Priority Action Area 2: Early identification

Activities under priority action area 2 of the fetal alcohol spectrum disorder (FASD) action plan.

Specific Action 3

Support primary care to provide high-quality, responsive and equitable maternity care, including screening and brief intervention for alcohol

Activity and progress Status
Activities
11. Work with professional colleges to update clinical guidelines on alcohol and pregnancy and embed evidence-based interventions and messages into core workforce competencies Completed
The colleges of GPs and midwives were involved in updating the Ministry of Health’s guidelines on alcohol and pregnancy.
12. Review the current funding arrangements for primary maternity care to improve equity and flexibility and make alcohol screening, intervention and data collection routine Ongoing
The current funding arrangements for primary maternity care continues. The Ministry of Health continues to work with the Maternity Record to ensure midwives are routinely collecting data about alcohol consumption during pregnancy and using screening and brief intervention tools.
13. Develop and promote an e-learning module that covers alcohol and pregnancy risks and the basics of FASD, which can be tailored for different professions and attract professional development credits Ongoing
HPA is working with professional colleges to develop e-learning modules to support best practice around alcohol and pregnancy.
14. Improve the consistency of alcohol and pregnancy advice in existing clinical support tools Ongoing
Ministry of Health guidelines have been reviewed and updated and new guidance is now being finalised which supports health practitioners to screen and offer brief interventions for all women of child bearing age in relation to alcohol use during pregnancy.
15. Increase the uptake into practice of tools that embed alcohol screening early in all pregnancies Ongoing
HPA continue to work with primary care about the uptake of tools to embed alcohol screening and brief interventions with PHOs.

Specific Action 4

Increase access to equitable and culturally competent sexual and reproductive health care

Activity and progress Status
Activities
16. Implement the Sexual and Reproductive Health Action Plan for 2016–2026 Ongoing
The Sexual and Reproductive Health Action Plan is in final draft, and is expected to be released later this year, and includes actions to increase access to equitable and culturally competent sexual and reproductive health care.

Specific Action 5

Increase access to support and specialist services for women with alcohol and drug issues

Activity and progress Status
Activities
17. Increase support for pregnant and postpartum women experiencing AOD issues Completed and ongoing
The Waitemata pregnancy and parenting services programme was extended to three additional pilot locations for pregnant women and parents (with children aged under three years) who are experiencing alcohol and drug (AOD) issues. The new pilot locations are Northland, Hawkes Bay and Tairāwhiti.
18. Work with AOD workforce centres to monitor the implementation of the Supporting Parents, Healthy Children guidelines and ensure that women of childbearing age coming into contact with AOD services are routinely asked about the possibility of pregnancy and connected with maternity and sexual and reproductive health services Completed and ongoing
The Ministry continues to work with Matua Raḵi to monitor the implementation of the Supporting Parents, Healthy Children guidelines to ensure women coming into contact with AOD services are asked about pregnancy. See the Supporting Parents, Healthy Children guidelines.
19. Implement and evaluate an intensive wraparound service for pregnant women with AOD issues and complex needs in three areas Ongoing
See action 17. The three pilot locations in Northland, Hawkes Bay and Tairāwhiti are being implemented and evaluated.
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