Just as many people with sexual health need never access services (NATSAL 2000) What is known about the needs of service users in the context of sexual health? Comparatively little is known about sexual health service user views (McNall 2003, 2006) The evidence available can be criticized for its failure to explore perceived need, relying instead on positivist approaches to demonstrate satisfaction with what is offered (McNall 2003, 2006) Studies identify expressed sexual morbidity, perceived stigma, unmet needs