Challenges in accessing sexual and reproductive health services by people with physical disabilities in Kampala, Uganda.
Challenges in accessing sexual and reproductive health services by people with physical disabilities in Kampala, Uganda.
复制标题
DOI：
10.1186/1742-4755-11-59
复制
发表时间：
2014-08-02
影响因子：
3.4
通讯作者：
Muhanguzi FK
中科院分区：
文献类型：
--
作者：
Ahumuza SE;Matovu JK;Ddamulira JB;Muhanguzi FK
尽管人人有权获得与其他人相同范围、质量和标准的免费或负担得起的医疗保健和方案，但身体残疾人在获得这些服务方面仍然面临挑战。本文介绍了乌干达坎帕拉的残疾人在获得性健康和生殖健康服务方面所面临的挑战。这是2007年在坎帕拉对男女残疾人进行的一项定性研究。通过与40名残疾人进行深入访谈，并与10名残疾人代表、支持残疾人的机构工作人员和卫生工作者进行关键线人访谈，收集了关于残疾人在获得性健康和生殖健康服务方面遇到的挑战的数据。所有的数据被逐字记录使用录音机，输入到Microsoft Word计算机程序和手动分析后的内容主题的方法。研究结果表明，残疾人在获得性健康和生殖健康服务方面面临诸多挑战，包括服务提供者的消极态度、医疗设施排长队、医疗设施距离远、所涉服务费用高、不友好的物理结构以及身体健全的人认为残疾人应该是无性恋。身体残疾者在获得性健康和生殖健康服务方面面临着与卫生设施有关的挑战（服务提供者和与设施有关的挑战）、经济和社会挑战。这些调查结果要求服务提供者提高对残疾人性健康和生殖健康需求的认识，以便提供更好的支持，并要求政府在所有卫生设施中提供有利于残疾人的服务。
Despite the universal right to access the same range, quality and standard of free or affordable health care and programs as provided to other persons, people with physical disabilities (PWPDs) continue to experience challenges in accessing these services. This article presents the challenges faced by PWPDs in accessing sexual and reproductive health (SRH) services in Kampala, Uganda. This was a qualitative study that was conducted with male and female PWPDs in Kampala in 2007. Data on the challenges experienced by PWPDs in accessing SRH services were collected using in-depth interviews with 40 PWPDs and key informant interviews with 10 PWPDs’ representatives, staff of agencies supporting PWPDs and health workers. All data were captured verbatim using an audio-tape recorder, entered into a Microsoft Word computer program and analyzed manually following a content thematic approach. The study findings show that PWPDs face a multitude of challenges in accessing SRH services including negative attitudes of service providers, long queues at health facilities, distant health facilities, high costs of services involved, unfriendly physical structures and the perception from able-bodied people that PWPDs should be asexual. People with physical disabilities (PWPDs) face health facility-related (service provider and facility-related challenges), economic and societal challenges in accessing SRH services. These findings call for a need to sensitize service providers on SRH needs of PWPDs for better support and for the government to enforce the provision of PWPD-friendly services in all health facilities.
登录
查看更多内容
影响因子：
3.4
作者：
Byamugisha R;Tumwine JK;Semiyaga N;Tylleskär T
通讯作者：
Tylleskär T
影响因子：
2.7
作者：
Leigh, IW;Powers, L;Nettles, R
通讯作者：
Nettles, R
影响因子：
--
作者：
Nielsen, Karoline Kragelund;Nielsen, Siff Malue;Lazarus, Jeffrey V.
通讯作者：
Lazarus, Jeffrey V.
影响因子：
6
作者：
Byamugisha, Robert;Astrom, Anne N.;Tumwine, James K.
通讯作者：
Tumwine, James K.
影响因子：
105.7
作者：
POPE, C;MAYS, N
通讯作者：
MAYS, N