Barriers and facilitators impacting access to sexual and reproductive health services for women with intellectual disability - Summary - MDSpire

Factors Influencing Access to Sexual and Reproductive Health Services for Women with Intellectual Disabilities

  • By

  • Hiwot Temesgen Andualem

  • Susan A. Bartels

  • Tewodros Seyoum

  • Bilen Mekonnen Araya

  • Beata Batorowicz

  • Heather M. Aldersey

  • July 16, 2026

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Objective:

To explore the barriers and facilitators impacting access to sexual and reproductive health services for women with intellectual disabilities in Gondar, Ethiopia.

Approach:
  • Study Design: Qualitative descriptive approach using semi-structured interviews with 17 women with intellectual disabilities aged 15-49.
  • Data Analysis: Thematic analysis using both inductive and deductive approaches in NVivo 14.
Key Findings:
  • Six themes identified: sexual and reproductive health education, contraception, prevention of sexual abuse, prevention of sexually transmitted infections, pregnancy and parenthood, and community-based rehabilitation roles.
  • Barriers include stigma, discrimination, lack of resources, and limited awareness affecting access to services.
Interpretation:

Findings reflect the structural and sociocultural factors impacting access to sexual and reproductive health services for women with intellectual disabilities.

Limitations:
  • Study limited to a specific geographic area (Gondar, Ethiopia).
  • Sample size may not represent all women with intellectual disabilities.
Conclusion:

The study's findings provide insights into the barriers and facilitators affecting access to sexual and reproductive health services for women with intellectual disabilities.

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