How can we improve the health and wellbeing of women, children and young people in SA?

The South Australian Women’s, Child and Youth Health Plan 2021-2031 will identify the key health service directions and strategies to ensure our health and wellbeing services meet the needs of the community over the next 10 years.

We want your views on what you believe are the key priorities and opportunities to improve the health and wellbeing of women, children and young people.

To help prompt your feedback, read the Women’s, Child and Youth Health Plan 2021-2031 Summary Framework and consider the following questions:

  1. What are your top 3 priorities to improve the health and wellbeing of women, children and young people in South Australia?
  2. If we get this plan right, what outcomes would you like to see in 10 years’ time?
  3. What could make this plan create real change in the community?

Have your say by commenting below.

Comments closed

Krystal Dennis

06 May 2021

My comment is about the No Jab No Play laws and how this directly affects children’s physical and mental health, as well as the mental health of the parents.
Firstly, depriving a child of early education will have vast impacts on the child’s social and education needs, paving the way to a generation of disadvantaged children. And this brewing culture of vax vs. anti-vax that this very law is creating, could open the doors to bullying in schools and therefore higher suicide rates amongst minors, or at the very least, confidence and self-esteem issues.
Secondly, for parents the need for respite from the 24hr workload of parenthood is paramount. Denying the parents this right, depriving them of that village of support will have devastating impacts on the parents mental health, which could lead them to feel coerced into having their child undergo a medical procedure that the parents feel very strongly against, leading them to feel extremely guilty, and causing emotional trauma. The law will also make it virtually impossible for those parents who choose not to vaccinate based on their informed decisions, to return to work and earn a second or even only income (in most cases the mothers), which could have detrimental effects on families and their livelihoods!
As a single mum I have fought countless times against this tightrope of needing a break and wanting my 15 month old daughter to experience social interaction with other children, to feeling sick at the thought of her experiencing a vaccine reaction (given my family history). I have also been unable to return to work and have had to move in with my parents just to get by as parenting payment is below minimum wage and I cannot afford to rent let alone purchase a home for myself and daughter! This has taken an extreme toll on my mental health, leading me to seek professional help.
And please note that most “anti-vaxxers” are incredibly well informed individuals on the topic and we have chosen not to vaccinate based on the evidence we’ve found, so no law would make us change our minds and it is a law that goes against medical freedoms in this country.

Hilary Reid

08 Apr 2021

New born jaundice in a baby can be serious and deadly and there is a need to educate doctors, and especially new parents, when being discharged from hospital, to look out for any signs and symptoms of pathological (not physiological) jaundice that prompts urgent referral, or self referral, to a major hospital to rule out a condition that affects only new born babies known as Biliary Atresia (BA). BA is a condition of the bile ducts where the bile ducts in the liver are either blocked or damaged, if left untreated, the condition very quickly leads to liver failure. Urgent surgery in those first few weeks of life to unblock the bile ducts before further damage occurs is critical, particularly in Extrahepatic BA, the need to try to prevent bile getting trapped inside the liver causing damage and scarring is of utmost urgency. To leave prolonged jaundice in a baby beyond 10 days of age is leaving this ticking time bomb inside these babies and every baby deserves the best start in life. A Kasia procedure is performed here in SA at WCH on these BA babies, yet SA do not have a paediatric liver transplant centre as other major states do. I believe other states see more cases of BA per year than SA. Other states also each have their own stand alone child liver transplant centre therefore have a bigger team of paediatric liver specialist who have better skills and training therefore have the best resources to operate and perform these Kasia procedures more successfully. I ask that SA Health strongly consider referring all babies born in SA that are diagnosed with Biliary Atresia are urgently referred to other states for their Kasia procedure to give these babies the best chance of a successful Kasia. It starts with ensuring all babies born in SA have the best jaundice monitoring practices possible and when jaundice in a baby lasts beyond 10 days of age these babies are screened for BA by doing a routine blood test for a Total Bilirubin count (not a Single Bilirubin count) and only then can Biliary Atresia be diagnosed to enable urgent surgery in the earliest possible timeframe to as prompt surgery. This will ensure valuable resources have optimal outcomes. Give these babies the best possible chance of preventing them going down the path of a liver transplant.

Government Agency

WCYHP Project Team > Hilary Reid

14 Apr 2021

Thank you for raising your concerns Hilary and also for your insight on the topic, and for the points you have raised about the Kasai procedure for Biliary Atresia.

We agree that every baby has the right to survive, thrive and reach their full potential. Your comments highlight the need to have services delivered by a capable workforce that are trained and equipped to deliver evidence-based clinical services that meet the needs of the South Australian population both now and into the future.

The South Australian Perinatal Practice Guidelines for Neonatal Jaundice provide guidance on the management of neonatal jaundice for newborns in South Australia. These guidelines were produced by the SA Perinatal Practice Guideline Management Group and are available on the SA Health Website.

In addition, the SA Maternal Neonatal Gynaecology Community of Practice (MNGCOP) provides statewide direction for maternity, neonatal and gynaecology services within South Australia, guiding and informing SA Health priorities and plans for the delivery of safe, quality care and further information on the MNGCOP is available on the SA Health Website.

Thank you for providing feedback on the Women’s, Child and Youth Health Plan.