A1 Journal article (refereed)
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 authors or editors


Publication details

All authors or editors: Mesiäislehto, Virpi; Katsui, Hisayo; Sambaiga, Richard

Journal or series: International Journal of Environmental Research and Public Health

ISSN: 1661-7827

eISSN: 1660-4601

Publication year: 2021

Volume: 18

Issue number: 4

Article number: 1657

Publisher: MDPI

Publication country: Switzerland

Publication language: English

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

Publication open access: Openly available

Publication channel open access: Open Access channel

Publication is parallel published (JYX): https://jyx.jyu.fi/handle/123456789/74350


Abstract

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.


Keywords: sexual health; reproductive health; health care; health services; accessibility; young people; girls; disabled people; disability; equality (values)

Free keywords: SRHR; Tanzania; access to health care; adolescence; disability; inequality; sexual and reproductive health services.


Contributing organizations


Ministry reporting: Yes

Reporting Year: 2021

Preliminary JUFO rating: 1


Last updated on 2021-09-08 at 11:11