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 DublinSteinberg(2006)IrelandTo examine theexperiences ofdeaf Irish mothersas theynegotiated accessto maternity careservices over a15 year period.Qualitative.Interviews.11 deafwomen.Thomas & U.K. See Table 5 See Table 5 See Table 5 See Table 5Curtis (1997)Thomas (1997) U.K. See Table 5 See Table 5 See Table 5 See Table 5Communication and attitudinal barriers werethe major challenges experienced by deafwomen. Access to information was impaired atboth a personal and institutional level. Mothersadapted various methods of communication buthealth professionals relied on pen and paperand provision of sign language interpreters waslimited. Deafness was women’s definingcharacteristic. Health professional’s lack ofdeaf awareness compounded the challenges.Ubido et al(2005)Women’sHealth Council(WHC) (2004)U.K.To examine deafwomen’s accessto health careservices inCheshire U.K.Quantitativeandqualitative.Groupdiscussionsandquestionnaires.259 deafwomen. 27participated inqualitativestrand. 138out of 232werecompleted andreturned.Ireland See Table 5 See Table 5 See Table 5 See Table 5Deaf women encountered inequalities whenaccessing health care. Communication was themain problem. Health professionals lackeddeaf awareness. Appointments and waitingrooms posed great difficulty; women oftenmissed appointments because they were notaware it was their turn. Stigma existed; theywere considered cognitively impaired.Terminology was inappropriate. Women feltembarrassed and frustrated177
WOMEN WITH DISABILITIES: BARRIERS AND FACILITATORS TO ACCESSING SERVICES DURING PREGNANCY, CHILDBIRTH AND EARLY MOTHERHOODSchool of Nursing and Midwifery, Trinity College DublinTable 5: Studies describing facilitators to accessing services among women with sensory impairmentsAuthor(s)& YearClark(2002)Grabois etal (1999)Jones et al(2007)Kelsall(1992)O’Hearn(2006)Smeltzer etal (2007)Women’sHealthCouncil(2004)Country Aim Methodology PopulationGroup/Sample SizeU.K. See Table 7 Quantitative.Review informationbooklets andleaflets.130 peoplewith a physicaland sensorydisability.Facilitators to accessing servicesThe report proposes recommendations thatshould be adapted to provide healthinformation in appropriate formats to facilitateinformed consent and decision making.U.S.A. See Table 5 See Table 5 See Table 5 The majority of physicians did use auxiliaryaids e.g. printed material.U.S.A. To test the effectivenessQuantitative – 84 deaf adults Developing interventions specifically for deafof the quasi experimental in Phoenix and adults would facilitate an increase in self-Deaf Heart Health pre-post test study Arizona. confidence for adopting positive healthIntervention over 8 weeks.behaviours.(DHHI)U.K. See Table 7 See Table 7 See Table 7 Measures to overcome communication,informational and attitudinal challenges wereidentified.U.S.A. See Table 7 See Table 7 See Table 7 Deaf women’s rate of satisfaction wasinfluenced by whether or not women’sexpectations in the provision of sign languageinterpreters were met.U.S.A. See Table 7 See Table 7 See Table 7 The authors suggest that women withdisabilities should be recognised as a criticalsource of education.Ireland See Table 5 See Table 5 See Table 5 See Table 5178
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