How can we improve the health and wellbeing of women, children and young people in SA?

The South Australian Women’s, Child and Youth Health Plan 2021-2031 will identify the key health service directions and strategies to ensure our health and wellbeing services meet the needs of the community over the next 10 years.

We want your views on what you believe are the key priorities and opportunities to improve the health and wellbeing of women, children and young people.

To help prompt your feedback, read the Women’s, Child and Youth Health Plan 2021-2031 Summary Framework and consider the following questions:

  1. What are your top 3 priorities to improve the health and wellbeing of women, children and young people in South Australia?
  2. If we get this plan right, what outcomes would you like to see in 10 years’ time?
  3. What could make this plan create real change in the community?

Have your say by commenting below.

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Hilary Reid

08 Apr 2021

New born jaundice in a baby can be serious and deadly and there is a need to educate doctors, and especially new parents, when being discharged from hospital, to look out for any signs and symptoms of pathological (not physiological) jaundice that prompts urgent referral, or self referral, to a major hospital to rule out a condition that affects only new born babies known as Biliary Atresia (BA). BA is a condition of the bile ducts where the bile ducts in the liver are either blocked or damaged, if left untreated, the condition very quickly leads to liver failure. Urgent surgery in those first few weeks of life to unblock the bile ducts before further damage occurs is critical, particularly in Extrahepatic BA, the need to try to prevent bile getting trapped inside the liver causing damage and scarring is of utmost urgency. To leave prolonged jaundice in a baby beyond 10 days of age is leaving this ticking time bomb inside these babies and every baby deserves the best start in life. A Kasia procedure is performed here in SA at WCH on these BA babies, yet SA do not have a paediatric liver transplant centre as other major states do. I believe other states see more cases of BA per year than SA. Other states also each have their own stand alone child liver transplant centre therefore have a bigger team of paediatric liver specialist who have better skills and training therefore have the best resources to operate and perform these Kasia procedures more successfully. I ask that SA Health strongly consider referring all babies born in SA that are diagnosed with Biliary Atresia are urgently referred to other states for their Kasia procedure to give these babies the best chance of a successful Kasia. It starts with ensuring all babies born in SA have the best jaundice monitoring practices possible and when jaundice in a baby lasts beyond 10 days of age these babies are screened for BA by doing a routine blood test for a Total Bilirubin count (not a Single Bilirubin count) and only then can Biliary Atresia be diagnosed to enable urgent surgery in the earliest possible timeframe to as prompt surgery. This will ensure valuable resources have optimal outcomes. Give these babies the best possible chance of preventing them going down the path of a liver transplant.

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