A qualitative study to explore the barriers and enablers for young people with disabilities to access sexual and reproductive health services in Senegal

Burke, Eva; Kébé, Fatou; Flink, Ilse; Reeuwijk, Miranda van; May, Alex le

doi:10.1080/09688080.2017.1329607

Cited by 68 publications

(104 citation statements)

References 10 publications

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“…Policy and research have identified the need for persons with learning disability to explore and express their sexuality and to have opportunities to form relationships like the rest of society (Valuing People, ; Valuing People Now, ; Malta National Disability Policy, ; UNCRPD, ). However, at the very roots of society lie socio‐cultural beliefs that influence the lives of persons with learning disability, including their sexual experiences (Burke et al, ). The cultural climate within the context described in this research conveys the restricted experience of social interaction in the lives of persons with learning disability.…”

Section: Discussion and Recommendationsmentioning

confidence: 99%

“…Furthermore, traditional ways of looking at sexuality in Malta inadvertently carry cultural and religious implications that inhibits discussion about sexual exploration and creates a taboo around the subject (Azzopardi Lane & Callus, ; Debattista, ). In such a cultural context, sex has a tendency to be seen within a framework of marriage and procreation, events persons with learning disability are particularly not expected or encouraged to experience (Azzopardi, ; Burke et al, ), but that however, as seen through these findings, seem to be the pinnacle of the aspirations for some of them. Barriers to sexual expression are further inhibited by parental overprotection, which featured strongly within the patriarchal context the research was conducted in.…”

Section: Discussion and Recommendationsmentioning

confidence: 99%

“…Isler et al (2009) agree that parental overprotection is often gender-oriented, as women with learning disability are considered as more vulnerable and prone to sexual abuse. Gender stereotypes, especially prominent within Maltese culture, made these young women confront significant barriers associated with their sexuality (Burke, Kébé, Flink, Reeuwijk, & May, 2017;Goyal, 2017). Bonnie recognised the anxiety her parents would experience if she had a boyfriend.…”

Section: Barriers and Overprotectionmentioning

confidence: 99%

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Muted voices: The unexplored sexuality of young persons with learning disability in Malta

Lane

Cambridge

Murphy

2019

Brit J Learn Disabil

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Accessible summary Persons with learning disability who live in Malta, especially women, feel they do not have as many opportunities to make friends and form relationships as other persons who do not have a learning disability. Persons with learning disability feel lonely but wish they had the opportunity to do the things non‐disabled people do, such as have relationships, get married, live on their own and have children. At times, their parents and people who work with them do not help them with this. It is important that persons with learning disability from a young age are supported and empowered so that they can exercise their sexual rights. Abstract BackgroundThis paper explores the sexuality of young persons with learning disability in Malta with respect to their opportunities and the constraints they experience. Materials and MethodsInterpretative phenomenological analysis was used to decode qualitative data collected from persons with learning disability. ResultsFindings reveal a context of disabling social attitudes, stereotypical gender imagery and exclusionary social practices. In addition, youth with learning disability experience a lack of community support and social networking, thus calling for platforms and spheres where they can form and maintain friendships and relationships. ConclusionsIt is concluded that Malta lacks the fundamental social acceptance that persons with learning disability are sexual beings, with the right to express their sexuality and to form relationships. Overcoming such cultural hurdles will empower persons with learning disability to establish and express their sexual identities.

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Section: Discussion and Recommendationsmentioning

confidence: 99%

Section: Discussion and Recommendationsmentioning

confidence: 99%

Section: Barriers and Overprotectionmentioning

confidence: 99%

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Muted voices: The unexplored sexuality of young persons with learning disability in Malta

Lane

Cambridge

Murphy

2019

Brit J Learn Disabil

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“…accessing health care (8)(9)(10)(11)(12)(13)(14). These barriers are attributed largely to several weaknesses in the health systems as well as individual factors of people with disabilities.…”

mentioning

confidence: 99%

In search of universal health coverage – highlighting the accessibility of health care to students with disabilities in Ghana: a qualitative study

Abodey

Vanderpuye

Mensah

et al. 2020

Preprint

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Background: Accessibility of health care to students with disabilities is a global concern. This is no less important in Ghana, however, to date, no study has been undertaken regarding access to health care to students with disabilities. This study, therefore, aims to explore the accessibility of health care to students with disabilities, in the quest of achieving universal health coverage in Ghana. Methods:Qualitative methods, involving in-depth interviews were employed to collect data from 54 participants (29 students with disabilities, 17 health workers and 8 school mothers), selected through purposive sampling. Thematic analysis was used to analyze the data. Results : The study identified three themes -accessibility, adequacy, and affordability. The study findings highlighted that universal health coverage for students with disabilities has not been achieved due to barriers in accessing health care. The barriers faced by students with disabilities were unfriendly physical environments, structures, equipment, limited support services and poor health insurance policy to finance health care. Conclusion : The study concludes that the government should prioritize disability-related issues in health policy formulation, implementation and monitoring. The current provisions and requirements in the disability act should be prioritized, enforced and monitored to ensure adequate inclusion of disability issues in health services. Further, the current exemption policy under the National Health Insurance Scheme should be revised to adequately address the needs of people with disabilities.

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“…people with disabilities in Low and Middle-Income Countries (LMICs) face substantial barriers in accessing health care (8)(9)(10)(11)(12)(13)(14). These barriers are attributed largely to several weaknesses in the health systems as well as individual factors of people with disabilities.…”

mentioning

confidence: 99%

In search of universal health coverage – highlighting the accessibility of health care to students with disabilities in Ghana: a qualitative study

Abodey

Vanderpuye

Mensah

et al. 2019

Preprint

View full text Add to dashboard Cite

Background: Accessibility of health care to students with disabilities is a global concern. This is no less important in Ghana, however, to date, no study has been undertaken regarding access to health care to students with disabilities. This study, therefore, aims to explore the accessibility of health care to students with disabilities, in the quest of achieving universal health coverage in Ghana.Methods: Qualitative methods, involving in-depth interviews were employed to collect data from 54 participants (29 students with disabilities, 17 health workers and 8 school mothers), selected through purposive sampling. Thematic analysis was used to analyze the data.Results : The study identified three themes -accessibility, adequacy, and affordability. The study findings highlighted that universal health coverage for students with disabilities has not been achieved due to barriers in accessing health care. The barriers faced by students with disabilities were unfriendly physical environments, structures, equipment, limited support services and poor health insurance policy to finance health care.Conclusion : The study concludes that the government should prioritize disability-related issues in health policy formulation, implementation and monitoring. The current provisions and requirements in the disability act should be prioritized, enforced and monitored to ensure adequate inclusion of disability issues in health services. Further, the current exemption policy under the National Health Insurance Scheme should be revised to adequately address the needs of people with disabilities.

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A qualitative study to explore the barriers and enablers for young people with disabilities to access sexual and reproductive health services in Senegal

Abstract: A qualitative study to explore the barriers and enablers for young people with disabilities to access sexual and reproductive health services in Senegal, Reproductive Health Matters, 25:50,[43][44][45][46][47][48][49][50][51][52][53][54]

Cited by 68 publications

References 10 publications

Muted voices: The unexplored sexuality of young persons with learning disability in Malta

Muted voices: The unexplored sexuality of young persons with learning disability in Malta

In search of universal health coverage – highlighting the accessibility of health care to students with disabilities in Ghana: a qualitative study

In search of universal health coverage – highlighting the accessibility of health care to students with disabilities in Ghana: a qualitative study

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