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Family Planning for Women and Girls with Disabilities

Dr FRASER, Erika
CORBY, Nick
MEANEY-DAVIS, Jessie
2021

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This is an updated evidence review looking at the evidence on factors affecting access to and uptake of family planning for women and girls with disabilities in low- and middle-income countries and the evidence on good practice on increasing full free and informed contraceptive choice for women and girls with disabilities.

 

Query:

1) What is the evidence on factors affecting access to and uptake of family planning for women and girls with disabilities in low and middle income countries, highlighting examples from FP2020 commitment-making countries?

2) What is the evidence on good practice on increasing full free and informed contraceptive choice for women and girls with disabilities – from the same countries or elsewhere? 

Family planning for women and girls with disabilities

FRASER, Erika
CORBY, Nick
January 2019

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Individual, environmental, attitudinal and institutional factors affecting access to and uptake of family planning for women and girls with disabilities in low and middle income countries are explored through a rapid literature review. Evidence of good practice concerning increasing full free and informed contraceptive choice is also examined.

 

Disability Inclusion Helpdesk Report. Pilot 2

The grace of motherhood: disabled women contending with societal denial of intimacy, pregnancy, and motherhood in Ethiopia

TEFERA, Balaynesh
et al
September 2017

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Ethiopian disabled women’s experiences of intimacy, pregnancy and motherhood are reported. Qualitative, in-depth, and semi-structured interviews along with personal observations were used to explore the full experiences of participants. Interview data revealed that mothers experienced significant challenges with regard to accessibility of health centers, physician’s lack of knowledge about and problematic attitudes toward them and more general societal prejudices towards individuals with disability. The 13 participants were employed women with physical or visual disabilities, and the interviewees were from the Addis Ababa metropolitan area, Ethiopia.

 

Disability & Society, 32:10, 1510-1533

DOI: 10.1080/09687599.2017.1361385

HIV/AIDS in Haiti : key findings of the mortality, morbidity, and utilization of services survey : EMMUS-iv 2005-2006

MEASURE DHS (Demographic Health Surveys)
2008

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This report presents survey findings on HIV prevalence in Haiti and other related results, including knowledge of HIV and AIDS, attitudes toward people living with HIV, and sexual behaviour. The survey was undertaken by the Mortality, Morbidity, and Utilization of Services Assessment Survey (EMMUS-IV) [Enquête Mortalité, Morbidité et Utilisation des Services] conducted between October 2005 and June 2006. The French version of this report follows the English version

Sexual health for people with intellectual disability

EASTGATE, Gillian
2008

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This article explores how people with intellectual disability often experience difficulties meeting their sexual needs and desires due to poor education and social isolation. However, the article highlights that people with intellectual disability are capable of safe, constructive sexual expression and healthy relationships with appropriate education and good social support. It emphasises that providing this support is an essential part of supporting people with intellectual disability
Salud Publica Mex, 50 suppl 2

Women, harm reduction, and HIV

PINKHAM, Sophie
MALINOWSKA-SEMPRUCH, Kasia
September 2007

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This report looks at factors that reduce women drug users’ access to health care including punitive policies, discrimination by police and health care providers, the intense social stigma attached to drug use by women, a preponderance of harm reduction and drug treatment programmes directed primarily toward men, an absence of sexual and reproductive health services for drug users, and poor access to effective outpatient drug treatment. Pregnant drug users are particularly vulnerable. In too many instances, they receive little or no accurate information about drug use during pregnancy or prevention of mother-to-child transmission of HIV. In some countries pregnant drug users are rejected by health care providers, threatened with criminal penalties or loss of parental rights, or coerced into having an abortion or abandoning their newborns to the state. Poor access to medication-assisted treatment jeopardises the pregnancies of opiate-dependent drug users. It includes recommendations for consideration when designing services for women drug users and also examines issues around policies to protect women's health

Understanding and challenging HIV stigma : toolkit for action Module J : young people and stigma

CLAY, Sue
CHIIYA, Chipo
CHONTA, Mutale
June 2007

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This is the seventh booklet in this revised toolkit to raise awareness and promote practical action to challenge HIV stigma and discrimination. The module focuses on young people and stigma. Stigma towards young people is similar to that faced by adults, but it is often exacerbated because of vulnerability and judgements about age, morality, education and experience. The impact of stigma on young people has many consequences, including exclusion, isolation, dropping out of school, delaying starting ARV treatment, and suicide or thinking about suicide. The toolkit was written by and for HIV trainers in Africa and changes and additions were made with the help of a regional trainers network workshop in Zambia in August 2005

Reaching truckers in Brazil with non-stigmatizing and effective HIV/STI services

CHINAGLIA, Magda
et al
May 2007

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In 2001, the Population Council conducted an assessment in Brazilian border areas, commissioned by the Brazilian Ministry of Health, with support from USAID/Brazil, to determine which populations were most in need of HIV prevention activities. The research findings in the southern region revealed the presence of an extremely mobile, international truck driver community with little or no access to HIV prevention, testing and treatment services. In response to this need, Horizons/Population Council implemented an operations research study focused on trucker drivers (2002-2005) in the south of Brazil. In collaboration with the administration of the customs stations, municipal and state STI and AIDS programmes, and Health Ministries, the investigators sought to examine the feasibility and impact of an HIV prevention project targeted at truckers crossing the southern border of Brazil

UNAIDS expert consultation on behaviour change in the prevention of sexual transmission of HIV : highlights and recommendations

JOINT UNITED NATIONS PROGRAMME ON HIV/AIDS (UNAIDS)
2007

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This is the report of a two-day meeting to consider the state of knowledge around behaviour change measures for the prevention of the sexual transmission of HIV. Participants identified four priority issues around this: prevention measures that are effective in concentrated epidemics; analysis of and responses to sexual behaviour involving multiple concurrent partners and other hyperendemic scenarios; gender inequality, inter-generational sex and gender-based violence as major sources of vulnerablity to women and girls in hyperendemic scenarios; and HIV-related stigma and denial as barriers to behaviour change. Analyses of these issues produced a number of recommendations

Time to talk : a guide to family life in the age of AIDS

TENGATENGA, James
BAYLEY, Anne
December 2006

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A handbook to enable church members and communities to discuss family life and sex in the context of the global AIDS epidemic. It contains role plays, games, quizzes, discussions, Bible studies and other participatory exercises. The contents are designed to help men and women examine the attitudes, beliefs and behaviours that can spread HIV and, if necessary, make changes in their own lives and communities

Programming for HIV prevention in South African schools : a report on program implementation

REDDY, Priscilla
SHEGS, James
MCCAULEY, Ann
December 2005

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This is an evaluation study conducted in KwaZulu Natal, South Africa. It provides insights into whether learners who participated in a fact-based, interactive course had more knowledge about HIV risks, prevention, and care practices; more positive attitudes toward prevention practices and people living with HIV and AIDS; and a higher prevalence of reported safe behaviours, than comparable learners who did not participate in the course

Canadian youth, sexual health and HIV/AIDS study

COUNCIL OF MINISTERS OF EDUCATION, CANADA (CMEC)
2003

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This survey was undertaken to increase the understanding of the factors that contribute to the sexual health of Canadian youth. It was done by exploring the socio-cultural, socio-environmental and interpersonal determinants of adolescent sexual behaviour. A section of the survey (pp 111-114) looks specifically at disability and sexual activity

Learning from what young people say... about sex, relationships and health

WARWICK, Ian
AGGLETON, Peter
December 2001

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Finding out what young people think helps to ensure that programmes and policies are more likely to meet their needs. The guide (developed to sit alongside the Dynamic Contextual Analysis resource) aims to support policy makers, programme planners and practitioners to find out more about young people's ideas, beliefs and feelings about sex, relationships and health. This toolkit sets out how to involve young people and other partners in this process, suggests ways to collect information, analyse it, and present it in a way that is likely to influence programmes and policy

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