School-based care and support for the intellectually disabled learners at risk for sexual abuse: South African teacher carer perspectives

Mdikana, Andile Alfred; Phasha, Nareadi

doi:10.1080/14330237.2018.1455304

Cited by 1 publication

(1 citation statement)

References 23 publications

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“…Mdikana and Phasha (2012) examined the functionality of school-based support teams (SBSTs) providing information support to children with intellectual disabilities identified to be at risk of or experiencing sexual abuse in South Africa. 42 The study concluded that the SBSTs were functioning well despite receiving little support from the district-level teams, mentioning instances where SBSTs had gone beyond their role to provide counselling, accompanying the child to facility, helping with reporting to authorities. However, reviewers noted that this study had a high risk of bias relating to the use of convenience sampling, having a biased sample (only SBSTs were included)and insufficient detail on data collection tool and analysis.…”

Section: Sexual Violencementioning

confidence: 99%

From words to actions: systematic review of interventions to promote sexual and reproductive health of persons with disabilities in low- and middle-income countries

et al. 2020

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IntroductionPersons with disabilities have the same sexual and reproductive health and rights (SRHR) as non-disabled persons. Yet they face numerous barriers in their access to sexual and reproductive health services and their rights are often not met. Evidence on SRHR for persons with disabilities is sparse, particularly evaluations of interventions demonstrating ‘what works.’ This systematic review assessed interventions to promote SRHR for persons with disabilities in low- and middle-income countries.MethodsWe searched for qualitative, quantitative or mixed method observational studies representing primary research, published between 2010 and 2019, using MEDLINE, Embase, PubMed, Global Health and CINAHL Plus. Search strings were compiled for different elements of SRHR and for all forms of disability. 24,919 records were screened, leading to over 380 relevant papers, most of which were descriptive, focussing on needs and barriers to SRHR needs being fulfilled. Of the 33 full-text articles assessed for eligibility, 18 were included in the synthesis. All included studies were assessed for bias and quality of evidence, using STROBE (Strengthening the Reporting of Observational Studies in Epidemiology) and RATS (relevance, appropriateness, transparency andsoundness) tools. Among the 16 interventions (from 18 articles), 25% had low risk of bias, 31% had moderate risk of bias and 44% had high risk of bias. Data analysis used narrative synthesis; a method suited for systematic reviews with heterogeneous studies. We used Levesque healthcare access model to analyse the focus of interventions.Results11 interventions were from upper middle-income settings; two from lower-income settings; only one operated in rural areas. Interventions addressed intellectual impairment (6), visual impairment (6), hearing impairment (4), mental health conditions (2) and physical impairments (2). Most interventions (15/16) focus on information provision and awareness raising. We could not identify any intervention promoting access to maternal health, family planning and contraception, or safe abortion for people with disabilities.ConclusionThis systematic review has highlighted stark gaps in evidence. More rigorous evaluations are needed.

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Section: Sexual Violencementioning

confidence: 99%