以社区为基础的性(性)、性虐待预防以及性健康和生殖健康康复规划:范围审查

Tamara Lee Schindeler, H. Aldersey
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引用次数: 1

摘要

目的:《联合国残疾人权利公约》旨在保护所有残疾人的人权和尊严。在低收入和中等收入国家,实现这一目标的方法之一是通过社区康复(CBR),这是一项支持残疾人充分和平等参与的战略。尽管有政策和以社区为基础的干预措施,残疾人在生活的许多领域继续遭受不平等待遇,其中之一是他们的性健康和生殖健康权利。这篇范围综述探讨了文献,以了解CBR规划如何支持性(性)、性虐待预防和残疾人的性健康和生殖健康。方法:采用Arksey和O 'Malley(2007)的框架,从学术文献和灰色文献中识别相关研究。这包括6个数据库、世卫组织网站和5个区域CBR网络网站。使用标准选择相关研究,并绘制数据图表,以检查CBR干预措施的数量、变化和性质。结果:确定了15项研究。大多数是在非洲实施的;针对所有残疾人,不分性别、年龄或残疾类型;并经常关注艾滋病毒/艾滋病的话题。这些干预措施最常见的目的是教育残疾人关于性(性)、性虐待预防或性与健康的问题。结论:许多研究讨论了旨在支持性(性)、性虐待预防和残疾人性健康和生殖健康的CBR计划,但发现了差距,表明某些人群和主题被CBR干预所忽视。含义:CBR从业者可以通过未来的规划来专注于填补本综述中确定的空白。进一步的行动必须集中于实施各种CBR矩阵战略,以解决与性(性)、性虐待预防或性健康和生殖健康有关的综合问题。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Community-Based Rehabilitation Programming for Sex(uality), Sexual Abuse Prevention, and Sexual and Reproductive Health: A Scoping Review
Purpose : The United Nations Convention on the Rights of Persons with Disabilities aims to protect the human rights and dignity of all people with disabilities. In low-and middle-income countries (LMICs), one way this goal is pursued is through Community-Based Rehabilitation (CBR), a strategy to support the full and equal participation of people with disabilities. In spite of policy and community-based interventions, people with disabilities continue to experience inequities in many areas of life - one of these being their sexual and reproductive health (SRH) rights. This scoping review explored the literature to understand how CBR programming has supported sex(uality), sexual abuse prevention, and SRH for people with disabilities. Methods : Arksey and O’Malley’s (2007) framework was used to identify relevant studies in academic and grey literature. This included six databases, the WHO website, and five Regional CBR Network websites. Relevant studies were selected using criteria and data was charted to examine the quantity, variation, and nature of CBR interventions. Results : Fifteen studies were identified. The majority were implemented in Africa; targeted all people with disabilities, regardless of gender, age, or type of disability; and frequently focussed on the topic of HIV/AIDS.  The interventions were most commonly designed to educate people with disabilities on issues of sex(uality), sexual abuse prevention, or SRH. Conclusion : A number of studies discussed CBR programmes that aim to support sex(uality), sexual abuse prevention and SRH for people with disabilities, yet gaps were identified that indicate that certain populations and topics are being overlooked by CBR interventions. Implications : CBR practitioners can focus on filling the gaps identified in this review through future programming. Further action must concentrate on implementing a variety of CBR Matrix strategies to address comprehensive issues related to sex(uality), sexual abuse prevention, or SRH.
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