Disparities in Accessing Sexual and Reproductive Health Services at the Intersection of Disability and Female Adolescence in Tanzania

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dc.contributor.author Mesiäislehto, Virpi
dc.contributor.author Katsui, Hisayo
dc.contributor.author Sambaiga, Richard
dc.date.accessioned 2021-02-26T14:40:39Z
dc.date.available 2021-02-26T14:40:39Z
dc.date.issued 2021-02-09
dc.identifier.citation Mesiäislehto, V.; Katsui, H.; Sambaiga, R. Disparities in Accessing Sexual and Reproductive Health Services at the Intersection of Disability and Female Adolescence in Tanzania. Int. J. Environ. Res. Public Health 2021, 18, 1657.
dc.identifier.uri http://hdl.handle.net/10138/327149
dc.description.abstract Despite at times having greater needs for sexual and reproductive health (SRH) services, adolescents with disabilities often face challenges when trying to access them. This inaccessibility is further exacerbated during female adolescence. The qualitative study examines how SRH services respond to the characteristics of Tanzanian adolescent females with disabilities. We used the method of empathy-based stories to investigate the perceptions of 136 adolescent females with disabilities of their access to SRH services in Tanzania. The study used thematic content analysis and the Levesque model of health care access was applied as an analytical framework. The results demonstrate that discrimination affects access at different phases of care-seeking, that affectionate behaviour of providers is a central enabler of access, and that for this population access relies on a collective effort. We propose that affection, as an enabler of access, is as an additional provider dimension of access to SRH services for adolescents with disabilities, serving as a “reasonable accommodation” to the health care systems in southern contexts and beyond.
dc.language.iso en
dc.publisher Multidisciplinary Digital Publishing Institute
dc.title Disparities in Accessing Sexual and Reproductive Health Services at the Intersection of Disability and Female Adolescence in Tanzania en
dc.date.updated 2021-02-26T14:40:39Z
dc.type.uri http://purl.org/eprint/entityType/JournalArticle
dc.type.uri http://purl.org/eprint/entityType/Expression
dc.type.uri http://purl.org/eprint/entityType/Expression

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