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津巴布韦残疾妇女在获得性健康和生殖健康方面面临的挑战:奇通圭扎镇的案例

Challenges faced by women with disabilities in accessing sexual and reproductive health in Zimbabwe: The case of Chitungwiza town.

作者信息

Rugoho Tafadzwa, Maphosa France

机构信息

Livelihoods Programme, Leonard Cheshire Disability Zimbabwe, Zimbabwe.

Department of Sociology, University of Botswana, Botswana.

出版信息

Afr J Disabil. 2017 May 26;6:252. doi: 10.4102/ajod.v6i0.252. eCollection 2017.

Abstract

BACKGROUND

Women with disabilities in Zimbabwe face numerous challenges in accessing sexual and reproductive health. Cultural belief still regards them as not sexually active. The government has also failed to promote policies that facilitate access to sexual and reproductive services by women with disabilities.

OBJECTIVES

The reseach objectives were to explore the challenges faced by women with disabilities in accessing sexual and reproductive health in Zimbabwe.

METHOD

The data were gathered using in-depth interviews with 23 purposively selected respondents. Thirteen women had physical disabilities, five were visually impaired, three were deaf and two were stammering. The respondents with physical disabilities were using wheelchairs, walking frames, prosthesis, crutches and caliper shoes. The participants' ages ranged from 18 to 45 years. All interviews were transcribed and translated verbatim into English, and passages were extracted from the transcripts. Key themes and concepts were identified and coded to offer a rich framework for analysis, comparisons and presentation of the data.

RESULTS

Negative perceptions of health personnel towards people with disabilities, disability-unfriendly infrastructure at health facilities and absence of trained personnel for people with disabilities (sign language) are some of the challenges involved.

CONCLUSION

The government, in partnership with other stakeholders, should address challenges faced by women with disabilities when accessing sexual and reproductive health services. Non-government, private hospitals and profit-making organisations should join hands with government in funding health requirements for women with disabilities.

摘要

背景

津巴布韦的残疾女性在获得性健康和生殖健康服务方面面临诸多挑战。文化观念仍认为她们没有性活动。政府也未能推行促进残疾女性获得性健康和生殖服务的政策。

目的

本研究的目的是探讨津巴布韦残疾女性在获得性健康和生殖健康方面面临的挑战。

方法

通过对23名经过有目的选择的受访者进行深入访谈来收集数据。其中13名女性有身体残疾,5名视力受损,3名失聪,2名口吃。有身体残疾的受访者使用轮椅、助行架、假肢、拐杖和矫正鞋。参与者的年龄在18岁至45岁之间。所有访谈都被逐字转录并翻译成英文,然后从转录本中提取段落。确定关键主题和概念并进行编码,以便为数据的分析、比较和呈现提供丰富的框架。

结果

卫生人员对残疾人的负面看法、医疗机构中对残疾人不友好的基础设施以及缺乏为残疾人提供服务的专业人员(手语)等都是其中涉及的一些挑战。

结论

政府应与其他利益相关者合作,解决残疾女性在获得性健康和生殖健康服务时面临的挑战。非政府组织、私立医院和营利性组织应与政府携手为残疾女性的健康需求提供资金。

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