Cargando…

A mixed-methods study of the awareness and functionality of sexual and reproductive health services among persons with disability in Ghana

BACKGROUND: Persons with disabilities (PwDs) face barriers in accessing sexual and reproductive health (SRH) services due to lack of knowledge and awareness, stigma and discrimination, and inadequate service provision. This study aimed to examine the determinants of SRH knowledge and awareness among...

Descripción completa

Detalles Bibliográficos
Autores principales: Seidu, Abdul-Aziz, Malau-Aduli, Bunmi S., McBain-Rigg, Kristin, Malau-Aduli, Aduli E. O., Emeto, Theophilus I.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10619320/
https://www.ncbi.nlm.nih.gov/pubmed/37907933
http://dx.doi.org/10.1186/s12978-023-01700-1
_version_ 1785129963237670912
author Seidu, Abdul-Aziz
Malau-Aduli, Bunmi S.
McBain-Rigg, Kristin
Malau-Aduli, Aduli E. O.
Emeto, Theophilus I.
author_facet Seidu, Abdul-Aziz
Malau-Aduli, Bunmi S.
McBain-Rigg, Kristin
Malau-Aduli, Aduli E. O.
Emeto, Theophilus I.
author_sort Seidu, Abdul-Aziz
collection PubMed
description BACKGROUND: Persons with disabilities (PwDs) face barriers in accessing sexual and reproductive health (SRH) services due to lack of knowledge and awareness, stigma and discrimination, and inadequate service provision. This study aimed to examine the determinants of SRH knowledge and awareness among PwDs in Ghana, and to explore their perceptions of the functionality of SRH services. METHODS: A sequential explanatory mixed-methods study design was used to collect and analyse quantitative (n = 402) and qualitative (n = 37) data from PwDs in two districts in Ghana. Quantitative data were analysed using descriptive and inferential statistics, while qualitative data was analysed thematically. RESULTS: Most of the participants had high awareness of SRH (94.3%), sexually transmitted infections (STIs) (92.5%) and HIV/AIDS (97.0%). Employment status was positively associated with SRH awareness [aOR = 1.62; 95% CI = 1.02, 2.59]. Disability type was a significant predictor of STI [aOR = 2.02; 95% CI = 1.39, 2.94] and HIV/AIDS [aOR = 2.32; 95% CI = 1.21, 4.44] awareness, with the visually impaired having higher odds than the physically disabled. Age group was also a significant predictor of STI awareness, with older respondents having higher odds than younger ones [aOR = 1.76; CI = 1.01,3.05 for 30–39 years; aOR = 2.48; CI = 1.22, 5.05 for 40–49 years]. The qualitative findings revealed four main themes: conceptualisation of SRH, active engagement in SRH information seeking, tensions between knowledge and religious beliefs and perceived utility of SRH services. CONCLUSION: Despite the high levels of SRH knowledge and awareness among PwDs, there are significant gaps and challenges related to disability type, age group, misconceptions, beliefs, and service non-functionality that limit the utility of SRH services. The findings call for tailored education to reduce misconceptions and put in pragmatic steps to deliver quality SRH services and information to PwDs. Further research is needed to assess the sexual lives of PwDs and explore the perspectives of all relevant stakeholders, including service providers and policymakers on how to enhance SRH outcomes for PwDs in Ghana. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12978-023-01700-1.
format Online
Article
Text
id pubmed-10619320
institution National Center for Biotechnology Information
language English
publishDate 2023
publisher BioMed Central
record_format MEDLINE/PubMed
spelling pubmed-106193202023-11-02 A mixed-methods study of the awareness and functionality of sexual and reproductive health services among persons with disability in Ghana Seidu, Abdul-Aziz Malau-Aduli, Bunmi S. McBain-Rigg, Kristin Malau-Aduli, Aduli E. O. Emeto, Theophilus I. Reprod Health Research BACKGROUND: Persons with disabilities (PwDs) face barriers in accessing sexual and reproductive health (SRH) services due to lack of knowledge and awareness, stigma and discrimination, and inadequate service provision. This study aimed to examine the determinants of SRH knowledge and awareness among PwDs in Ghana, and to explore their perceptions of the functionality of SRH services. METHODS: A sequential explanatory mixed-methods study design was used to collect and analyse quantitative (n = 402) and qualitative (n = 37) data from PwDs in two districts in Ghana. Quantitative data were analysed using descriptive and inferential statistics, while qualitative data was analysed thematically. RESULTS: Most of the participants had high awareness of SRH (94.3%), sexually transmitted infections (STIs) (92.5%) and HIV/AIDS (97.0%). Employment status was positively associated with SRH awareness [aOR = 1.62; 95% CI = 1.02, 2.59]. Disability type was a significant predictor of STI [aOR = 2.02; 95% CI = 1.39, 2.94] and HIV/AIDS [aOR = 2.32; 95% CI = 1.21, 4.44] awareness, with the visually impaired having higher odds than the physically disabled. Age group was also a significant predictor of STI awareness, with older respondents having higher odds than younger ones [aOR = 1.76; CI = 1.01,3.05 for 30–39 years; aOR = 2.48; CI = 1.22, 5.05 for 40–49 years]. The qualitative findings revealed four main themes: conceptualisation of SRH, active engagement in SRH information seeking, tensions between knowledge and religious beliefs and perceived utility of SRH services. CONCLUSION: Despite the high levels of SRH knowledge and awareness among PwDs, there are significant gaps and challenges related to disability type, age group, misconceptions, beliefs, and service non-functionality that limit the utility of SRH services. The findings call for tailored education to reduce misconceptions and put in pragmatic steps to deliver quality SRH services and information to PwDs. Further research is needed to assess the sexual lives of PwDs and explore the perspectives of all relevant stakeholders, including service providers and policymakers on how to enhance SRH outcomes for PwDs in Ghana. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12978-023-01700-1. BioMed Central 2023-10-31 /pmc/articles/PMC10619320/ /pubmed/37907933 http://dx.doi.org/10.1186/s12978-023-01700-1 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Seidu, Abdul-Aziz
Malau-Aduli, Bunmi S.
McBain-Rigg, Kristin
Malau-Aduli, Aduli E. O.
Emeto, Theophilus I.
A mixed-methods study of the awareness and functionality of sexual and reproductive health services among persons with disability in Ghana
title A mixed-methods study of the awareness and functionality of sexual and reproductive health services among persons with disability in Ghana
title_full A mixed-methods study of the awareness and functionality of sexual and reproductive health services among persons with disability in Ghana
title_fullStr A mixed-methods study of the awareness and functionality of sexual and reproductive health services among persons with disability in Ghana
title_full_unstemmed A mixed-methods study of the awareness and functionality of sexual and reproductive health services among persons with disability in Ghana
title_short A mixed-methods study of the awareness and functionality of sexual and reproductive health services among persons with disability in Ghana
title_sort mixed-methods study of the awareness and functionality of sexual and reproductive health services among persons with disability in ghana
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10619320/
https://www.ncbi.nlm.nih.gov/pubmed/37907933
http://dx.doi.org/10.1186/s12978-023-01700-1
work_keys_str_mv AT seiduabdulaziz amixedmethodsstudyoftheawarenessandfunctionalityofsexualandreproductivehealthservicesamongpersonswithdisabilityinghana
AT malauadulibunmis amixedmethodsstudyoftheawarenessandfunctionalityofsexualandreproductivehealthservicesamongpersonswithdisabilityinghana
AT mcbainriggkristin amixedmethodsstudyoftheawarenessandfunctionalityofsexualandreproductivehealthservicesamongpersonswithdisabilityinghana
AT malauaduliadulieo amixedmethodsstudyoftheawarenessandfunctionalityofsexualandreproductivehealthservicesamongpersonswithdisabilityinghana
AT emetotheophilusi amixedmethodsstudyoftheawarenessandfunctionalityofsexualandreproductivehealthservicesamongpersonswithdisabilityinghana
AT seiduabdulaziz mixedmethodsstudyoftheawarenessandfunctionalityofsexualandreproductivehealthservicesamongpersonswithdisabilityinghana
AT malauadulibunmis mixedmethodsstudyoftheawarenessandfunctionalityofsexualandreproductivehealthservicesamongpersonswithdisabilityinghana
AT mcbainriggkristin mixedmethodsstudyoftheawarenessandfunctionalityofsexualandreproductivehealthservicesamongpersonswithdisabilityinghana
AT malauaduliadulieo mixedmethodsstudyoftheawarenessandfunctionalityofsexualandreproductivehealthservicesamongpersonswithdisabilityinghana
AT emetotheophilusi mixedmethodsstudyoftheawarenessandfunctionalityofsexualandreproductivehealthservicesamongpersonswithdisabilityinghana