Ebisa Turi, Lisa Gold, Ha N D Le, Hasheem Mannan, Eric H Y Lau, Julie Abimanyi-Ochom
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引用次数: 0
Abstract
Background: Evidence indicates that persons with disabilities in Ethiopia have greater unmet healthcare need. The notions of "leave no one behind" and "reach the furthest behind" require a disability-inclusive health policy. Sexual and reproductive healthcare policies play a paramount role in shaping equity and disability inclusion.
Objective: To examine the extent to which current reproductive health policies and related documents are inclusive of women with disabilities in Ethiopia.
Methods: The EquiFrame framework was applied to assess the inclusion of women with disabilities and the concept of human rights in Ethiopia's reproductive health policies. Using a data extraction matrix, 21 core concepts were mapped against 11 documents. References to each core concept were rated on a 0-4 scale (0 = not mentioned; 1 = mentioned; 2 = mentioned and explained; 3 = actions identified; 4 = monitoring intention expressed). Four composite measures were calculated: core concept coverage, core concept quality, total references and average score.
Results: Eleven policy and policy-related documents were included. Most documents, 9(81.8%), have the core concept coverage above fifty percent. However, none demonstrated a core concept quality above 50%. Only 10(47.6%) of the core concepts had an average score of two or above. Total reference ranges from 0.0% in core concept family support to 7.2% in core concepts such as non-discrimination, integration and individualized services. Average quality score ranges from 0 in family support to 2.6 in access.
Conclusion: Although Ethiopia's constitution guarantees disability rights, the implicit inclusion of women with disabilities in reproductive health documents is concerning and calls for targeted policy action. Co-design with women with disabilities and organisations of persons with disabilities, along with comprehensive strategies, would ensure meaningful inclusion in reproductive health policies.
期刊介绍：
Disability and Health Journal is a scientific, scholarly, and multidisciplinary journal for reporting original contributions that advance knowledge in disability and health. Topics may be related to global health, quality of life, and specific health conditions as they relate to disability. Such contributions include:
• Reports of empirical research on the characteristics of persons with disabilities, environment, health outcomes, and determinants of health
• Reports of empirical research on the Systematic or other evidence-based reviews and tightly conceived theoretical interpretations of research literature
• Reports of empirical research on the Evaluative research on new interventions, technologies, and programs
• Reports of empirical research on the Reports on issues or policies affecting the health and/or quality of life for persons with disabilities, using a scientific base.
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