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As of 2021, 1.3 billion people globally live with disabilities, with 80% in low-and-middle-income countries and 12.8% in Africa. Women with disabilities often face gender-based discrimination and limited sexual autonomy, impacting their sexual health. Despite global progress, there is limited research on the sexuality of women with disabilities in sub-Saharan Africa, particularly Nigeria. This study explores the sexual experiences of women with disabilities in Lagos, Nigeria. Using a qualitative approach, 24 women with disabilities, including blindness and mobility impairments, were interviewed to understand their experiences with sexual activity, autonomy, contraceptive use, risky behaviors, and sexual violence. The participants demographic shows that 67% of participants had physical disabilities, while 33% had visual impairments, with ages ranging from 20 to 45 and varying education and employment levels. Themes were generated around the experience of women with disabilities in sexual activities, modern contraceptive use, sexual autonomy, risky sexual behavior and sexual violence. Many participants did not see their disabilities as hindering sexual activity but faced challenges in relationships due to physical limitations and societal stigma. The study found mixed experiences with modern contraceptives, hindered by misconceptions and accessibility issues, and some women reported experiencing sexual violence and inadequate access to reproductive health resources and support. The findings underscore the need for targeted interventions, including improved access to contraceptives, public education to reduce stigma, and enhanced legal protections to support the sexual and reproductive health of women with disabilities in Lagos.
As of 2021, 1.3 billion people globally live with disabilities, with 80% in low-and-middle-income countries and 12.8% in Africa. Women with disabilities often face gender-based discrimination and limited sexual autonomy, impacting their sexual health. Despite global progress, there is limited research on the sexuality of women with disabilities in sub-Saharan Africa, particularly Nigeria. This study explores the sexual experiences of women with disabilities in Lagos, Nigeria. Using a qualitative approach, 24 women with disabilities, including blindness and mobility impairments, were interviewed to understand their experiences with sexual activity, autonomy, contraceptive use, risky behaviors, and sexual violence. The participants demographic shows that 67% of participants had physical disabilities, while 33% had visual impairments, with ages ranging from 20 to 45 and varying education and employment levels. Themes were generated around the experience of women with disabilities in sexual activities, modern contraceptive use, sexual autonomy, risky sexual behavior and sexual violence. Many participants did not see their disabilities as hindering sexual activity but faced challenges in relationships due to physical limitations and societal stigma. The study found mixed experiences with modern contraceptives, hindered by misconceptions and accessibility issues, and some women reported experiencing sexual violence and inadequate access to reproductive health resources and support. The findings underscore the need for targeted interventions, including improved access to contraceptives, public education to reduce stigma, and enhanced legal protections to support the sexual and reproductive health of women with disabilities in Lagos.
Background Ensuring uninterrupted access and utilisation of sexual and reproductive health (SRH) services remains crucial for preventing adverse SRH outcomes. However, the unprecedented emergence of the 2019 coronavirus disease (COVID-19) significantly disrupted most of these services in Africa. Thus, we systematically reviewed and examined barriers and facilitators to accessing and utilising SRH services during the COVID-19 pandemic in Africa. Methods We systematically searched five databases for relevant articles published between January 2020 to December 2022, and the articles were screened following the JBI and PRISMA guidelines. Meta-synthesis of barriers and facilitators to accessing and utilising SRH services during the COVID-19 pandemic were reported, while a meta-analysis of the pooled prevalence of barriers to accessing and utilising SRH services during the COVID-19 pandemic in Africa was analysed using R. Results The pooled prevalence of barriers to accessing and utilising SRH services during the COVID-19 pandemic in Africa was 26%. Seven themes were developed for the identified barriers (disruption of healthcare services, fear and misinformation, limited availability of resources, place & region of residence, healthcare staff attitude/manpower, limited access to transportation, and stigma and discrimination), whilst six themes were developed for the identified facilitators (support for vulnerable populations, socio-demographic characteristics, community outreach programs, policy adaptations, telemedicine and digital health, and change in choice of sexual and reproductive commodities). Conclusion This study found that the COVID-19 pandemic significantly impacted SRH service access and utilisation in Africa. We recommend that future research consider a longitudinal examination of the pandemic on African SRH services. Trial registration PROSPERO registration number: CRD42022373335.
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