Poverty, gender and reproductive justice. A qualitative study among adolescent girls in Western Uganda
Poverty, gender and reproductive justice. A qualitative study among adolescent girls in Western Uganda
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DOI：
10.1080/13691058.2019.1660406
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发表时间：
2020-02-10
影响因子：
2.2
通讯作者：
Coene, Gily
中科院分区：
文献类型：
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作者：
Ninsiima, Anna B.;Michielsen, Kristien;Coene, Gily
低社会经济地位一直被认为是影响年轻妇女的性和生殖健康侵犯行为的主要风险因素。这项研究显示了贫困如何与性别权力关系相互作用，对乌干达西部少女的性生活和生殖生活产生影响。对147名参与者进行了定性研究。这包括59次深入访谈和11次与12-14岁青年妇女、教师和家长的焦点小组讨论。使用开放和轴向编码对数据进行人工分析，并归纳得出结论。调查结果显示，年轻妇女在行使其性权利和生殖权利方面受到限制，不仅是因为贫穷和不平等的两性关系，而且还因为腐败和提供的服务差。与使用基于自由权利的方法的干预措施不同，我们主张使用“选择市场”，因为贫穷女孩获得性健康和生殖健康服务的机会非常有限，而且分布不均。此外，虽然贫穷和不平等的两性关系使女孩容易受到性胁迫和性暴力，但刑事司法系统往往薄弱，使受害者无能为力。投资于适当的资源以及包容性和负担得起的司法手段，对于促进青年妇女的性健康和生殖健康至关重要。
Low socio-economic status has been consistently identified as a primary risk factor for sexual and reproductive health violations affecting young women. This study shows how poverty interacts with gender power relations to impact upon adolescent girls' sexual and reproductive lives in Western Uganda. Qualitative research with 147 participants was undertaken. This comprised 59 in-depth interviews and 11 focus group discussions with groups of 12-14 year-old young women, teachers and parents. Data were analysed manually using open and axial coding, and conclusions were generated inductively. Findings reveal that young women are restricted in exercising their sexual and reproductive rights not only by poverty and unequal gender relations, but also by corruption and poor service provision. In contrast to interventions using liberal rights-based approaches, we advocate the use of a 'marketplace of options' since access to sexual and reproductive health services is very limited for poor girls and not evenly distributed. Moreover, while poverty and unequal gender relations render girls vulnerable to sexual coercion and violence, the criminal justice system is often weak, leaving victims powerless. Investment in appropriate resources and inclusive and affordable access to justice is essential to advance young women's sexual and reproductive health.