"Nothing about us, without us": stakeholders perceptions on strategies to improve persons with disabilities' sexual and reproductive health outcomes in Ghana.

IF 4.5 2区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Abdul-Aziz Seidu, Bunmi S Malau-Aduli, Kristin McBain-Rigg, Aduli E O Malau-Aduli, Theophilus I Emeto
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引用次数: 0

Abstract

Background: Persons with disabilities (PwDs) experience various adverse sexual and reproductive health (SRH) outcomes. However, there is a paucity of evidence on the strategies to improve their SRH outcomes. This study, therefore, used a pluralistic approach to explore PwDs and healthcare providers' (HPs) perspectives on how to improve the SRH of PwDs in Ghana.

Methods: In-depth interviews were conducted with 62 purposively selected stakeholders (37 PwDs and 25 HPs) in the Kumasi Metropolis and Offinso North District. The data was subjected to reflexive thematic analysis.

Results: Six major themes were generated from the data: Training for disability-sensitive and inclusive healthcare, Healthcare inclusivity - 'nothing about us, without us', Raising awareness for accessibility and equity, Impactful continuous monitoring and evaluation, Vital empowerment for self-reliance and Educating for disability-inclusive healthcare environment. These recommendations were synthesised to develop the THRIVE model-a comprehensive data driven framework from stakeholders that emphasises the importance of factors such as Training for disability-sensitive and inclusive healthcare, Healthcare inclusivity - 'nothing about us, without us', Raising awareness for accessibility and equity, Impactful continuous monitoring and evaluation, Vital empowerment for self-reliance and Enforcement of physical accessibility to improve their SRH outcomes.

Conclusion: Using the evidence based THRIVE model could facilitate the development and strengthening of existing interventions and policies including the disability Act 715 to improve the SRH access and outcomes of PwDs in Ghana and other low-and middle-income countries.

"没有我们,就没有我们":利益攸关方对改善加纳残疾人性健康和生殖健康成果战略的看法。
背景:残疾人的性健康和生殖健康(SRH)会出现各种不良后果。然而,有关改善其性健康和生殖健康结果的策略的证据却很少。因此,本研究采用多元化方法,探讨加纳残疾人和医疗保健提供者(HPs)对如何改善残疾人性健康和生殖健康的看法:在库马西大都会和奥芬索北区有目的地选择了 62 名利益相关者(37 名残疾人和 25 名医疗服务提供者)进行了深入访谈。对数据进行了反思性主题分析:结果:从数据中得出了六大主题:对残疾敏感和包容性医疗保健的培训、医疗保健的包容性--"没有我们,就没有我们"、提高对无障碍和公平性的认识、有影响力的持续监测和评估、自力更生的重要赋权以及对残疾人包容性医疗保健环境的教育。对这些建议进行综合后,开发出了 THRIVE 模型--一个由利益相关者提供的综合数据驱动框架,该框架强调了以下因素的重要性:培训对残疾问题有敏感认识的包容性医疗保健、医疗保健的包容性--"没有我们,就没有我们"、提高对无障碍和公平性的认识、有影响力的持续监测和评估、自力更生的重要赋权以及实施无障碍的实际环境,以改善他们的性健康和生殖健康成果:结论:使用以证据为基础的 THRIVE 模型可以促进制定和加强现有的干预措施和政策,包括第 715 号残疾法案,以改善加纳和其他中低收入国家的残疾人获得性健康和生殖健康服务的机会及结果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
7.80
自引率
4.20%
发文量
162
审稿时长
28 weeks
期刊介绍: International Journal for Equity in Health is an Open Access, peer-reviewed, online journal presenting evidence relevant to the search for, and attainment of, equity in health across and within countries. International Journal for Equity in Health aims to improve the understanding of issues that influence the health of populations. This includes the discussion of political, policy-related, economic, social and health services-related influences, particularly with regard to systematic differences in distributions of one or more aspects of health in population groups defined demographically, geographically, or socially.
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