ArticleBMC public health2025
"We don't see a future in them…" barriers to accessing sexual and reproductive health information and services among young people with disabilities in Kyotera border district.
Article in BMC public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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3 authors.
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Abstract
backgroundYoung people with disabilities (YPWD) face numerous challenges in accessing sexual and reproductive health information (SRH) and services, including stigma and discrimination related to their disability. Consequently, many YPWD are reluctant to seek health care and have a high unmet need for SRH services. This study set out to explore the barriers to accessing Sexual and Reproductive health information and services among young people with disabilities in a Ugandan border context - known for high rates of early sexual initiation. The findings aimed to contribute insights that support the development of inclusive healthcare policies aligned with the SDG commitments to leave no one behind. METHODOLOGY: We conducted a qualitative study among 12 male and female YPWD (aged between 10 and 24 years) with physical disabilities and 7 key Informants in Kyotera border district. Data were collected through In-Depth Interviews and Key Informant Interviews. Thematic analysis was conducted on transcripts.
resultsThis study identified three key thematic barriers to young people with disabilities in accessing sexual and reproductive health information and services: individual, community, and health facility barriers. Individual barriers included Limited awareness about the availability of SRH information and services and low self-esteem. Community barriers were beliefs and practices, while health facility barriers reported by YPWD were communication challenges, shortages of commodities, and negative provider attitudes.
conclusionThe intricate challenges confronted by young people with disabilities in accessing sexual and reproductive healthcare in Kyotera underscore the urgent requirement for comprehensive interventions, spanning various levels, to dismantle these multifaceted barriers and establish a more inclusive and accessible SRH environment.
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