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School Clinics


In 2002, Midlands Health Network was contracted by Waikato DHB to provide school-based health services in Waikato. Today, 30 GP-led clinics and nine registered nurse-led clinics are in place in high schools, teen parent units or alternative education.

Local school-based clinics are a much needed service as youth in the Waikato have poor health outcomes compared to other regions in New Zealand. The clinics remove some of the barriers that prevent young people from accessing health services, for example cost, transport and the fear of talking to a health professional.  They also provide a way to encourage youth to stay engaged in the health system once they leave secondary school.

Common health issues for youth that school clinics frequently address:

  • Teen pregnancy - Maori are three times more likely to have a teen pregnancy
  • STIs - Maori under 25 are most at risk of getting chlamydia, gonorrhea, genital herpes or genital warts
  • Injury, suicide, violence, substance use and misuse, physical inactivity and mental health issues
  • An important part of the school-based health service involves a registered nurse carrying out HEADSS assessments on all Year 9 students, and students in the teen parent unit and in alternative education.

    Coordination of the school clinics programme:

    A Waikato school clinics coordinator based at Midlands Health Network in Hamilton provides day-to-day support to the GPs and nurses. The coordinator also interacts with high school staff, such as the principal, head of department for health and physical education, guidance counsellor, and also the Board of Trustees.

    Key figures for the programme:

  • As of March 2013, there are currently nine nurses and 32 GPs working in the school clinics
  • The eight nurses are funded at 2.6FTE to meet the needs of students in decile 1-2 high schools situated in high dep areas (9-10)
  • The top five reasons for a consultation in GP-led clinics are for:

  • Contraception - 1824 consults
  • Referral from a school nurse - 686 consults
  • Sexual health - 541 consults
  • Medication - 286 consults
  • Headaches - 251 consults
  • Waikato school-based clinics:

    Alternative Education Programmes

    Cambridge High School

    Fairfield College

    Forest View High School

    Hamilton Boys' High School

    Hamilton Girls' High School

    Hamilton's Fraser High School

    Hauraki Plains College

    He Puawai Teen Parent Unit at Hamilton's Fraser High School

    Hillcrest High School

    Huntly College

    Matamata College

    Mercury Bay Area School

    Morrinsville College

    Nga Taiatea Wharekura

    Ngaruawahia High School

    Otorohanga College

    Pa Harakeke Teen Parent Unit

    Paeroa College

    Piopio College

    Raglan Area School

    St John's College Hamilton

    Taumarunui High School

    Te Aroha College

    Te Awamutu College

    Te Kauwhata College

    Te Kuiti High School

    Tokoroa High School

    Waihi College

    Waikato Diocesan School for Girls


    For more information about the Waikato school-based clinics, contact Nicki Spring at nicki.spring@midlandshn.health.nz or phone 07 858 5988.

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