From the Office The Planner — Fall 2014 S E X U A L H E A L T H C E N T R E S A S K A T O O N November 2014 Inside this issue: From the Office 1 Nov 2014 Fundraiser: The Woods Alehouse 1 Thank You to Volunteers 1 Best Practices in Birth Control 2 From our Social Work Practicum Student 2 From our Education and Volunteer Coordinator 2 On Accessing Abortion Services 3 Greetings from our Clinic 4 Communications and Development Update 5 Services provided at the SHCS: 2013-2014 5 Financial Snapshot 2013-2014 6 Executive Director’s Letter 6 Hello friends of SHCS! This has been a fantastic year of growth. When I started in April 2013 the office was just getting settled into its new location and barely using the fantastic, colourful space. Today we regularly use both clinic rooms and we spend a fair amount of time shuffling around the office staff to make room for clinic and patient use. It is really busy around here. We have added a new clinic day! Dr. Gough will now be working with us every Monday (except statutory holidays) and a couple of Tuesdays a month. Dr. Martel and her OB/ GYN residents come in every second Wednesday of the month and Dr. Naidu is here every Wednesday that Dr. Martel is not. This means we will now be holding clinic Monday, Tuesday, Wednesday, and Thursday with the occasional weekend. Yay us! Birth control and toy sales are up this year. We have a new selection of Tantus toys (the Cadillac of silicone) and plenty of old favourites like the Magic Wand. Prices are well below retail cost. Most toys shops have a mark-up of 300%-yikes! So please keep us in mind for naughty Christmas presents and special stocking stuffers for you and your lover. I feel blessed to be contributing to such an amazingly fulfilling organization and I can’t wait to see what the next year will bring. I hope to see all of your familiar faces soon and remember that I am always here to help. From the first line of contact, Amanda Losonsky-Prentice Reception and Administration November 2014 Fundraiser The Woods Alehouse For the entire month of November, you can support the Sexual Health Centre simply by buying beer! For every pint of Paddockwood’s 60 Shillings beer purchased at The Woods Alehouse, $1 will be donated directly to SHCS! Also, we’re pleased to announce a: Sex Trivia Night! Thursday, November 20th 8:00 p.m., The Woods Alehouse Teams of up to 6 people, at a cost of $10 per team, can test their Sexual Health knowledge. It will be a fun evening with prizes for the top three teams. Follow us on Facebook to keep track of other awesome fundraising and awareness events. Thank you to our Volunteers! I want to take this time to thank my team of fantastic volunteers. Their dedication, support, and service have been appreciated. I am especially happy to report that soon we will be able to use all of their valuable personal skills (psychology, nursing, sociology, women and gender studies, health sciences, research and stats, education) and apply them to the development of the Education Speakers Board being developed by Natalya Mason. Amanda Losonsky-Prentice Reception, Administration, and Temporary Volunteer Coordinator THE PLANNER — FALL 2014 Page 2 Best Practices in Birth Control Recently the American Academy of Pediatrics recommended that the best form of contraceptive for preventing teen pregnancy is an intrauterine device (IUD)(Izadi, 2014). The American Academy of Pediatrics recommends that doctors discuss IUDs before other birth control because they are long-acting reversible contraceptives (Izadi, 2014). They also recommend IUDs because they are easy to use, effect, and safe (Izadi, 2014). It is important to note that they also encourage and recommend the use of condoms, as IUDs do not prevent against the transmission of sexually transmitted infections. IUDs are the most effective at preventing unplanned pregnancy because IUDs have a failure rate of 0.05 percent compared to birth control pills which have a failure rate of 9 percent and condoms (male) with a reported 18 percent failure rate (Izadi, 2014). What is an IUD? An IUD, which stands for: “Intra-Uterine Device” is a: “small T-shaped device that is inserted inside a woman’s uterus” (optionsforsexualhealth.org). At the Sexual Health Centre Saskatoon we offer three different IUDs: The Copper IUD, The Mirena, and recently the Jaydess. The Copper IUD continuously releases a small amount of copper and prevents pregnancy by stopping sperm from fertilizing an egg and it prevents implantation (optionsforsexualhealth.org). The copper IUD is effective for five years. The Copper IUD has an effectiveness rate of: “one pregnancy per 100 women in the first year” (Sexual Health Centre Saskatoon). The Mirena is a hormonal intrauterine system (IUS) that prevents pregnancy by slowly releasing levonorgestrel into the uterus (Bayer Healthcare, 2013). Levonorgestrel is a hormone that is often used in birth control pills and is similar to progesterone—which is a sex hormone that the body produces naturally (Bayer Healthcare, 2013). This causes the cervical mucus to thicken which prevents the passage of sperm. The Mirena has an effectiveness rate of: “2 pregnancies per year for every 1,000 women using Mirena” (Bayer Healthcare, 2013). The Mirena can be left in place for five years. Jaydess is the newest IUS. Jaydess slowly and continuously releases the levonorgestrel hormone into the uterus (Bayer Healthcare, 2014). This hormone thickens the cervical mucus, which prevents the passage of sperm. The effectiveness of Jaydess is: “less than one pregnancy per year per every 100 women using Jaydess” (Bayer Healthcare, 2014). Jaydess can be left in for up to three years. Sexual Health Centre Saskatoon believes that women should have access to good quality birth control and have choice and control in regards to their reproductive health; because of that belief Sexual Health Centre Saskatoon offers these IUDs at a discounted price. The Copper IUD is sold for $45, the Jaydess is $300, and the Mirena is $380. The Copper IUD usually is not covered under drug plans, but the Mirena and Jaydess IUS options are. Megan Gardham From our Social Work Practicum Student Hi there! My name is Megan Gardham, and I am a Social Work student doing my practicum at SHCS. I will be finished my degree in December (yay!). I started at SHCS in September and will be here until December 18th. I have been enjoying my time here very much! I am so grateful for all the experience I am gaining from working in such a wonderful agency with such great people. I look forward to the rest of my practicum here and I know I will miss the work, agency, and all the staff greatly when I am finished. Megan Gardham From our Education and Volunteer Coordinator My name is Natalya Mason and I assumed the position of Education and Volunteer Coordinator in September. I recently graduated from the University of Saskatchewan with a degree in Psychology, minoring in Women’s and Gender Studies. Currently I am pursuing a Bachelor’s in Social Work through the University of Regina. In my spare time I am a Leader with the Girl Guides of Canada, volunteer at SWITCH, and play in the Saskatoon Caribbean Steel Band. I am so excited about my new position at the Sexual Health Centre, it is pretty much my dream job! I look forward to being active in the community, talking to students, and partnering with all of the other amazing organizations in Saskatoon. Natalya Mason Page 3 THE PLANNER — FALL 2014 On Accessing Abortion Services I am currently a Social Work practicum student; my work at the SHCS focuses on options counselling. I have been doing the options counselling for almost two months now and I have quickly discovered the numerous barriers both women and the counsellor faces when accessing abortion services in Saskatoon and surrounding areas (specifically the Northern Saskatchewan communities). I have found that the biggest barrier to accessing abortion services is in regards to the process in general. In Saskatoon, the process involves three separate appointments and three different days. The first appointment women need is an ultrasound to confirm pregnancy and verify dating. Many women from outside Saskatoon will attempt to arrange ultrasounds in their home communities, however, the majority of the time they are unable to get appointments in time (before the cut-off date which is 12 weeks). The second appointment is a consultation with the Doctor. The third appointment is for the actual abortion procedure itself. I have found this process to be a barrier to accessing services because it requires women to: miss up to three days of work or school, find transportation for three days, and arrange child care for three separate days if needed. I have found this process becomes a large barrier when I receive calls from women who are from the Northern communities. I often will ask women if it would be easier to travel an extra two and half hours to Regina, or go to Edmonton or Calgary—where the process is completed all in one day. In many cases women will travel the extra hours to have services all in one day. Thankfully Saskatchewan health cards are accepted at the clinics in both Edmonton and Calgary—however there is extra gas mileage and often hotel stays needed when travelling further for services. Though Saskatchewan health will cover abortion services in Edmonton or Calgary, the relationship is not reciprocal—women with Alberta (or with other provincial or territorial coverage) will have to pay upfront (about $2000) and apply for reimbursement from their home province or territory. With that being said, even though abortion is legal with no restrictions in Canada, the access to abortion is very limited and sometimes regionally non-existent. The “Canada Health Act” states that: “From the federal perspective, the primary objective of Canadian health care policy (is) to protect, promote and restore the physical and mental well-being of residents of Canada and to facilitate reasonable access to health services without financial or other barriers” (Smith, 2002). If that is stated in the “Canada Health Act” why are there so many barriers to accessing abortion services and what can we do to break down these barriers to ensure women have access to safe and legal abortions in Saskatchewan? Unfortunately, I don’t have the answers but I do have hope and do believe that with the continual work of agencies, organizations, and individuals who believe that women have the right to fair and equitable access to abortion services eventually there will be a shift in the service process in Saskatoon and elsewhere, thus breaking down the barriers to care that are present today. Megan Gardham Page 4 THE PLANNER — FALL 2014 Greetings from Our Clinic! Hello! My name is Jennifer Cowie, one of the new nurses at the Sexual Health Centre. When I was a nursing student, I did my final practicum here and am so delighted to be back as a practicing nurse. SHCS has grown so much since I've been here, and I am so excited to be a part of it. I also reside as a nurse at the Emergency Department at St. Paul's Hospital. I grew up in Saskatoon and completed all of my education at the University of Saskatchewan. I completed my Bachelor of Nursing and a Bachelor of Science in physiology. In my spare time I love to travel, snowboard and play pool! Jennifer Cowie I am very excited to be joining the team! As a registered nurse I have worked in Street Health, Emergency, and most recently in primary care in northern Sask. and northern BC. I am currently finishing up my studies to become a Nurse Practitioner and hope to work with underserved populations— especially in women’s health and HIV. At home, I have 2 teenagers and a golden retriever and we enjoy camping, mountains, and road trips. I look forward to my time at SHCS! Meaghan Friesen Your Support Makes Our Work Possible!! NAME:__________________________________________________________________________ ADDRESS:________________________________________________________________________ CITY/TOWN:_____________________________________________________________________ PROVINCE:__________________ POSTAL CODE: ___________________ PHONE:_______________________________ 210 2nd Ave North Saskatoon, SK S7K 2B5 Phone: (306) 244-7989 Fax: (306) 652-4034 www.shcssaskatoon.ca I would like to make a monthly donation of $___________ as an automatic withdrawal from my chequing account. I have attached a voided cheque in order to start my monthly debit donation I would like to make a one time donation of: $300 $150 $50 $20 Other $_______________ Visa or Master Card # _______________________________________________ Expiry date_________________________ I want to be a member : Individual $10 Family $15 Student or Underemployed $5 Organization $25 THE PLANNER — FALL 2014 Page 5 Communications and Development Update You won’t see much of me around SHCS, but please don’t think I’ve abandoned you! I do most of my work remotely, tuning up the website as it needs it, writing and recording my weekly Sex+ radio show (Thursdays at 6 p.m. on CFCR 90.5 FM!), and assisting with special initiatives as they arise. People sometimes ask me if, after almost 6 years of running my radio show, I ever have trouble coming up with ideas. On those rare occasions where there isn’t something worthy of comment in the media, or a thought-provoking article to discuss, or new developments in the world of sexual health technology, there are so many classic topics to return to, revitalized again and again by the perspective that time brings. I’m excited to return somewhat to my roots with SHCS in assisting Natalya as she inhabits the role of Education and Volunteer coordinator; we’ve been cooking up some big plans for quite a while and I think she’s just the person to see them through. Really, our whole team has never been stronger. Good people and lots of good work to be done. I’d best get back to it. Berkley Staite Services Provided at Sexual Health Centre Saskatoon 2013-2014 Month Total # of Clients New Clients Females Males STI Testing PAP Testing Clients offered support ( not clinic) October 151 81 130 21 85 31 536 November 122 48 102 20 61 24 482 December 118 53 103 15 57 24 559 January 221 92 184 37 122 37 706 February 135 60 105 30 66 23 535 March 143 74 128 25 77 25 715 April 207 101 157 50 124 35 699 May 196 98 155 41 105 38 777 June 184 91 145 39 93 29 678 July 241 136 195 46 135 41 809 August 176 92 135 41 97 20 708 September 169 85 132 37 90 35 752 2063 1011 1671 402 1112 362 7956 Last Year Totals 1737 796 1425 312 958 199 6983 % increase from last year 15% 21% 15% 22% 14% 45% 12% Total Last year saw only a 4% increase in clientele due to limited summer clinics. This year more clinics were offered and we saw an increase in new clients. Increase in males- increase was significant over last year is because males prefer the Saturday clinics. There were more Saturday clinics in 2013-2014 than 2012-2013. THE PLANNER — FALL 2014 Page 6 Financial Snapshot 2013-2014 Income 2013 2014 Donations $15,311 $17,235 Grants $29,900 $40,744 Interest $306 $198 Memberships $110 $25 Net Art Auction $9,694 $6,596 Net Fundraising (Bingo) $17,767 $24,151 $45,808 $61,152 including wages and birth control) $2,366 $136 Other $4,007 $21,702 Pleasure Management $2,228 $2,410 Deferred Revenue, Previous Year $- $1,476 Deferred Revenue, End of Year -$778 -$1,405 Total $126,809 $174,420 Advertising $2,135 $2,492 Bank charges $560 $1,772 Board, Staff and Volunteer Support $2,582 $5,047 Grant Expenses $739 $12,304 Insurance $3,050 $2,925 Miscellaneous Expenses $812 $6,215 Office, Postage, Printing $7,965 $8,803 Pleasure Management Purchases $1,740 $1,409 Professional Fees $2,316 $8,635 Renovation Expenses $- $- Rent $18,141 $37,106 Telephone $3,192 $3,400 Wages and Benfits $93,449 $84,036 Total $136,681 $174,144 Excess (Deficiency) Of Receipts Over Revenues -$9,872 $276 Net Clinic (including wages and birth control) Out Reach Project ( Expenses Expenses Advertising 1% Bank charges Board, Staff and Volunteer Support 1% 3% Grant Expenses 7% Miscellaneous Expenses 4% Executive Directors’ Letter Hello Sexual Health Centre Supporters! I have had a very interesting year and I am very grateful to the Sexual Health Centre board for granting me a six month leave to pursue a lifelong dream of going to chef school in Italy! Of all things to do, eh? Needless to say, it was a very interesting and challenging opportunity: I learned a great deal, improved my Italian and, as my brother pointed out, had my mid-life crisis! As most of you know, while I was away SHCS was being well looked after by Pat and Linzi: thank you for all your great work! SHCS has been growing by leaps and bounds in some areas and struggling in others; our clinic services have grown so much now that we have a “no fee for service” agreement with Sask. Health. We have an agreement for 10 hours per week funding for doctors to work with us. We are extremely fortunate to be working with Dr. Gough and Dr. Naidu each week! As some of you may have heard in the news, United Way funding was not renewed for our education program and we had to temporarily suspend educational services. As a key component of sexual health prevention this was a big problem. We are grateful that as of September, Saskatoon Health Region granting program was able to fund this program for one year. The main struggle we face is our options counselling position. Even though this is our central purpose we have never been able to find funding for this work! We either utilize Social Work students, who are great but turn over every 4 months, or it falls to my and our nurse’s desk. These days we are seeing a great increase in community referrals to our office for this service but find it harder and harder to offer good support to these women. We continue to look for solutions. Evelyn Reisner Executive Director Pleasure Management Income 1% Other 13% Donations 10% Office, Postage, Printing 10% Wages and Benfits 48% Professional Fees 5% Rent 21% Grants 23% Net Clinic (including wages and birth control) 35% Net Fundraising (Bingo) 14% Net Art Auction 4%
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