{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T18:51:15Z","timestamp":1787165475943,"version":"build-2736575974"},"reference-count":26,"publisher":"CSIRO Publishing","issue":"1","license":[{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"vor","delay-in-days":3744,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2016,3,31]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>INTRODUCTION<\/jats:title>\n                    <jats:p>Timely and equitable access to contraception enables teenage mothers to make informed choices about their sexual and reproductive health. This study aimed to identify barriers and facilitators to contraception for M\u0101ori teenagers who become mothers.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS<\/jats:title>\n                    <jats:p>\u2018E Hine\u2019 is a longitudinal qualitative Kaupapa M\u0101ori (by M\u0101ori for M\u0101ori) study involving M\u0101ori women (aged 14\u201319 years), following them through pregnancy (n = 44) and the birth of their babies until their babies\u2019 first birthdays (n = 41). This analysis focusses on contraception access pre-and post-pregnancy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>FINDINGS<\/jats:title>\n                    <jats:p>Pre-pregnancy most participants accessed contraception or advice. Contraception use was compromised by a lack of information, negative side effects, and limited follow up. All reported their subsequent pregnancies as unplanned. Participants gave considerable thought to post-pregnancy contraception. Despite this many experienced clinical and service delays, financial barriers, and negative contraceptive side effects. There was little focus on contraception initiation and a lack of integrated care between midwives and other primary care services, leaving many participants without timely effective contraception. The system worked well when there was a contraception plan that included navigation, free access, and provision of contraception.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSION<\/jats:title>\n                    <jats:p>The majority of participants actively sought contraception pre- and post-conception. Despite a publicly funded system, a lack of health sector integration resulted in multiple missed opportunities to meet the needs of these teenagers for effective contraception. Health service funding formulas should define the goal as initiation of contraception rather than advice and provide funding to improve timely access to long acting reversible contraception.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>KEYWORDS<\/jats:title>\n                    <jats:p>Indigenous teenage pregnancy; contraception; barriers to contraception; M\u0101ori mothers<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1071\/hc15021","type":"journal-article","created":{"date-parts":[[2016,8,14]],"date-time":"2016-08-14T03:20:58Z","timestamp":1471144858000},"page":"52-59","source":"Crossref","is-referenced-by-count":23,"title":["E Hine: access to contraception for indigenous M\u0101ori teenage mothers"],"prefix":"10.1071","volume":"8","author":[{"given":"Beverley","family":"Lawton","sequence":"first","affiliation":[{"name":"AWomen\u2019s Health Research Centre, Department of Primary Care, University of Otago, Wellington, New Zealand"},{"name":"ECorrespondence to: Beverley Lawton, Women\u2019s Health Research Centre, Department of Primary Health Care and General Practice, University of Otago, PO Box 7343, Wellington 6242, New Zealand. 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