Vaughan Cathy, Zayas Jerome, Devine Alexandra, Gill-Atkinson Liz, Marella Manjula, Garcia Joy, Bisda Krissy, Salgado Joy, Sobritchea Carolyn, Edmonds Tanya, Baker Sally, Marco Ma Jesusa
Centre for Health Equity, Melbourne School of Population and Global Health, The University of Melbourne, Victoria, 3010, Australia.
Social Development Research Centre, De La Salle University, 2401 Taft Avenue, 1004, Manila, Philippines.
BMC Public Health. 2015 Sep 29;15:984. doi: 10.1186/s12889-015-2308-y.
In many contexts, women with disability have less access to sexual and reproductive health information, screening, prevention, and care services than women without disability. Women with disability are also known to be more likely to experience physical and sexual violence than women without disability. In the Philippines, health service providers often have little awareness of the sexual and reproductive experiences of women with disability and limited capacity to provide services in response to their needs. Very limited data are available to inform development of disability-inclusive sexual and reproductive health, and violence prevention and response, services in the country. This paper presents the protocol for W-DARE (Women with Disability taking Action on REproductive and sexual health), a three-year program of participatory action research that aims to improve the sexual and reproductive health of women with disability in the Philippines.
W-DARE is a disability-inclusive program that will use mixed methods to 1) increase understanding of factors influencing the sexual and reproductive health of women with disability, and 2) develop, implement and evaluate local interventions to increase supply of and demand for services. W-DARE will generate data on the prevalence of disability in two districts; the wellbeing and community participation of people with and without disability, and identify barriers to community; and describe the sexual and reproductive health needs and experiences, and service-related experiences of women with disability. These data will inform the development and evaluation of interventions aiming to improve access to sexual and reproductive health services, and violence prevention and response services, for women with disability. Local women with disabilities, their representative organisations, and SRH service providers will be involved as members of the research team across all stages of the research.
This three-year study will provide evidence about factors undermining the sexual and reproductive health of women with disability in a lower-middle income country, and provide new insights about what may be effective in increasing access to services in settings of limited resources. Findings will be relevant across Asia and the Pacific. Analysis of the program will also provide evidence about disability-inclusion in participatory action research approaches.
在许多情况下，残疾女性比非残疾女性获得性与生殖健康信息、筛查、预防及护理服务的机会更少。众所周知，残疾女性遭受身体暴力和性暴力的可能性也高于非残疾女性。在菲律宾，医疗服务提供者往往对残疾女性的性与生殖经历了解甚少，且满足她们需求的服务能力有限。该国用于指导制定包容性残疾性与生殖健康以及暴力预防与应对服务的数据非常有限。本文介绍了“W - DARE”（残疾女性在生殖与性健康方面采取行动）的方案，这是一项为期三年的参与式行动研究项目，旨在改善菲律宾残疾女性的性与生殖健康。
“W - DARE”是一个包容性残疾项目，将采用混合方法来：1）增进对影响残疾女性性与生殖健康因素的理解；2）制定、实施和评估旨在增加服务供给与需求的本地干预措施。“W - DARE”将收集两个地区的残疾患病率数据；残疾人和非残疾人的福祉及社区参与情况，并确定社区障碍；描述残疾女性的性与生殖健康需求和经历以及与服务相关的经历。这些数据将为旨在改善残疾女性获得性与生殖健康服务以及暴力预防与应对服务机会的干预措施的制定和评估提供依据。当地残疾女性、她们的代表组织以及性与生殖健康服务提供者将作为研究团队成员参与研究的各个阶段。
这项为期三年的研究将为一个中低收入国家中破坏残疾女性性与生殖健康的因素提供证据，并就如何在资源有限的环境中有效增加服务可及性提供新的见解。研究结果将适用于亚洲及太平洋地区。对该项目的分析还将为参与式行动研究方法中的包容性残疾问题提供证据。
