HOOK ME UP - A guide to free and low cost Sexual and Reproductive health services in the MidCentral region - NET

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HOOK ME UP - A guide to free and low cost Sexual and Reproductive health services in the MidCentral region - NET
HOOK ME UP

      A guide to free and low cost
Sexual and Reproductive health services
        in the MidCentral region

                                          1
HOOK ME UP - A guide to free and low cost Sexual and Reproductive health services in the MidCentral region - NET
CONTENT                                           PAGE
Service information                                                                   3

Sexual assault                                                                        7

Condoms                                                                               8

Oral Contraceptive Pill                                                               9

Depo Provera                                                                          9

LARC (Long Lasting Reversible Contraception) contract holders                     10

Jadelle (the implant)                                                             11

Diaphragms                                                                        11

Emergency Contraceptive Pill (ECP)                                                12

The IUCD (Intra Uterine Contraception Device) for Emergency Contraception         12

Pregnancy tests                                                                   13

STI (Sexually Transmitted Infection) testing                                      13

Cervical smears                                                                   14

Vasectomy services & Female sterilisation / Tubal ligation                        15

Pregnancy (includes abortion)                                                     16

Other Services                                                                    17

                  The information on contracts provided by THINK Hauora
                          is valid until the end of September 2021.

     This resource can be obtained from the MidCentral Health Sexual Health Service
                                     (06) 350 8602

                                 Last updated March 2021

                                                                                      2
ORGANISATION                         ENTRY CRITERIA                       HOURS                               SERVICES PROVIDED
Abuse and Rape Crisis Manawatu (ARCS)       Free for everyone.                                             Abuse, violence, rape support services.
www.arcsmanawatu.org.nz                     Self-referral by phone or in                                   Counselling.
Phone (06) 356 5868                          person.                        Monday - Friday                 Education and training.
Fax (06) 356 5867                           Prefer for clients to book     9am - 5.00pm                    Information and advice.
10 Linton Street , Palmerston North          appointments to ensure staff                                   24 Hours help service (9am-5pm office hours; 8pm-8am
admin@arcsmanawatu.org.nz                    availability.                                                   after hours).

                                            Free sexual health services
                                                                                                            Full range of medical services provided.
Best Care Whakapai Hauora                    for enrolled under 23-year-
                                                                                                            Both GP appointment and nurse-led clinics.
www.whakapaihauora.maori.nz                  olds; free or low cost (max
                                                                            Monday - Friday                 Free Contraceptive Assessment & Advice Services for
Phone (06) 353 6385                          $5) for enrolled over 23-
                                                                            9am - 5.00pm                     people who meet the criteria.
Fax (06) 353 1883                            year-old priority women.
140-148 Maxwells Line Palmerston North                                                                      Other services have fees apply – full info about fees on
                                            Free smears for priority
                                                                                                             website.
                                             women.

                                                                            Monday - Friday
                                                                                                            Peer driven and confidential service.
Drugs Project PN                                                            10am - 7pm
                                                                                                            Referrals to treatment and detox if requested.
www.needle.co.nz                                                            Saturday 11am - 3pm
                                                                                                            Support and advocacy for IDU'S and their whānau.
www.drugsproject.co.nz                                                      Closed Sunday & Public
                                                                                                            Full range of injection equipment stocked.
Phone (06) 353 5063                                                         Holidays.
81 Grey Street, Palmerston North                                            Electronic Dispenser:           Free condoms & lube available at our front desk. Condoms,
                                                                            Pin number 4444                  lube & sponges for sale via NZPC.

Massey University Student Health
                                                                            Monday - Friday                 STI checks, condoms.
Phone (06) 350 5533
                                          Students enrolled at Massey      8.30am - 5.00pm                 Cervical smears.
Level 1, Registry Buildings, Massey
                                           Medical Centre only              Appointments                    Contraception – Depo Provera, OCP, Jadelle.
University, Palmerston North
                                                                            necessary.                      Pregnancy testing.

                                                                                                                                                                  3
ORGANISATION                             ENTRY CRITERIA                               HOURS                                 SERVICES PROVIDED
                                                Free for all ages (if NZ
                                                 resident, otherwise                                                       Pre-decision counselling.
MidCentral Health Pregnancy
                                                 charges apply).                                                           Exploring options (keeping pregnancy, adoption,
Counselling service
                                                Can self-refer or be            Appointments only                          abortion, guardianship).
Phone (06) 350 8322
                                                 referred by another             Monday -Friday.                           Ongoing support.
Fax (06) 350 8484
                                                 practitioner.                                                             Other pregnancy related counselling e.g. post abortion,
                                                Referrals from the                                                         miscarriage counselling and support.
                                                 Women’s clinic.
                                                                                                                           Testing, treatment & education for STIs.
MidCentral Health Sexual Health                                                                                            Free condoms.
Service                                                                          Clinics: Monday - Friday                  Management of complex infections such as HIV,
www.midcentraldhb.govt.nz                       Free for all ages.              Evening clinic on Tuesday.                 syphilis.
Phone (06) 350 8602                             Can self-refer or be            Appointments usually required -           Management of other genital conditions e.g. skin
Freephone 0800 808 602                           referred by another             ring to find out clinic times. Walk-       conditions & genital pain syndromes.
Fax (06) 350 8609                                practitioner.                   ins will be accepted when able.           Treatment/management of genital warts & genital
Rimu, Community Health Village                                                                                              herpes.
Palmerston North Hospital                   If directing someone to the          Phone consultation and remote             Contact tracing.
                                            service, please send a referral      testing available for people              Historical sexual abuse/assault (not acute cases, these
Regular outreach clinics in Dannevirke at   letter.                              without symptoms.                          clients are seen at Southern Cross Hospital by the
the Barraud Street Health Centre and                                                                                        DSAC doctors via the police).
Levin at the Horowhenua Health Centre.                                                                                     Education and support for other health providers.
                                                                                                                           Complex contraception on referral e.g. IUD insertions.
                                                                                                                           Gender affirming healthcare on referral.

MidCentral Health Public Health                 On referral or self-referral.   Monday - Friday 8am - 4.30pm              Contraception (supply of condoms) and information
Nursing                                         Up to the age of 18 years.      except public holidays.                    and advice
Phone (06) 350 45 60                            Secondary School Clinics                                                  Emergency Contraceptive Pill
Fax (06) 350 45 61                               available in most colleges      Palmerston North, Tararua,                Pregnancy tests
200 Broadway Ave, Palmerston North               (enquire at the school          Feilding and Horowhenua                   Sexual health information and advice, and referrals to
                                                 reception).                     schoolhlth@midcentraldhb.govt.nz           appropriate services when necessary.

                                                                                                                                                                            4
ORGANISATION                             ENTRY CRITERIA                         HOURS                               SERVICES PROVIDED
                                                                                                                 Depo Provera injections, contraceptive prescriptions, and
Practices belonging to the THINK Hauora         Free sexual health services
                                                                                                                  referral to LARC providers.
network                                          for enrolled under 23-year-
                                                                                                                 Standard consultations for sexual health assessment,
http://www.Thinkhauora.nz                        olds; free or low cost (max
                                                                                                                  diagnosis, or treatment.
Phone (06) 354 9107                              $5) for enrolled over 23-
                                                 year-old priority women.*                                       Free cervical smears for priority women.
Fax (06) 354 6107
                                                                                  See individual practices.
200 Broadway Ave, Palmerston North              Free smears for priority
                                                                                                              * Māori: Pasifika: CSC holders: Dep 5; at high risk of unplanned
                                                 women.**
                                                                                                              pregnancy, poor health, and poor social outcomes; service users
The information on contracts provided by        THINK Hauora has a list of
                                                                                                              of Community Alcohol and Drug Services.
THINK Hauora is valid until the end of           practices accepting new
                                                                                                              ** Māori, Pasifika, Asian, 30-69 year olds that have never been
September 2021.                                  patients.
                                                                                                              screened or haven’t been screened in the last five years.

THINK Hauora
                                                Priority women & others due      Monthly appointment in
http://www.thinkhauora.nz
                                                 to financial stress or unable    Ōtaki, Levin, Foxton           Cervical screening clinic.
Phone (06) 354 9107
                                                 to attend GP for any reason.     Beach, Palmerston
Fax (06) 354 6107
                                                                                  North.
200 Broadway Ave, Palmerston North

                                                                                                                 Women’s health information (including a library).
                                                                                                                 Free pregnancy testing (and information and assistance re
Te Hā o Hine-ahu-one - Women’s Health                                                                             pregnancy information/options).
Collective
                                                                                  Drop-in service 9am -          Free condoms and lube.
www.pnwomenshealth.org.nz                        Free for women of all ages.
                                                                                  5pm each weekday.              Free cervical screening (limited access, (Wednesday
Phone (06) 357 0314                              Clients are usually self-
                                                                                  Cervical screening,             morning / afternoon clinics).
53 Waldegrave Street, Palmerston North (in        referred, but may be referred
                                                                                  counsellor and natural         Referral assistance to access services.
the Te Whare o ngā Wāhine/PN Women’s              from another health or
                                                                                  health therapists require      One to one support and advocacy.
Centre building).                                 community provider.
                                                                                  appointments.                  Subsidised lower cost counselling service (can be free).
pnwhc@xtra.co.nz
                                                                                                                 Also provide access to lower cost natural health
                                                                                                                  practitioners such as an osteopath, naturopath and massage
                                                                                                                  therapists.

                                                                                                                                                                       5
ORGANISATION                          ENTRY CRITERIA                      HOURS                            SERVICES PROVIDED
Te Wakahuia Hauora
Phone (06) 357 3400
                                                                                                        Priority women smears.
Highbury Shopping Centre
Pembroke Street, Palmerston North

                                             Free sexual health services   Monday - Friday
                                              for enrolled under 23-year-   9am - 5pm
The Palms Medical Centre
                                              olds; free or low cost (max
http://thedoctors.co.nz/The-Palms                                                                       Sexual health services
                                              $5) for enrolled over 23-     Te Wahineora
Phone (06) 354 7737                                                                                     Te Wahineora women’s health/contraception clinic
                                              year-old priority women.      Monday 10am -7pm
445 Ferguson Street, Palmerston North
                                             Free smears for priority      Tuesday 10am - 4pm
                                              women.                        Thursday 11am - 8pm

                                             Free *
The Women’s Clinic                                                                                      Medical Terminations up to 10 weeks, surgical TOP up to 15
                                             Self-referral OR              Monday - Friday
www.thewomensclinic.net.nz                                                                               weeks, referrals for TOP over 15 weeks.
                                             Nurse/GP referral             8.30am - 5pm
Phone 0800 226 784                                                                                      Jadelle insertions and removals and IUD insertions and
Fax (04) 974 4817                                                                                        removals for women having a TOP (no cost); for private
                                          *for NZ residents & citizens in   Appointments required.
reception@thewomensclinic.net.nz                                                                         paying patients or patients who fit under THINK Hauora
                                          MCDHB region, charges apply if    No walk-in service.
(Address given to women over the phone)                                                                  contract (contact the clinic for prices).
                                          don’t meet this criteria.

                                                                                                        Free cervical smears for all priority women, $45 for all
Worldwise Well Women’s Clinic                                                                            other, special circumstances free of charge on a case by case
Phone (06) 353 7310                                                                                      basis.
Fax (06) 353 7312                                                           Monday - Friday
                                                                                                        Emergency Contraceptive Pill.
                                             All ages for travel advice,   9am - 5pm
                                                                                                        Sexual Health Checks.
Worldwise Travellers Health and               vaccinations, sexual and
                                                                                                        Contraception/STI checks, from $25 if no GP.
Vaccination Centre                            reproductive health.          After hours by
                                                                                                        Contraception – including Jadelle, Depo, pill, IUCD
244 Grey Street, Palmerston North                                           arrangement.
lisa@worldwise.co.nz                                                                                    Pregnancy testing.
                                                                                                        All vaccinations, including those for sexual health, childhood
                                                                                                         catch-up and travel.

                                                                                                                                                               6
ORGANISATION                          ENTRY CRITERIA                     HOURS                            SERVICES PROVIDED
                                                                                                         Emergency Contraception Pill
                                                                                                         Sexual health checks
Youth One Stop Shop (YOSS)                    YOSS is a free service for   Daily walk-in clinics
                                                                                                         Free condoms
www.yoss.org.nz                                anyone aged from 10 to 24    Monday & Tuesday
                                                                                                         Contraception – including Jadelle, depo, pill, IUCD
Phone (06) 355 5909                            years.                       9am - 6pm
                                                                                                         Pregnancy testing & options around pregnancy
Fax (06) 355 5907                             We have a whole range of     Wednesday &
31 Princess Street, Palmerston North                                        Thursday                     Cervical smears
                                               ways to help out young
info@yoss.org.nz                               people who live in           10am - 6pm                   All general medical care
www.facebook.com/youthonestopshop              Palmerston North.            Friday 9am - 5pm
                                                                                                     YOSS also provides counselling, psychology, youth work, social
                                                                                                     work, alcohol & drug counselling.

YOSS -Levin                                                                 Monday - Wednesday
152 Bath Street in the HVL building                                         (for booked
Phone 06 368 0863                                                           appointments)
                                                                            9:30am - 4pm

                                                                 SEXUAL ASSAULT

The Sexual Abuse Assault and Treatment Service is provided by the MEDSAC Medical Sexual Assault Clinicians Aotearoa (previously DSAC) at Crest Hospital,
phone 06 9532498. Forensic cases should present to the police initially. Please see MDHB website for more information about referring and referral forms.

Abuse and Rape Crisis Manawatu (ARCS)
Abuse, violence, rape support services, counselling, education and training, information and advice.
24 Hours help service (9am -5pm office hours; 8pm – 8am after hours)
Free for everyone. Self-referral by phone or in person. Prefer for clients to book appointments to ensure staff available. Monday - Friday 9am - 5pm.
www.arcsmanawatu.org.nz / admin@arcsmanawatu.org.nz / Phone (06) 356 5868 / Fax (06) 356 5867 / Address 10 Linton Street Palmerston North

                                                                                                                                                                7
CONDOMS

               Up to 60 condoms are available from a doctor for a $5 script fee.
                 Subsidised condoms can be seen on the Pharmac Schedule,

                             Other free or low-cost options are:

                                            Need to see a practice nurse or a doctor. Must be
       Best Care Whakapai Hauora
                                            registered with the practice.

                                            Available on counter to help yourself. Also have
  Drugs and Health Development Project
                                            condom vending machine to access after-hours.

           MidCentral Health
                                            Secondary School Clinics.
          Public Health Nursing

           MidCentral Health                Up to 60 free when seeing a nurse or doctor.
          Sexual Health Service             Or 1 box of 12 from reception.

New Zealand Aids Foundation/ Te Tūāpapa     Provide free condoms and lube and information for
        Mate Āraikore o Aotearoa            providers who see men who have sex with men.

                                            For sex workers - bulk condoms and lube (and dental
New Zealand Prostitutes Collective (NZPC)   dams) can be purchased from the NZPC at lower cost.
                                            Have free start up packs for sex workers.

          Te Wakahuia Hauora                Can walk in for a pack of two condoms and lube.

        Te Hā o Hine-ahu-one –
                                            Available free, on a help yourself basis.
       Women’s Health Collective

                                            Can get up to 2 condoms & lube sachets from reception,
       Youth One Stop Shop Health
                                            or from the nurse or doctor on script.

                                     Female condoms
                         Can be purchased through Positive Women.

                                                                                           8
ORAL CONTRACEPTIVE PILL
                             Combined or POP (mini pill)
                             Free to Māori, Pacific Island women and people of any ethnicity and are
  Best Care Whakapai
                             under the age of 23 years. Free or low cost (max $5) for enrolled over
        Hauora
                             23-year-old priority women. Must be registered with the practice.

   MidCentral Health
                             Secondary School Clinics.
  Public Health Nursing

Practices belonging to the   Free sexual health services for enrolled under 23-year-olds; free or low
 THINK Hauora network        cost (max $5) for enrolled over 23-year-old priority women.

Worldwise Well Women’s
                             From $25 for women with no GP.
        Clinic

  Youth One Stop Shop
                             Free for people ages 10-24 who live in Palmerston North.
        Health

                                    DEPO PROVERA
                             Free to Māori and Pacific Island women and people of any ethnicity
  Best Care Whakapai         that are under the age of 23 years. Free or low cost (max $5) for
        Hauora               enrolled over 23-year-old priority women. Must be registered with the
                             practice.

   MidCentral Health
                             Secondary School Clinics.
  Public Health Nursing

Practices belonging to the   Free sexual health services for enrolled under 23-year-olds; free or low
 THINK Hauora network        cost (max $5) for enrolled over 23-year-old priority women.

Worldwise Well Women’s
                             From starting price $25.00 for women with no GP.
        Clinic

  Youth One Stop Shop
        Health               Free for people ages 10-24 who live in Palmerston North.

                                                                                              9
LARC
               (Long Acting Reversible Contraception)
                               CONTRACT HOLDERS
Free insertion and removal of LARC’s for priority women aged 16 – 50 years old
 Including copper intra uterine devices, Mirena levonorgestrel intra uterine system, and
   Jadelle levonorgestrel implants
 Priority populations are females who are Māori; Pasifika; CSC holders; Dep 5; at high risk
   of unplanned pregnancy, poor health, and poor social outcomes; service users of
   Community Alcohol and Drug Services.

                                   Phone (06) 353 6385
   Best Care Whakapai Hauora
                                   140-148 Maxwells Line Palmerston North

                                   Phone (06) 356 8033
    Cook Street Health Centre
                                   138 Cook Street, West End, Palmerston North

                                   Phone (06) 323 9696
       Feilding Health Care
                                   7 Duke Street, Feilding

                                   Phone (06) 368 8065
 Horowhenua Community Practice
                                   62 Liverpool Street, Levin

                                   Phone (06) 368 8068
     Masonic Medical Centre
                                   685 Queen Street, East, Levin

                                   Phone (06) 364 8555
      Otaki Medical Practice
                                   2 Aotaki Street, Ōtaki

    The Women’s Health Clinic      Phone 0800 226 784

      Tararua Health Group          Phone (06) 374 5691 or (06) 376 6466

                                   Phone (06) 353 7310
  Worldwise Well Women’s Clinic
                                   244 Grey Street, Palmerston North

                                                                                     10
JADELLE (The Implant)
It is standard that two appointments will be needed; the first to provide education (usually
with the nurse) and the second to insert the Jadelle (the doctor will do this).

You can refer to one of the contracted LARC providers for the Jadelle if the person meets
the criteria (see LARC Contract Holder Section above).

    Best Care Whakapai Hauora       Free for priority women under the LARC contract.

                                    For funded Jadelles please see above information on LARC
 Practices belonging to the THINK   providers. For people who don’t meet the criteria, they will
         Hauora network             need to check with their own practice to see if this is provided
                                    there and the cost for insertion and removal.

                                    Jadelle insertions & removals for women not having TOP but
       The Women’s Clinic
                                    unable to access at their GP. Please phone to find out more
                                    about costs 0800 226 784.

                                    Free for people ages 10-24 who live in Palmerston North.
   Youth One Stop Shop Health       Require two appointments, first with a nurse and second with a
                                    doctor.

                                    Implant & Removal.
  Worldwise Well Women’s Clinic
                                    Contact the practice for pricing (06) 353 7310.

                                    DIAPHRAGMS

Diaphragms and spermicide have not been available in Aotearoa New Zealand for a number of
             years. Please see Family Planning website for more information

                                                                                            11
EMERGENCY CONTRACEPTIVE PILL (ECP)
                                   Free to Māori and Pacific Island women and people of any
                                   ethnicity that are under the age of 23 years. Free or low cost
  Best Care Whakapai Hauora
                                   (max $5) for enrolled over 23-year-old priority women.
                                   Appointment required. Must be registered with the practice.

      MidCentral Health
                                   Secondary School Clinics.
     Public Health Nursing

                                   Free sexual health services for enrolled under 23-year-olds; free
Practices belonging to the THINK
                                   or low cost (max $5) for enrolled over 23-year-old priority
        Hauora network
                                   women.

                                   ECP is available from pharmacies for free for people under 25
          Pharmacies               years. Please see MCP website for a list of pharmacies providing
                                   this ECP service.

  Youth One Stop Shop Health       Free for people ages 10-24 who live in Palmerston North.

 Worldwise Well Women’s Clinic     Appointment required. There may be a cost.

            THE IUCD (Intra Uterine Contraception Device)
                 FOR EMERGENCY CONTRACEPTION

    This is more difficult to access as only a few doctors can provide this at short notice.
     People should try their own GP in the first instance and if they are unable to get an
appointment, do not have a GP or are unable to afford cost then phone the MidCentral Health
                                Sexual Health Service for advice.

                                                                                           12
PREGNANCY TESTS
                                          The nurse can do them at a cost of $5.00. Phone for an
      Best Care Whakapai Hauora
                                          appointment. Must be registered with the practice.

          MidCentral Health
                                          Secondary School Clinics.
         Public Health Nursing

          MidCentral Health
                                          Can do a pregnancy test as part of a STI check.
         Sexual Health Service

Practices belonging to the THINK Hauora
                                        Doctors and nurses will do this for free.
                network

         Te Wakahuia Hauora               Free to all women.

        Te Hā o Hine-ahu-one –            Free to women of any age. No appointment necessary. Can
       Women’s Health Collective          take 2 tests away and do yourself if you want to.

      Youth One Stop Shop Health          Free for people ages 10-24 who live in Palmerston North.

                                          The nurse can do them at a cost of $5, tests available for free
    Worldwise Well Women’s Clinic
                                          to take away. Please phone for an appointment.

 SEXUALLY TRANSMITTED INFECTION (STI) TESTING
                                          Free sexual health services for enrolled under 23-year-olds;
      Best Care Whakapai Hauora           free or low cost (max $5) for enrolled over 23-year-old
                                          priority women. Must be registered with practice.

                                          Free for all ages and this includes most treatments, if needed.
          MidCentral Health
                                          This is a specialist clinic for the diagnosis, treatment and
         Sexual Health Service
                                          management of STIs.

                                        Free sexual health services for enrolled under 23-year-olds;
Practices belonging to the THINK Hauora
                                        free or low cost (max $5) for enrolled over 23-year-old
                network
                                        priority women.

                                          Doctors and nurse will do STI checks. There will be a cost,
    Worldwise Well Women’s Clinic
                                          discount for community service card.

      Youth One Stop Shop (YOSS)          Free for people ages 10-24 who live in Palmerston North.

                                                                                                13
CERVICAL SMEARS
 Priority women can have free cervical screening at any health service that provides smears.
 Priority women are; Māori, Pasifika, Asian, 30-69 year olds and anyone that have never been
                  screened or haven’t been screened in the last five years.

                                          Priority smears are free and non-criteria cervical smears are
      Best Care Whakapai Hauora           $20 from a nurse smear taker. By appointment only.
                                          Phone 06 353 6385.

Practices belonging to the THINK Hauora   Free to all priority women, other women cost depends on
                network                   each practice & whether enrolled or casual patient.

                                          Free for all priority women. Monthly clinic in Ōtaki, Foxton
            THINK Hauora                  Beach, Palmerston North and Levin,
                                          06-3676433 or 0273333161.

                                          Priority smears are free from a nurse smear taker, by
Te Hā o Hine-ahu-one - Women’s Health
                                          appointment on Wednesdays. Provide free discretionary
              Collective
                                          smears for low income women. Low cost for other women.

                                          Cervical smears are free from a nurse. Smear taker every 2nd
        Te Runanga o Raukawa              Thursday of each month. Phone 06 323 6446 for an
                                          appointment.

                                          Priority women free.
     Worldwise Well Women Clinic
                                          Discretionary (free) case by case.

                                                                                            14
VASECTOMY SERVICES
    This is not done at Palmerston North hospital so there is NO FREE option for vasectomy in the
                                         Manawatu region.

     SNIP Vasectomy Clinic Dr Simon Snook visits Radius The Palms (Suite 4, 445 Ferguson St) monthly.
      Cost: $495 - includes pre-consultation, medication required, vasectomy procedure
      Bookings must be made directly with the Snip Clinic on 0800 377 647 (0800 DR SNIP).
      Low income patients who have a CSC may be eligible for financial assistant through WINZ.
      Patients do NOT have to be referred by GP – can self-refer

     Bruce Stewart at Aorangi Medical Centre in Feilding performs vasectomies for men from his, other
     GP practices or if not registered with a GP.
    Approx. cost = $440 if casual patients (less if registered at his practice).
    Phone (06) 323 4600

     Crest Hospital – Need referral from GP

     Family Planning NZ: At the Lower Hutt Clinic – costs approximately $400
      Initial 30-minute appointment with nurse required to discuss procedure, risks & benefits.
      $119 paid at initial visit.
      $281 paid on day of vasectomy.
      All vasectomies done on Friday mornings.

    * Financial assistance from WINZ:
       Special Needs Grant of up to $300 available if meet criteria
       Need to ring WINZ to make appointment
       Do not have to pay money back
       The clinic doing the vasectomy may need to provide a letter before WINZ appt.

                FEMALE STERILISATION / TUBAL LIGATION

     Can be referred to Palmerston North Hospital for this but scoring system for level of priority
     with many women not meeting criteria for approval. Women need to discuss this with their
     GP. The only other option is to be referred by GP to private gynaecologist which is high cost.

                                                                                               15
PREGNANCY
    If undecided about pregnancy options or wanting support see MidCentral Health Pregnancy
                            Counselling Service Phone (06) 350 8322.

Antenatal education
 Barnardo’s offer courses.

Abortion
    The Women’s Clinic provides free medical abortions in Palmerston North for NZ residents and
      women residing in the MDHB region. This includes medical termination up to 10 weeks and surgical
      TOP up to 15 weeks. They will organise referral for TOP over 15 weeks.
     Phone 0800 226 784 / Fax 04 974 4817 / Email reception@thewomensclinic.net.nz
     Suite 4, Radius The Palms, 445 Fergusson Street. Palmerston North

    Abortions are free to New Zealand residents (and those approved to be in the country for two years
      or more).
    A woman of any age can access abortion without parental consent or a partner’s consent.
    Abortion consultations are free from most GPs (but check prior with the practice).
    Some doctors can be personally opposed to abortion and may not want to do this consultation
      themselves, but they are required by law to refer on, in a timely manner.

Maternity Care
    Maternity care is free for New Zealand residents (and those visitors approved to be in the country for
     two years or more).
    Midwives and GPs who are lead maternity carers (LMCs) provide free maternity care. Both will refer
     women to a specialist if there are complications during pregnancy, labour and/or birth. These
     specialists are available free in the public health system.
    Hospital birth and home birth are both options available and water birth can be planned at home (or
     in hospital if your midwife or GP provides this service). The only time that you pay for maternity
     care if is you choose to go to a specialist as your LMC or go to a specialist for additional maternity
     care under the private system.

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OTHER SERVICES
FAMILY PLANNING HEALTH PROMOTION SERVICE
This service promotes a positive view of sexuality by providing professional development, resources,
consultancy and support in the area of sexual and reproductive health and relationships.
The following services are available through the Palmerston North office:
  Parent Workshops
  Early childhood and school services – mainstream and alternative settings.
  Professional development – tailor made for education, health and social service groups.
  Programmes for people with disabilities and their carers.
  Services promoting adult sexual and reproductive health.
  Resources - Family Planning is New Zealand’s largest producer of sexuality and relationships
      related resources.

      Or for more information contact Health Promotion on (06) 359 23 95.

MANAWATU LESBIAN & GAY RIGHTS ASSOCIATION (MALGRA)
Malgra offers social support for gay people of all ages and cultures, providing the
largest space for activities and welfare in the Manawatu. For more information check out Malgra’s
website or find us on Facebook.

PFLAG-Q Palmerston North
PFlag Queer provide monthly meetings for Lesbians, Gays, Bisexual, Transgender and others who are
Queer friendly and wish to discuss issues around sexuality, sexual orientation and the response of others
to themselves. Parents &Friends of Lesbian, Gays, Bisexual and Transgender persons (PFlag Palmerston
North) – are also welcome to attend these meetings. Meetings are followed by BYO Snacks – please stay
and join us. Email pflag@inspire.net.nz

TRANSCEND
Transcend is a community organization founded in 2014 after three Trans friends noticed a lack of
support, information and education in Palmerston North and the wider Manawatu. We are run by
volunteers and supported by allies in the local community. Email transcendpn@gmail.com

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OTHER SERVICES

NEW ZEALAND PROSTITUTES COLLECTIVE (NZPC)
NZPC provides a friendly and approachable free service to workers and management
within the sex industry.

We provide the following services:
  Information on the law and prostitution
  Information on tax
  Support for sex workers in many different areas, ranging from support and
     advocacy, WINZ, IRD, Sexual Health, etc.
  Referral service to sympathetic counsellors and other complementary agencies
  Magazines for all workers within the sex industry.
  Information for new workers.
  Health issues and working safely.
  International sex workers e.g., Thai, Chinese, etc.
  Supply of condoms and lubricants at a specially decreased cost for sex workers.

Manawatu/Hawkes Bay / Wanganui Regional Co-ordinator Belinda Lewer.
Contact numbers: Phone (06) 357 3150 (within Palmerston North area) or (06) 835 1400 (within
Hawkes Bay area) / Cell phone: 027 246 23 71.

NEW ZEALAND AIDS FOUNDATION (NZAF)
The NZAF focus on prevention amongst the group most at risk of HIV infection in New Zealand – men
who have sex with men (MSM).

The Foundation:
 Offers various forms of practical, psycho-social and counselling support for those living with HIV and
  AIDS and their significant others
 Offers counselling services to gay and bisexual men and their male and/or female partners as a
  prevention strategy, and
 Offers a confidential, free, HIV testing service.

Wellington office: Awhina Centre, Level 1, 187 Willis Street, Wellington 6141.
Phone (04) 381 6640 / Fax (04) 381 6641 / Email contact.awhina@nzaf.org.nz.

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