Barriers to accessing sexual and reproductive health information and services among young people with disabilities in Kyotera District

Abstract

Young people with disabilities (YPWD) face numerous challenges in accessing sexual and reproductive health information (SRH) and services, including stigma and discrimination related to their disability. Consequently, many YPWDs are reluctant to seek health care and have a high unmet need for SRH services. This study set out to explore the barriers to accessing Sexual and Reproductive health information and services among young people with disabilities in a Ugandan border context - known for high rates of early sexual initiation. The findings aimed to contribute insights that support the development of inclusive healthcare policies aligned with the SDG commitments to leave no one behind. A qualitative study was conducted in Kyotera border district. The study population comprised 12 YPWDs aged 10-24 years and 7 key Informants. In-depth interviews were conducted with the YPWDs and key informant interviews with the key informants. Thematic analysis was conducted on transcripts. This study identified three key thematic barriers to young people with disabilities in accessing sexual and reproductive health (SRH) information and services: individual, community, and health facility barriers. Individual barriers included Limited awareness about the availability of SRH information and services and low self-esteem. Community barriers were beliefs and practices, while health facility barriers reported by YPWDs were communication challenges, shortages of commodities, and negative provider attitudes. The intricate challenges confronted by young people with disabilities in accessing sexual and reproductive healthcare in Kyotera underscore the urgent requirement for comprehensive interventions, spanning various levels, to dismantle these multifaceted barriers and establish a more inclusive and accessible SRH environment.