SALT STUDIO & Consultancy Polycystic Ovary Syndrome (PCOS) Community Workshop and Consultation – Report Workshop: Polycystic Ovary Syndrome (PCOS) Community Workshop and Consultation Date and time: 19th June 2014 Thursday, 10am – 3.30pm Venue: Minajalku Healing Centre, 11 Rossmoyne St, Thornbury VIC 3071 Attendance: 18 Aboriginal and Torres Strait Islander women, including 3 young girls (school age) Background Polycystic Ovary Syndrome (PCOS)is a common condition in women of reproductive age that affects up to 1 in 5 Aboriginal and Torres Strait Islander women and up to one third with a body mass index greater than 30 kg/m2. It causes a number of reproductive and psychological problems (irregular periods, infertility, hirsuitism, anxiety, depression, body image issues) as well as significantly increasing the risk of metabolic issues including diabetes and dyslipidaemia. Aims 1. To inform Aboriginal and Torres Strait Islander women in the community about PCOS 2. To discuss what they see as barriers and facilitators to appropriate diagnosis and management 3. To determine community priorities for research, clinical care and increased awareness in PCOS Program *See pg4 for final running sheet Introduction of staff and women in attendance enabled understanding of each other’s roles and expectations from the workshop. Many of the women were acquainted with each other, and a few shared that they have been diagnosed with PCOS. 1 Jacqui Boyle (Monash Centre for Health Research and Implementation, Monash University) provided an overview of PCOS. This facilitated questions from the women about the conditions and symptoms, and identified potential issues for women with PCOS. The women expressed appreciation of obtaining specialist opinion. Terori Hareko-Samios (SALT STUDIO & Consultancy) was invited to share her personal experience and journey with PCOS. This encouraged yarning about barriers and enablers to accessing health services. The women expressed that hearing from people in the community was helpful. Melanie Gibson-Helm (Monash Centre for Health Research and Implementation, Monash University) was invited to summarise her research findings about delayed diagnosis of PCOS. Future recommendations for health services to engage with women in the community were sought. Key themes identified Issues for Aboriginal and Torres Straits Islander women with PCOS Lack of awareness of PCOS condition and health impacts Uncertainty about symptoms Lack of confidence in seeing a doctor and expressing concerns Feeling different from “normal” Symptoms may get worse. For example, previously able to maintain healthy weight but now having difficulties controlling weight, or previously able to conceive naturally but now having difficulties conceiving GPs/ local doctors may not be aware of PCOS prevalence in the community, leading to lack of screening, missed diagnosis or late diagnosis Late diagnosis of PCOS, leading to difficulties in management of condition Lack of follow-up on management of PCOS Barriers to accessing health services Lack of awareness/ health information Negative experience of doctors: short/ rushed consultation times, doctors dismissive of symptoms or not understanding particular concerns Fear of procedures such as blood taking or injecting insulin Enablers of accessing health services Health awareness/ health promotion/ provision of health information Good relationship with GP: longer consultation times, friendly doctors, acknowledgement and understanding of particular concerns such as weight management or infertility Feeling empowered and encouraged to express concerns and ask questions Shared management plan Female doctors 2 Future recommendations Health Information Day/ Workshop with Aboriginal and Torre Strait Islander women, including health workers, liaison officers and community engagement workers. o Targeted at smaller communities or specific population groups such as teenage girls or mothers of teenage girls o Example topics: Women’s Health, PCOS, diabetes, high blood pressure o Example events: Women’s Health Day / community forums Health promotion & Awareness/ Advertising o Example media: DVD, pamphlets, websites Support group, involving women sharing their stories with PCOS Specialist dedicated clinics such as PCOS clinic Aboriginal Women’s Health services, involving doctors and community health workers GPs having sufficient information on PCOS to screen and make diagnosis and management plans, and also to train community health workers to provide appropriate care Group health checks, allowing women to attend clinics in a group After-hours services Acknowledgement: This workshop was supported by an Interdisciplinary Research Fund from the University of Adelaide 3 Terori Hareko-Samios Trading as SALT STUDIO ABN: 559 0754 3868 Contact us Telephone: 0405 297 538 Email: terori_harekosamios@bigpond.com 10:00am 10:30am 10:40am 10:45am 11:00am 11:30pm 12:00pm 12:30pm 1:00pm 1:30pm 2:00pm 2:15pm 2:30 3:15 Community Workshop and Consultation on PCOS VAHS, Minajalku Health Centre. Thornbury 19th of June 2014 @ 10:00am-3:30pm Participants arrive – sign in Welcome and Introduction to the day Introduction to PCOS MORNING TEA WHAT IS PCOS – Yarn about PCOS Personal Experiences – Terori to give personal story Group Discussion – Personal Experiences LUNCH Barriers and Enablers to Diagnosis and Care of PCOS Barriers and Enablers to Management of PCOS Available Resources Group Discussion: Need for speciality primary care services-Aboriginal & Torres Strait Islander specific services? Group Discussion: Recommendations for future research – Key Priorities ‘What do women think?’ Thank you and CLOSE. 30min 10min 10min 15mins 30mins 30mins 30mins 30mins 30mins 30mins 15mins 15mins 45mins 4