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Sexual and reproductive health of women with disability in the Philippines: Building evidence for action. W-DARE aim and major research questions. Aim: to improve access to quality SRH programs for women with disability in the Philippines

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Sexual and reproductive health of women with disability in the Philippines: Building evidence for action

w dare aim and major research questions
W-DARE aim and major research questions

Aim: to improve access to quality SRH programs for women with disability in the Philippines

  • What are the experiences of women with disability in accessing SRH programs in Quezon City and Ligao City? How do these differ from women without disability?
  • What are the SRH service and information needs and priorities of women with disability?
  • What interventions are effective in improving access to quality SRH programs for women with disability?
action research in partnership
Action research in partnership
  • Nossal Institute for Global Health, and Centre for Health Equity (University of Melbourne)
  • Social Development Research Center (De La Salle University)
    • WOWLEAP
    • PARE
    • Likhaan Center for Women’s Health
    • Center for Women’s Studies (University of the Philippines)
    • UNFPA Philippines Country Office
baseline picture data sources
Baseline picture – data sources

Top: Donna (CBR worker) collecting household survey data in LC; Below: Completed surveys ready for data entry and analysis

Household survey with 3051 adults (data on prevalence, well-being and participation restrictions)

Women with functional limitation (and matched controls) completed a SRH questionnaire (253 women in total)

37 in-depth interviews with women and girls with disability

8 focus group discussions (partners, parents, women without disability)

20 key in-depth interviews with SRH service providers

early analysis
Early analysis
  • Prevalence of functional limitation:
    • Quezon City is 7.15% (95% CI: 6.15, 8.29)
    • Ligao City is 14.04% (95% CI: 11.52, 17.00)
  • Disability associated with increased age; lower levels of education; unemployment or economic dependence
access to srh services
Access to SRH services

Barriers

  • related toservice providers (attitudes, behaviours, knowledge and skills, gender of SP)
  • related to facilities (physical barriers, policies, assistive devices)
  • related to women with disability (awareness of services, SRH knowledge, mental health, fear of services, self medication)
  • economic barriers (cost of services, transport, SL interpreters)
  • availability of services and supports (availability of local SRH services, transport, SL interpreters)
  • related to gender norms(domestic responsibilities)
women s srh compromised by
Women’s SRH compromised by

Abuse: Abuse is frequent and isperpetrated by family members and partners, as well as strangers and possibly service providers

Sexual, physical, verbal, and emotional abuse reported; also restriction of movement/opportunities and domestic exploitation

Negative public attitudes towards women with disability: in public places, from health and transport service providers, from family members

Some notable instances of solidarity and support

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Clockwise from top L: Participants in Disability Inclusion workshop, QC; Piacollecting data during the household survey, QC; Weng with young people who are deaf in LC.

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An enabling society in the Philippines

Enabling local environments

Supply side interventions

Demand side interventions