Gartrell Alexandra, Baesel Klaus, Becker Cornelia
a Research Consultant , Melbourne , Australia .
b Junior Advisor, Improving Maternal and Newborn Care Project , GIZ , Cambodia.
Reprod Health Matters. 2017 May;25(50):31-42. doi: 10.1080/09688080.2017.1332447.
There is an urgent need for an evidence base to inform the implementation of disability inclusive sexual and reproductive health (SRH) policy and programming to address women with disabilities' largely unattained SRH rights. This paper presents findings from a qualitative study on the sexual and reproductive health and rights (SRHR) of women with disabilities in rural Cambodia. The findings highlight three critical steps to enhance the physical, communicative and financial accessibility of SRHR information and services. Firstly, strengthen women with disabilities' economic livelihoods, social and financial resources, and thereby, their capacity to make and act on their own SRHR decisions. Secondly, engage women with disabilities as community role models and advocates who actively provide input into health service decision-making, planning and delivery. Thirdly, ensure health centre staff have access to communication resources and aids to strengthen their skills to communicate with women with hearing impairments. Together these steps will support women with disabilities to claim their sexual and reproductive rights and transform the social attitudes of persons in the lives of women with disabilities, including health care staff.
迫切需要一个证据基础，以为实施包容性残疾人性与生殖健康（SRH）政策和方案提供信息，以解决残疾妇女基本未实现的性与生殖健康权利问题。本文介绍了一项关于柬埔寨农村残疾妇女性与生殖健康及权利（SRHR）的定性研究结果。研究结果突出了加强性与生殖健康及权利信息和服务在身体、沟通和经济方面可及性的三个关键步骤。首先，增强残疾妇女的经济生计、社会和财政资源，从而增强她们做出并实施自身性与生殖健康及权利决定的能力。其次，让残疾妇女成为社区榜样和倡导者，她们积极为卫生服务的决策、规划和提供提供意见。第三，确保卫生中心工作人员能够获得沟通资源和辅助工具，以增强他们与听力受损妇女沟通的技能。这些步骤共同将支持残疾妇女主张她们的性与生殖权利，并改变包括医护人员在内的残疾妇女生活中人们的社会态度。
