Invisibility in the healthcare system - Barriers and challenges in gynecological care for women with disabilities
DOI:
https://doi.org/10.26754/ojs_ais/accionesinvestigsoc.20254611108Keywords:
Disability, Gender, reproductive health, sexual and reproductive rightsAbstract
Introduction: The intersection between gender and disability has emerged as a crucial area of study, evidencing the double discrimination faced by women with disabilities, particularly in the field of gynecological health. This problem requires priority attention from social work and public health. In this context, the main objective of this paper is to analyze the barriers faced by women with disabilities in accessing gynecological health services, exploring the intersection between gender and disability.
Methods and materials: A systematic literature review was conducted following PRISMA guidelines. Studies in English, Spanish or Portuguese, addressing gynecological care or reproductive health of women with disabilities, were included. Studies had to be empirical, systematically reviewed or meta-analysed, excluding those on temporary disabilities, without original empirical data or focused only on pediatric aspects.
Results: The studies identified multiple barriers at the national, health system, individual, community, and economic levels that restrict the access of people with disabilities to gynecological and reproductive health services, especially in low- and middle-income countries. Negative attitudes, stigma and discrimination towards sexuality and motherhood of this group stand out.
Discussion: Faced with this scenario, the studies propose multi-level strategies focused on the transformation of health systems, training of providers, improving accessibility, empowerment of people with disabilities and community awareness, framed within respect for human rights.
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