Lets talk about sex.... - Auckland District Health Board

Specific gaps and barriers
Most participants perceived barriers and/or gaps for Rainbow service users when accessing
services. The majority of this group indicated that training of clinicians/health professionals is the
greatest gap. A lack of specific services and systems or pathways for Rainbow service providers
and/or service users was also a common gap that was identified. The greatest barrier to service
users receiving effective services identified by participants was the fear of being judged or
discriminated against by the clinician/health professional.
Gaps:
Main specific gaps identified by service providers by 41 participants were:
• A general lack of training in working with Rainbow service users, or lack of awareness or
knowledge of specific Rainbow issues (13)
• No specific or targeted Rainbow clinical services and/or community Rainbow services to
refer to (6)
• No training on trans specific issues or needs (5)
• No systems or care pathway for Rainbow service users (4)
• Lack of skilled service providers, or lack of engagement skills by service providers (5)
• Don’t know (7)
• Lack of Rainbow support groups or social groups (3)
• Invisibility of Rainbow service providers and/or service users (6)
• Generic difficulties accessing services (3)
• Lack of acknowledgement of Rainbow identity and not asking about S.O. or G.I. (3)
Other comments included:
• short GP consult time;
• no clinical discussions of Rainbow issues;
• lack of awareness of Rainbow specific services that are available;
• lack of coordination between services;
• a need for de-homophobia training;
• fear of confidentiality being breached;
• lack of inclusion of whanau/family;
• a lack of invitation (to discuss S.O and G.I identity).
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