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dc.contributor.authorMesiäislehto, Virpi
dc.contributor.authorKatsui, Hisayo
dc.contributor.authorSambaiga, Richard
dc.date.accessioned2021-02-23T11:59:09Z
dc.date.available2021-02-23T11:59:09Z
dc.date.issued2021
dc.identifier.citationMesiäislehto, V., Katsui, H., & Sambaiga, R. (2021). Disparities in Accessing Sexual and Reproductive Health Services at the Intersection of Disability and Female Adolescence in Tanzania. <i>International Journal of Environmental Research and Public Health</i>, <i>18</i>(4), Article 1657. <a href="https://doi.org/10.3390/ijerph18041657" target="_blank">https://doi.org/10.3390/ijerph18041657</a>
dc.identifier.otherCONVID_51582045
dc.identifier.urihttps://jyx.jyu.fi/handle/123456789/74350
dc.description.abstractDespite at times having greater needs for sexual and reproductive health (SRH) services, adolescents with disabilities often face challenges when trying to access them. This inaccessibility is further exacerbated during female adolescence. The qualitative study examines how SRH services respond to the characteristics of Tanzanian adolescent females with disabilities. We used the method of empathy-based stories to investigate the perceptions of 136 adolescent females with disabilities of their access to SRH services in Tanzania. The study used thematic content analysis and the Levesque model of health care access was applied as an analytical framework. The results demonstrate that discrimination affects access at different phases of care-seeking, that affectionate behaviour of providers is a central enabler of access, and that for this population access relies on a collective effort. We propose that affection, as an enabler of access, is as an additional provider dimension of access to SRH services for adolescents with disabilities, serving as a "reasonable accommodation" to the health care systems in southern contexts and beyond.en
dc.format.mimetypeapplication/pdf
dc.languageeng
dc.language.isoeng
dc.publisherMDPI
dc.relation.ispartofseriesInternational Journal of Environmental Research and Public Health
dc.rightsCC BY 4.0
dc.subject.otherTansania
dc.subject.otherSRHR
dc.subject.otherTanzania
dc.subject.otheraccess to health care
dc.subject.otheradolescence
dc.subject.otherdisability
dc.subject.otherinequality
dc.subject.othersexual and reproductive health services.
dc.titleDisparities in Accessing Sexual and Reproductive Health Services at the Intersection of Disability and Female Adolescence in Tanzania
dc.typearticle
dc.identifier.urnURN:NBN:fi:jyu-202102231737
dc.contributor.laitosYhteiskuntatieteiden ja filosofian laitosfi
dc.contributor.laitosDepartment of Social Sciences and Philosophyen
dc.type.urihttp://purl.org/eprint/type/JournalArticle
dc.description.reviewstatuspeerReviewed
dc.relation.issn1661-7827
dc.relation.numberinseries4
dc.relation.volume18
dc.type.versionpublishedVersion
dc.rights.copyright© 2021 the Authors
dc.rights.accesslevelopenAccessfi
dc.subject.ysoterveyspalvelut
dc.subject.ysoterveydenhoito
dc.subject.ysotytöt
dc.subject.ysovammaiset
dc.subject.ysolisääntymisterveys
dc.subject.ysoseksuaaliterveys
dc.subject.ysonuoret
dc.subject.ysosaavutettavuus
dc.subject.ysotasa-arvo
dc.subject.ysovammaisuus
dc.format.contentfulltext
jyx.subject.urihttp://www.yso.fi/onto/yso/p3307
jyx.subject.urihttp://www.yso.fi/onto/yso/p2641
jyx.subject.urihttp://www.yso.fi/onto/yso/p7196
jyx.subject.urihttp://www.yso.fi/onto/yso/p7179
jyx.subject.urihttp://www.yso.fi/onto/yso/p4283
jyx.subject.urihttp://www.yso.fi/onto/yso/p4285
jyx.subject.urihttp://www.yso.fi/onto/yso/p11617
jyx.subject.urihttp://www.yso.fi/onto/yso/p858
jyx.subject.urihttp://www.yso.fi/onto/yso/p2399
jyx.subject.urihttp://www.yso.fi/onto/yso/p6418
dc.rights.urlhttps://creativecommons.org/licenses/by/4.0/
dc.relation.doi10.3390/ijerph18041657
jyx.fundinginformationThis research was funded by THE FINNISH CULTURAL FOUNDATION, EMIL AALTONEN FOUNDATION, TUKILINJA and THE UNIVERSITY OF JYVÄSKYLÄ.


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