H I D D E N W O M E N : T H E I M P A C T O F P O V E R T Y O N A B O R T I O N A C C E S S
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1 H I D D E N W O M E N : T H E I M P A C T O F P O V E R T Y O N A B O R T I O N A C C E S S S E L I N A U T T I N G, R E S O U R C E M A N A G E R S U S A N S T A R K, S E N I O R C O U N S E L L O R N I C O L A S H E E R A N, G R I F F I T H U N I V E R S I T Y
2 A C L I M A T E O F P O V E R T Y Women are more likely to live in poverty and lone mothers with dependant children represent 17% of all persons living in low economic resource households. (ABS 2012) Gender pay gap is currently 16%. Women defer health visits, such as screening tests and dental work, due to cost.
3 A C L I M A T E O F P O V E R T Y Poverty data in Australia is limited, one 2016 survey reports that one in four Queenslanders don t have more than $500 for an emergency. Men are more likely to have larger savings than women. An American study indicated that 47% of people could not cover a $400 emergency.
4 A first trimester abortion in Queensland can cost between $250-$790. There are 3 QLD Health sexual health clinics offering free medical termination services (though with strict catchment areas and limited availability).
5 U S A : 42% of abortion patients are poor and 27% are low income. (Jones, Upadhyay, Weitz (2013) C H I L D R E N B Y C H O I C E D A T A : 45% of contacts were Health Care Card holders and 67% reported abortion cost as a barrier to access. (three years to 30 June 2017)
6 C H I L D R E N B Y C H O I C E R E S P O N S E : F I N A N C I A L A S S I S T A N C E P R O G R A M Eligibility : Health Care Card (or parallel). 553 completed cases in last two years. Average of $405 per client. Lowest case $80; highest $1800.
7 P R O G R A M R E S O U R C E S $225,000 over the past two years. LARC subsidy No Interest Loans Other Organisations CbyC Donations Clinic Discounts $0 $10,000 $20,000 $30,000 $40,000 $50,000 $60,000 $70,000
8 S O U R C I N G F U N D S : A C A S E S T U D Y
9 H O W D I D J E S S M A K E I T?
10 H O W M U C H D E L A Y W A S C A U S E D T R Y I N G T O F I N D M O N E Y? Average gestation of first CbyC contact: 9.37 weeks Average gestation of clinic appointment: Number of women in 1 st trimester at first contact: 83.7% Number of women in 1 st trimester at time of TOP: 77.2%
11 H O W M U C H O F A N A B O R T I O N C A N W O M E N A F F O R D T H E M S E LV E S? 5 3 % F R O M H E R (including own money, borrowing from friends/family, and/or NILS). 4 7 % F R O M S T R A N G E R S (eg our grants, asking providers for discounts, calling other services, social media callouts). The Tiller Fund Report (USA) indicates that on average their clients could only meet 25% of the cost from their own funds.
12 T H E M A N I N V O LV E D I N T H E P R E G N A N C Y ( M I P ) Out of 553 cases, 44 men contributed: 7.9% Cases that involve violence with the MIP: 34.7% STD: otherwise known as Sexually Transmitted Debt
13 P R E S E N T I N G I S S U E S ISSUE Percent % Number Alcohol/drug MIP alcohol/drug Child safety Mental health Single parent Suicidality International Physical health Self abortion MIP incarcerated Refugee/asylum seeker.5 3 Students Disability Historic RC.7 4 Historic SA Historic DV MIP DV MIP DVO
14 C O M P L E X I T Y O F I S S U E S
15 T H E A B O R T I O N E X P E R I E N C E I N V O LV E S : Multiple disclosures. Judgement from others when asking for money. Asking a violent or unsupportive man. Gestation advancing while trying to find funds. Escalation of mental health issues. Increased poverty from raising the money housing/rent arrears, not paying bills, etc.
16 C H I L D R E N B Y C H O I C E R E S P O N S E Choosing to be client centred Prioritising women s needs Commitment to including financial support as core part of our service
17 W H A T Y O U C A N D O : R E C O G N I S E T H E N E E D I N T H I S A R E A Are you ready to be the stranger a woman asks for money? Provide continuity of care don t just give her a phone number. Develop a response to women needing support on unplanned pregnancy and abortion. Think creatively about how you can support them.
18 W H A T Y O U C A N D O : C R E A T E A S A F E E N V I R O N M E N T T H A T E N C O U R A G E S D I S C L O S U R E A N D E M P O W E R M E N T Eg. Anonymity of our telephone service. Counsellors providing financial assistance program. Best practice principles. Trauma-informed framework.
19 W H A T Y O U C A N D O : U S E S T R E N G T H S B A S E D P R A C T I C E Eg. Successful repayment in loans program. This is to thank Sian, for helping me achieve my goal and thanks to the help from the team at Children by Choice too. I feel human again. I hope to be able to help other women achieve their choices by donating to this cause every fortnight once my loan is fully paid off Thank you so much for everything. (Client via )
20 W H A T Y O U C A N D O : A D D R E S S M U L T I P L E P R E S E N T I N G I S S U E S Can take action on co-occurring problems. Build a coordinated response both internally and sector wide. Eg. Free LARC insertion. Violence screening and referrals. Good referral networks for variety of issues.
21 W H A T Y O U C A N D O : T A L K T O U S A B O U T I N T E G R A T I N G T H I S I N T O Y O U R P R A C T I C E
22 T H A N K Y O U Thanks to Chloe, Brooke and Leah for their major volunteering on the data! Thanks to Gretchen Ely, Buffalo University for sharing their work on the Tiller Fund Report. Further references available on request to finance@childrenbychoice.org.au.
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More information231,312 SSI TOTAL 19,843 34,831 55,765 10,010 72, ,066 57, ,148 98,103 61, ,801 ELD. & DISAB. W M
SSI W M 15 149 1,386 440 8,301 26,612 9,665 11,084 7,216 4,139 69,007 SSI W F 11 64 633 231 6,152 29,430 9,783 15,257 15,477 17,535 94,573 SSI B M 19 345 4,142 806 7,926 16,311 5,292 5,837 3,157 1,369
More information232,701 SSI TOTAL 19,474 34,520 55,384 9,972 71, ,610 57, ,173 99,130 62, ,745 ELD. & DISAB. W M
SSI W M 18 138 1,308 422 8,093 26,269 9,723 11,293 7,357 4,242 68,863 SSI W F 10 66 632 228 5,935 29,030 9,880 15,406 15,574 17,622 94,383 SSI B M 14 280 3,959 778 7,692 16,013 5,366 5,961 3,180 1,396
More information232,707 SSI TOTAL 19,424 34,236 55,157 9,884 71, ,047 58, ,281 99,162 62, ,340 ELD. & DISAB. W M
SSI W M 20 133 1,306 414 8,030 26,104 9,734 11,321 7,303 4,192 68,557 SSI W F 9 60 633 230 5,883 28,872 9,914 15,371 15,524 17,401 93,897 SSI B M 13 261 3,868 759 7,620 15,909 5,367 5,980 3,162 1,389 44,328
More information233,975 SSI TOTAL 19,433 33,949 55,018 9,882 71, ,842 58, ,799 99,943 62, ,299 ELD. & DISAB. W M
SSI W M 20 119 1,271 390 7,863 25,654 9,775 11,490 7,362 4,193 68,137 SSI W F 11 49 613 229 5,687 28,390 9,961 15,373 15,511 17,112 92,936 SSI B M 16 210 3,686 723 7,498 15,612 5,365 6,066 3,149 1,404
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More information227,261 SSI TOTAL 19,918 35,005 55,857 10,196 72, ,825 56, ,752 96,085 61, ,448 ELD. & DISAB. W M
AGE 0-5 6-10 11-18 19-20 21-35 36-59 60-64 65-74 75-84 85+ TOTAL PROGRAM-GRP RACE/SEX SSI W M 15 179 1,516 496 8,672 27,373 9,453 10,992 7,075 4,293 70,064 SSI W F 6 78 722 255 6,562 30,402 9,699 15,185
More information229,737 SSI TOTAL 20,091 35,056 55,864 10,132 72, ,680 56, ,432 96,967 61, ,264 ELD. & DISAB. W M
AGE 0-5 6-10 11-18 19-20 21-35 36-59 60-64 65-74 75-84 85+ TOTAL PROGRAM-GRP RACE/SEX SSI W M 11 160 1,438 455 8,458 26,924 9,558 10,995 7,034 4,166 69,199 SSI W F 9 73 680 256 6,309 29,771 9,705 15,101
More information223,965 SSI TOTAL 20,371 35,504 56,101 10,364 72, ,667 55, ,380 94,913 61, ,288 ELD. & DISAB. W M
AGE 0-5 6-10 11-18 19-20 21-35 36-59 60-64 65-74 75-84 85+ TOTAL PROGRAM-GRP RACE/SEX SSI W M 23 208 1,608 507 9,035 28,136 9,331 10,986 7,040 4,421 71,295 SSI W F 8 93 759 251 6,873 31,210 9,610 15,276
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