The intersectional jeopardy of disability, gender and sexual and reproductive health: experiences and recommendations of women and men with disabilities in Northern Uganda.
The intersectional jeopardy of disability, gender and sexual and reproductive health: experiences and recommendations of women and men with disabilities in Northern Uganda.
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DOI：
10.1080/26410397.2020.1772654
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发表时间：
2020-12
影响因子：
6
通讯作者：
Zarowsky C
中科院分区：
文献类型：
--
作者：
Mac-Seing M;Zinszer K;Eryong B;Ajok E;Ferlatte O;Zarowsky C
2030年可持续发展目标致力于“不让任何人掉队”，无论其社会身份如何。虽然在全球范围内获得性健康和生殖健康服务的机会有所改善，但残疾人在性健康和生殖健康方面继续面临巨大障碍，侵犯了他们的性健康和生殖健康权利。乌干达通过了有利于残疾人的立法，以促进残疾人的权利。尽管有这些法律的文书，但残疾人的性健康和生殖健康及权利继续遭到侵犯和剥夺。为了解决这个问题，我们试图了解和记录残疾人如何看待他们使用性健康和生殖健康服务，立法和卫生政策之间的关系在冲突后的乌干达北方地区的三个地区。通过交叉性知情的分析，我们采访了32名妇女和男子与不同类型的障碍（身体，感官和精神），并进行了两个重点小组与12听力和非听力残疾人以及非参与者的意见在7个卫生设施。我们发现，残疾人获得SHR服务的机会是由性别，残疾和暴力的交叉点形成的，残疾人在私人非营利和公共卫生设施中都受到歧视。他们还遇到了许多物理，态度和沟通障碍。尽管政策实施面临挑战，但残疾人仍希望行使自己的权利，并提出了具体的多层次建议，以纠正性健康和生殖健康服务利用方面的不平等和不利情况。交叉性揭示了政策执行中的盲点和服务利用差距。全民健康覆盖可以在其普遍性符合社会正义的情况下以可采取的措施加以实施。
The 2030 Sustainable Development Goals committed to “Leave No One Behind” regardless of social identity. While access to sexual and reproductive health (SRH) services has improved globally, people with disabilities continue to face enormous barriers to SRH, infringing on their SRH rights (SRHR). Uganda adopted pro-disability legislation to promote the rights of people with disabilities. Despite these legal instruments, SRHR of people with disabilities continue to be violated and denied. To address this, we sought to understand and document how people with disabilities perceive the relationships between their use of SRH services, legislation, and health policy in three districts of the post-conflict Northern region of Uganda. Through an intersectionality-informed analysis, we interviewed 32 women and men with different types of impairments (physical, sensory and mental) and conducted two focus groups with 12 hearing and non-hearing disabled people as well as non-participant observations at seven health facilities. We found that disabled people’s access to SHR services is shaped by the intersections of gender, disability, and violence, and that individuals with disabilities experienced discrimination across both private-not-for-profit and public health facilities. They also encountered numerous physical, attitudinal, and communication accessibility barriers. Despite policy implementation challenges, people with disabilities expected to exercise their rights and made concrete multi-level recommendations to redress situations of inequity and disadvantages in SRH service utilisation. Intersectionality revealed blind spots in policy implementation and service utilisation gaps. Universal health coverage can be operationalised in actionable measures where its universality meets with social justice.
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影响因子：
3.4
作者：
Ahumuza SE;Matovu JK;Ddamulira JB;Muhanguzi FK
通讯作者：
Muhanguzi FK
影响因子：
10.8
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4.5
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通讯作者：
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作者：
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通讯作者：
Officer, Alana
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作者：
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通讯作者：
Sundby, Johanne