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 and Midwifery, Trinity College DublinAppendix 3 – Tables 2 and 3Table 2: Studies describing barriers to accessing services among women with physicaldisabilitiesTable 3: Studies describing facilitators to accessing services among women with physical disabilities161
WOMEN WITH DISABILITIES: BARRIERS AND FACILITATORS TO ACCESSING SERVICES DURING PREGNANCY, CHILDBIRTH AND EARLY MOTHERHOODSchool of Nursing and Midwifery, Trinity College DublinTable 2: Studies describing barriers to accessing services among women with physical disabilitiesAuthor(s) &YearAnderson &Kitchin (2000)Baker et al(1997)Blackford et al(2000)Country AimNorthernIrelandU.S.A.To examine the levelof access for womenwith disabilities tofamily planningclinics and sexualeducation andinformation inNorthern Ireland.To explore thereproductive healthcare experiences ofwomen with physicaldisabilities and torecommendimprovements.Canada To explore theprenatal educationand maternity careexperiences ofmothers with adisability.Methodology PopulationGroup/Sample SizeQuantitative.Self reportedquestionnaireQualitativedescriptive,exploratory.Semistructuredinterviews.Qualitativedescriptive,exploratory.Semistructuredinterviews.54 familyplanningclinics in NI.Responserate of 63%(physical andhearingimpairment)10 womenwith aphysicaldisabilityagedbetween 18-50yrs.8 women witha chronicillness/disability (physicaland visualimpairment)Barriers to accessing servicesPeople with disabilities encounter challengeswith physical access to family planningclinics. Access to information and servicesoffered by family planning clinics werelimited. Expectations that people withdisabilities are asexual and these personscontinue to experience exclusion and denialof access to reproductive services.Concept of asexuality was prominent.Challenges were encountered in relation tophysical access to the facilities andinappropriate equipment. Healthprofessionals were insensitive and there wasa general lack of awareness and knowledgeabout the impact disability would have onpregnancy and vice versa.Gaps exist in the information received bywomen during prenatal education sessions.Women received insufficient andinappropriate information in relation topregnancy and their disability. The needs ofthis population are overlooked and women’sability to parent is challenged.162
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University of DublinTrinity College
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