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'What works' to ensure persons with disabilities have access to sexual and reproductive health services

Itad
June 2020

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A growing body of evidence shows that people with disabilities have historically been denied their sexual and reproductive health rights, despite having the same sexual and reproductive health needs as people without disabilities, and continue to face many barriers to accessing these lifesaving services.

This evidence gap map, developed as part of the UK Department for International Development’s Women’s Integrated Sexual Reproductive Health (WISH) programme, collates evidence on ‘what works’ to enable access to sexual reproductive health services for persons with disabilities in low and middle-income countries.

Association between Zika virus infection and microcephaly in Brazil, January to May, 2016: preliminary report of a case-control study

DE ARAUJO, Thalia Velho Barreto
et al
December 2016

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The microcephaly epidemic, which started in Brazil in 2015, was declared a Public Health Emergency of International Concern by WHO in 2016. Preliminary results of a case-control study investigating the association between microcephaly and Zika virus infection during pregnancy are reported. A case-control study was carried out in eight public hospitals in Recife, Brazil. Cases were neonates with microcephaly. Two controls (neonates without microcephaly), matched by expected date of delivery and area of residence, were selected for each case.

The Lancet Infectious Diseases,  Vol. 16, No. 12, pp. 1356–1363, Dec 2016

DOI: http://dx.doi.org/10.1016/S1473-3099(16)30318-8

Abuse and denial of sexual and reproductive rights of women with psychosocial disabilities in Mexico

RODRIGUEZ, Priscila
et al
February 2015

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This report presents the situation faced by women with psycho-social conditions in Mexico based on the results of a year-long study. This research included the application of a questionnaire to fifty-one women with psychosocial disabilities who were either members of the Colectivo Chuhcan or received outpatient services at four different health clinics and psychiatric institutions in Mexico City. The main finding of this report is that the Mexican government has failed to implement policies that ensure that women with psychosocial disabilities have safe access to sexual and reproductive health services, on an equal basis with others. It is recommended this research be extended to the rest of the country to gain a clearer picture on the situation of the sexual and reproductive rights of women with disabilities at a national level

Rocking the cradle : ensuring the rights of parents with disabilities and their children

NATIONAL COUNCIL ON DISABILITY
2012

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"The report analyzes how U.S. disability law and policy apply to parents with disabilities in the child welfare and family law systems, and the disparate treatment of parents with disabilities and their children. Examination of the impediments prospective parents with disabilities encounter when accessing assisted reproductive technologies or adopting provides further examples of the need for comprehensive protection of these rights"

Sexual-health communication across and within cultures : the clown project, Guatemala

SAVDIE, Anthony
CHETLEY, Andrew
June 2009

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This paper puts forward an argument in favour of careful and critical analysis of culture in formulating communication strategies with and for specific groups, based on experience drawn from the Clown Project in Guatemala and other countries in Central America. The Clown Project uses labour-intensive face-to-face street theatre and dialogue, participatory workshops, and symbolic communication such as print-based material to reach those most vulnerable to the spread and impact of HIV and AIDS . The analysis takes into account relations of power within and between vulnerable groups, examining the centre-periphery dynamic between classes, genders, ethnicities, age groups, and other social identities. Both appropriately supported insider perspectives and appropriately processed outsider knowledge are recommended, along with ways of bridging science and the field, theory and practice

PleasureABLE : sexual device manual for persons with disabilities

NAPHTALI, Kate
MACHATTIE, Edith
2009

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"This manual was created as a practical resource for persons with disabilities and health care clinicians who work with these clients. It includes research, clinical expertise, and product information to aid with dialogue surrounding sexual and reproductive issues and disabilities. The information presented here is not prescriptive, and the specific products not recommended per se, but are meant to provide examples and illustrations of some of the potential options that can be introduced into the sexual practices of the individual or be used as an adjunct in the discussions of sexuality and disability by the health care clinician. The devices included are a sampling of what is available (in Canada) in 2009"

Interagency list of essential medical devices for reproductive health

WORLD HEALTH ORGANIZATION (WHO)
et al
2008

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This interagency list is a tool to support planning for the selection, quality assurance and procurement of medical devices to implement Maternal and Newborn Health (MNH) interventions, which are defined as the "Essential care to women and their newborn during pregnancy, childbirth and postnatal period: up to six weeks after delivery." The objective is to propose an international consensus on a rational selection of essential medical devices for reproductive health according to their public health relevance based on efficacy, safety and cost effectiveness. Published by the WHO on behalf of John Snow Inc., PATH, Population Action International, United Nations Population Fund, and the World Bank, in collaboration with the United Nations Children's Fund and Medecins Sans Frontieres. The WHO and partnering organisations plan to update this list every two years

Sexuality in subjects with intellectual disability : an educational intervention proposal for parents and counsellors in developing countries

KATZ, Gregorio
LAZCANO PONCE, Eduardo
2008

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This article provides information to assist in the development of sexuality in individuals with intellectual disability and to foster their social integration. The article highlights priorities to consider when developing educational interventions for promoting sexual health. This resource is useful to people interested in sexuality in individuals with intellectual disability
Salud pública de México, vol 50, suppl.2

She sweet up the boopsy and him nuh get nuh wine : young women and sexual relationships in Kingston, Jamaica

ROLFE, Ben
et al
July 2007

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This report presents findings from a qualitative study into the sexual relationships of young women (aged 15-24) in inner-city Kingston, Jamaica. The study explores the social and economic environment in which young women’s relationships take place; identifies opportunities and barriers to behaviour change; and generates insights into condom use, HIV risk perceptions and types of sexual relationships

Reaching truckers in Brazil with non-stigmatizing and effective HIV/STI services

CHINAGLIA, Magda
et al
May 2007

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In 2001, the Population Council conducted an assessment in Brazilian border areas, commissioned by the Brazilian Ministry of Health, with support from USAID/Brazil, to determine which populations were most in need of HIV prevention activities. The research findings in the southern region revealed the presence of an extremely mobile, international truck driver community with little or no access to HIV prevention, testing and treatment services. In response to this need, Horizons/Population Council implemented an operations research study focused on trucker drivers (2002-2005) in the south of Brazil. In collaboration with the administration of the customs stations, municipal and state STI and AIDS programmes, and Health Ministries, the investigators sought to examine the feasibility and impact of an HIV prevention project targeted at truckers crossing the southern border of Brazil

Resources on youth reproductive health and HIV/AIDS

Interagency Youth Working Group [IYWG]
2007

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A global resource providing materials designed for working with young people (aged 10 - 24) in developing countries. The website includes; training materials, research tools, guidance on key programme areas and best practice, a database of recent resources and websites for youth. IYWG is a network of 10 NGOs, donors and cooperating agencies. The website is supported by the US Agency for International Development and the content is overseen by Family Health International

Another way to learn : case studies

UNITED NATIONS EDUCATIONAL, SCIENTIFIC AND CULTURAL ORGANIZATION
2007

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These case studies come from an initiative that supports non-formal education projects in Africa, South Asia, the Caribbean and Latin America. The long-term goal of these projects is to develop sustainable livelihoods for low-income, low-literate populations by addressing vulnerability to HIV and AIDS and drug misuse, a lack of education and social exclusion. Central to all of these projects are the creative and innovative methods used to communicate in a meaningful way, engage people and encourage their participation. The projects all focus on capacity building, empowerment, and creating learning opportunities. A DVD has been produced to accompany this publication

Civil society perspectives on TB policy in Bangladesh, Brazil, Nigeria, Tanzania, and Thailand

Public Health Watch, Open Society Institute
2006

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This publication contains an overview of the common themes and funding resulting from five country reports, and the five reports themselves. The World Health Organization has designated all five as TB-high burden countries. The research findings show a low level of awareness about TB, and TB and HIV co-infection; about how TB is transmitted and how it can be cured; and about the link between poverty and TB; as well as low media coverage of TB and a lack of strong communication strategies for national TB programmes. It also contains country-specific recommendations

Emerging challenges and opportunities in drug registration and regulation in developing countries

HILL, Suzanne
JOHNSON, Kent
May 2004

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This study describes current drug regulation and registration processes in selected countries, in order to understand how they affect the quality and availability of medicines in developing countries. It puts forward policy recommendations as to how systems can more efficiently allow appropriate quality drugs to be marketed and examines the emerging challenges and requirements posed by compulsory licensing, drugs for neglected diseases, anti-retroviral (ARV) and anti-tuberculosis (TB) drugs

An information system and medical record to support HIV treatment in rural Haiti

FRASER, H S
et al
2004

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Recent studies have shown the feasibility of treating HIV/AIDS in developing countries. Lack of infrastructure, including information and communication systems, is considered a barrier to successful HIV treatment programmes. Internet based information systems offer a way to provide communication infrastructure in remote, resource-poor areas such as rural Haiti. A web based medical record system can be effectively used to track clinical outcomes, laboratory tests and drug supplies, and create reports for funding agencies. Development and evaluation of practical, low cost clinical information systems should be a priority in rolling out HIV treatment in developing countries

Promoting young people's sexual and reproductive health : stigma, discrimination and human rights

WOOD, Kate
AGGLETON, Peter
2004

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Stigma, discrimination and the violation of human rights impact on people's experiences of sexual relationships, and on practitioners' and policy-makers' ability to promote young people sexual health. This resource sets out how stigma and discrimination influence sexual health, identifies some principles of good practice, and introduces examples of innovative and effective practice with young people from Africa, Asia, Central and Latin America

Canadian youth, sexual health and HIV/AIDS study

COUNCIL OF MINISTERS OF EDUCATION, CANADA (CMEC)
2003

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This survey was undertaken to increase the understanding of the factors that contribute to the sexual health of Canadian youth. It was done by exploring the socio-cultural, socio-environmental and interpersonal determinants of adolescent sexual behaviour. A section of the survey (pp 111-114) looks specifically at disability and sexual activity

Twinning against AIDS : a report and proposal for using information and communication technologies to improve the sharing of information, skills and experience between organisations responding to the HIV/AIDS crisis

October 2002

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The twinning approach enables organisations to share lessons and experience more widely and to support each other while seeking ways to act more effectively in their own communities. This report was generated following a December 2001 meeting of organisations from North and South America and the Caribbean involved or interested in HIV/AIDS twinning processes, who came together to further discuss how twinning partnerships could be improved, expanded and sustained over time

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