This study aimed to explore how sexual and reproductive health (SRH) services are integrated and delivered in practice at SHINE SA, a specialist SRH provider in South Australia. Through ten in-depth interviews with clinical and non-clinical staff, the research examined service delivery models, coordination strategies, and the barriers staff encounter. Data were analysed thematically to identify how integration functions in real-world settings.
Findings reveal that integration is operationalised through both clinical and organisational means. Providers routinely combine STI and HIV screening, contraception, gender-affirming care, mental health support, and chronic disease management within a single care pathway. Services are delivered through multidisciplinary collaboration, shared care planning, and inclusive communication practices, with staff often tailoring care to clients' intersecting needs—such as those of LGBTQ+ populations, people living with HIV, and neurodiverse individuals.
Despite a strong internal culture of person-centred care, service delivery is significantly constrained by structural barriers. Chronic underfunding, limited clinic infrastructure, long waiting times, and workforce shortages—particularly in general practice and gender-affirming services—undermine access and equity. High demand has led to closed referral lists and reduced availability of gender-affirming care, forcing staff to triage complex needs while managing resource limitations.
The study concludes that while SHINE SA demonstrates a robust model of integrated SRH care, its sustainability depends on targeted investment in clinical infrastructure, funding for multidisciplinary staffing, and formalised partnerships with external agencies. These findings offer key insights for health systems seeking to implement inclusive, integrated SRH services responsive to community needs.