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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 DublinTable 4: Studies describing barriers <strong>to</strong> accessing services among women <strong>with</strong> sensory impairmentsAuthor(s) &YearCountry Aim Methodology PopulationGroup/Sample SizeClark (2002) U.K. To explore theaccessibility ofhealth informationprovided by NHS<strong>to</strong> people <strong>with</strong>disabilities.Conley-Jung &Olkin (2001)D’Eath et al(2005)U.S.A.To explore theexperiences ofmothers <strong>with</strong> avisual impairmentduring thetransition <strong>to</strong>parenthood.Quantitative.Review keyinformationbooklets <strong>and</strong>leaflets.Qualitativedescriptive,explora<strong>to</strong>ry.Structuredtelephoneinterviews.130 people<strong>with</strong> a physical<strong>and</strong> sensorydisability.42 visuallyimpairedmothers.Irel<strong>and</strong> See Table 5 See Table 5 See Table 5 See Table 5.<strong>Barriers</strong> <strong>to</strong> accessing servicesPeople <strong>with</strong> disabilities do not receive healthinformation in appropriate formats.The degree of visual impairment does notimpact on, nor is it predictive of mothers’parenting experiences. Mothers experienced avariety of attitudes/reactions pertaining <strong>to</strong> theirparenting ability. Tried <strong>to</strong> conform <strong>to</strong> sightedways of parenting; this was a source offrustration <strong>and</strong> anxiety.Harris &Bamford (2001)Iezzoni et al(2004)U.K.U.S.A.To examine theprovision ofservices for deaf<strong>and</strong> hard ofhearing people.To examine thehealth careperceptions <strong>and</strong>experiences ofpeople who areQualitativedescriptive,explora<strong>to</strong>ry.5 focusgroups.Qualitative.Semistructuredinterviews.15 people – 9deaf <strong>and</strong> 6hard ofhearing.26 people –14 deaf <strong>and</strong>between 23-51 yrs <strong>and</strong> 12hard ofDeaf <strong>and</strong> hard of hearing people are excludedfrom society. The organisation <strong>and</strong> provision ofservices undermine their parental role. Despitepolicies <strong>with</strong> the core principle of socialinclusion people are still excluded.Physicians <strong>and</strong> deaf or hard of hearingindividuals have conflicting views about beingdeaf or hard of hearing. There are differentperceptions of facilitating effectivecommunication <strong>and</strong> many physicians do not174

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