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RESEARCH PRODUCT

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

Richard SambaigaHisayo KatsuiVirpi Mesiäislehto

subject

GerontologyinequalityterveyspalvelutHealth Toxicology and Mutagenesisvammaisetlcsh:MedicineSRHRterveydenhoitoTanzaniaHealth Services Accessibility0302 clinical medicinenuoretHealth careseksuaaliterveys030212 general & internal medicine10. No inequalityReproductive healthmedia_commoneducation.field_of_studybiologyTansaniasexual and reproductive health servicestytöt3142 Public health care science environmental and occupational healthtasa-arvoReproductive HealthsaavutettavuusReasonable accommodationFemaleThematic analysis0305 other medical sciencePsychologyAdolescentSexual Behaviormedia_common.quotation_subjectPopulationArticle03 medical and health sciencesvammaisuusAffectionHumansDisabled Personseducation030505 public healthbusiness.industrylcsh:RPublic Health Environmental and Occupational Healthbiology.organism_classificationlisääntymisterveyssexual and reproductive health services.Tanzaniadisabilityaccess to health careReproductive Health ServicesadolescencebusinessQualitative research

description

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.

http://urn.fi/URN:NBN:fi:jyu-202102231737