Sexual health encompasses STI prevention and treatment, HIV programmes, sexual and reproductive health, LGBTQ+ health, and sexual violence support. New Zealand's sexual health infrastructure includes public sexual health clinics, community organisations, and specialist health providers. This guide covers the key funding sources.
Health system sexual health:
- Sexual health clinics: Free, confidential STI testing and treatment
- HIV services: Antiretroviral therapy, HIV prevention, testing
- Cervical screening: Sexual health as part of cervical cancer prevention
- Contraception: Pharmacy-based emergency contraception and contraception
- Sexual violence: Ropu Awhina (family violence and sexual violence clinical pathways)
NZAF is the primary HIV/AIDS organisation:
- HIV prevention programmes
- HIV testing access
- HIV-positive community support
- PrEP (pre-exposure prophylaxis) advocacy and access
- Stigma reduction
Body Positive NZ supports people living with HIV:
- Community support for people with HIV
- Wellbeing services
- Peer support
Gaming trusts fund sexual health community programmes:
- Four Winds Foundation: Community health including sexual health
- Grassroots Trust: Community health and wellbeing
- Pub Charity: Community health
- Lion Foundation: Community health
Gaming trust sexual health applications:
- Condom distribution programmes
- STI testing outreach
- LGBTQ+ sexual health education
- Sexual violence support services
Rainbow communities and sexual health:
- Rainbow Health: LGBTQ+ health across primary, secondary, and community
- InsideOUT: LGBTQ+ youth health
- NZAF: Gay and bisexual men's HIV prevention
- Trans health: Gender-affirming care as sexual health
Youth sexual health:
- Family Planning NZ: Youth sexual health education and services
- School health: Sexual health education in secondary schools
- Youth health services: Youth-specific sexual health
- Online resources: Digital sexual health for young people
Family Planning NZ delivers sexual health education and services:
- Sexual and reproductive health clinics
- Education and training
- Contraception
- STI testing
PrEP (pre-exposure prophylaxis for HIV):
- Pharmac: PrEP funded since 2018
- NZAF: PrEP access support and navigation
- Sexual health clinics: PrEP prescription and monitoring
High-burden STIs:
- Chlamydia: Highest notification rate — young people
- Gonorrhoea: Increasing including antibiotic-resistant strains
- Syphilis: Recent increase in NZ
- HIV: Low but ongoing transmission
Sexual health equity:
- Māori: Higher STI rates — culturally appropriate sexual health services
- Pacific: Higher STI burden — Pacific-specific sexual health
- Te Puni Kōkiri: Māori sexual health equity
- Ministry for Pacific Peoples: Pacific sexual and reproductive health
Sexual violence and health funding:
- Ropu Awhina: Sexual violence clinical pathways
- HELP Auckland: Sexual violence support services
- Rape Crisis: Community sexual violence crisis support
- ACC sensitive claims: Sexual abuse rehabilitation
Strong applications demonstrate:
- Testing and treatment: STI detection and treatment rates
- HIV prevention: Testing, PrEP, and prevention outcomes
- Equity: Māori, Pacific, and LGBTQ+ communities with higher burden
- Youth: Young people accessing appropriate sexual health services
- Confidentiality: Safe, non-judgmental services that people trust
- Community reach: Outreach to populations not accessing clinical services
- Education: Sexual health literacy and healthy relationships
- Violence: Support for people experiencing sexual violence
Tahua's grants management platform helps sexual health organisations manage grant applications across Te Whatu Ora, NZAF, gaming trusts, and health foundations, tracking STI prevention, HIV, and sexual wellbeing outcomes.