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Women with Disabilities: Barriers and Facilitators to Accessing ...

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WOMEN WITH DISABILITIES: BARRIERS AND FACILITATORS TO ACCESSING SERVICES DURING PREGNANCY,CHILDBIRTH AND EARLY MOTHERHOODSchool of Nursing <strong>and</strong> Midwifery, Trinity College DublinInformation on technological aids, for example, vibrating mattresses or lightalarms should be provided (Thomas, 1997).4.10.4. Facilitating communication <strong>with</strong> women <strong>with</strong> sensory loss,who are from an ethnic minority groupHealth professionals need <strong>to</strong> develop a sensitive appreciation of differentcultures (Shah <strong>and</strong> Priestley, 2001; Pierce, 2003). Information about availableservices <strong>and</strong> health information should be provided in both the appropriatelanguage <strong>and</strong> the appropriate format such as large print, pic<strong>to</strong>rial, video <strong>and</strong>audio or Braille format (Pierce, 2003). Transla<strong>to</strong>rs <strong>and</strong> sign languageinterpreters need <strong>to</strong> be from the correct ethnic background <strong>and</strong> use a signlanguage that is interpretable by the woman (Pierce, 2003).4.11. <strong>Facilita<strong>to</strong>rs</strong> <strong>to</strong> improve acceptability of services forwomen <strong>with</strong> sensory lossAs discussed previously, disability awareness <strong>and</strong> training should be included inall health professionals’ initial <strong>and</strong> further education (Ubido et al, 2002; Nzegwu,2004; Harris, 2006; RCN, 2007; Smeltzer et al, 2007). Health professionalsshould also enhance their knowledge of the services <strong>and</strong> supports available <strong>to</strong>women <strong>with</strong> sensory loss <strong>and</strong> should listen <strong>to</strong>, <strong>and</strong> learn from, these women(RCN, 2007; Smeltzer, 2007).4.12. Summary<strong>Barriers</strong> <strong>to</strong> the accessibility of services focussed mainly on the difficulties oforientation <strong>to</strong> the health care setting, completing registration forms, locating aseat in the waiting area, <strong>and</strong> realising when <strong>to</strong> go in<strong>to</strong> the examination room.The major area where barriers <strong>to</strong> accommodation of women <strong>with</strong> sensory losscaused most distress was in relation <strong>to</strong> communication <strong>and</strong> health education,where women <strong>with</strong> hearing impairment, in particular, were at a greatdisadvantage. The literature on barriers <strong>to</strong> the acceptability of services showedthat women <strong>with</strong> sensory loss do not feel respected or supported <strong>and</strong> thathealth professionals fail <strong>to</strong> recognise <strong>and</strong> appreciate their needs.87

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