Seiedzadeh Mehri, Khanjani Mohammad Saeed, Abdi Kianoush, Latifian Maryam
Department of Rehabilitation Management, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
Department of Counselling, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
BMC Public Health. 2025 Mar 31;25(1):1208. doi: 10.1186/s12889-025-22218-0.
Women with physical disabilities face many barriers in accessing safe, respectful and acceptable health care. This study was designed and conducted with the aim of identifying the barriers of delivering maternity care to women with physical disabilities.
This study was conducted with a qualitative research method of guided content analysis, and it explained the barriers to prenatal care in women with physical disabilities in Kermanshah province. In this study, a targeted sampling method with maximum diversity was used, and in order to collect data, face-to-face semi-structured interviews were used with open questions and, if necessary, follow-up and probing questions. A total of 24 people (12 pregnant women with physical disabilities and 12 antenatal care providers) participated in this study, and the data collection period lasted 10 to 12 months. In this study, the comparative analysis method was used, and Guba and Lincoln criteria were used for the accuracy and strength of the data.
Barriers to providing care for pregnant women with disabilities in two themes, barriers related to stakeholders, including classes of society-related barriers, barriers related to healthcare providers, family-related barriers, barriers related to companions and barriers related to women with physical disabilities, and barriers related to support organizations, including classes: the lack of a systematic support system, the lack of a systematic care program and poor accessibility were categorized.
The findings of the present study showed that there are many obstacles in the field of providing care to women with disabilities, and knowing these factors will make the program managers and policy makers in the field of health and rehabilitation, with a closer look at the existing capacities of the country, to provide these cares to women with physical disabilities and their families should take more effective steps and adopt and implement the necessary mechanism in the field of policy making and planning in order to reach a better situation.
身体残疾的女性在获得安全、尊重和可接受的医疗保健方面面临许多障碍。本研究旨在识别为身体残疾女性提供孕产护理的障碍。
本研究采用指导性内容分析的定性研究方法，阐述了克尔曼沙阿省身体残疾女性产前护理的障碍。本研究采用最大差异的目标抽样方法，为收集数据，使用了开放式问题的面对面半结构化访谈，必要时还使用跟进和追问问题。共有24人（12名身体残疾孕妇和12名产前护理提供者）参与了本研究，数据收集期持续10至12个月。本研究采用比较分析方法，使用古巴和林肯标准评估数据的准确性和可靠性。
为残疾孕妇提供护理的障碍分为两个主题，与利益相关者相关的障碍，包括与社会阶层相关的障碍、与医疗保健提供者相关的障碍、与家庭相关的障碍、与陪伴者相关的障碍以及与身体残疾女性相关的障碍，以及与支持组织相关的障碍，包括：缺乏系统的支持体系、缺乏系统的护理计划和可及性差。
本研究结果表明，在为残疾女性提供护理方面存在许多障碍，了解这些因素将使卫生和康复领域的项目管理者和政策制定者，更密切地审视该国的现有能力，以便为身体残疾女性及其家庭提供这些护理采取更有效的措施，并在政策制定和规划领域采用和实施必要机制，以实现更好的状况。
