A1 Alkuperäisartikkeli tieteellisessä aikakauslehdessä
Disparities in Accessing Sexual and Reproductive Health Services at the Intersection of Disability and Female Adolescence in Tanzania (2021)

Mesiäislehto, V., Katsui, H., & Sambaiga, R. (2021). Disparities in Accessing Sexual and Reproductive Health Services at the Intersection of Disability and Female Adolescence in Tanzania. International Journal of Environmental Research and Public Health, 18(4), Article 1657. https://doi.org/10.3390/ijerph18041657

JYU-tekijät tai -toimittajat

Julkaisun tiedot

Julkaisun kaikki tekijät tai toimittajat: Mesiäislehto, Virpi; Katsui, Hisayo; Sambaiga, Richard

Lehti tai sarja: International Journal of Environmental Research and Public Health

ISSN: 1661-7827

eISSN: 1660-4601

Julkaisuvuosi: 2021

Volyymi: 18

Lehden numero: 4

Artikkelinumero: 1657

Kustantaja: MDPI

Julkaisumaa: Sveitsi

Julkaisun kieli: englanti

DOI: https://doi.org/10.3390/ijerph18041657

Julkaisun avoin saatavuus: Avoimesti saatavilla

Julkaisukanavan avoin saatavuus: Kokonaan avoin julkaisukanava

Julkaisu on rinnakkaistallennettu (JYX): https://jyx.jyu.fi/handle/123456789/74350

Tiivistelmä

Despite at times having greater needs for sexual and reproductive health (SRH) services, adolescents with disabilities often face challenges when trying to access them. This inaccessibility is further exacerbated during female adolescence. The qualitative study examines how SRH services respond to the characteristics of Tanzanian adolescent females with disabilities. We used the method of empathy-based stories to investigate the perceptions of 136 adolescent females with disabilities of their access to SRH services in Tanzania. The study used thematic content analysis and the Levesque model of health care access was applied as an analytical framework. The results demonstrate that discrimination affects access at different phases of care-seeking, that affectionate behaviour of providers is a central enabler of access, and that for this population access relies on a collective effort. We propose that affection, as an enabler of access, is as an additional provider dimension of access to SRH services for adolescents with disabilities, serving as a "reasonable accommodation" to the health care systems in southern contexts and beyond.

YSO-asiasanat: seksuaaliterveys; lisääntymisterveys; terveydenhoito; terveyspalvelut; saavutettavuus; nuoret; tytöt; vammaiset; vammaisuus; tasa-arvo

Vapaat asiasanat: Tansania

Liittyvät organisaatiot

OKM-raportointi: Kyllä

Raportointivuosi: 2021

JUFO-taso: 1