Reproductive Health Services for Adolescents With Hearing Impairment in Indonesia: Expectations and Reality
0
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Objectives: Reproductive health education is essential for adolescents with hearing impairment. Since they communicate using specialized language (i.e., sign language), specialized reproductive health services in sign language is a necessity. This study aimed to describe the needs, availability, and expectations of reproductive health services among adolescents with hearing impairment. Methods: This study used a qualitative approach. It was carried out at a school for children with special needs in the city of Denpasar, Bali, Indonesia. Data were collected by in-depth interviews. The informants were 6 adolescents with hearing impairment aged 16-17 years and 4 other key informants, including school staff and health officers. The data were then analyzed using the thematic method. Results: We found that the informants had insufficient knowledge regarding reproductive health. There was no specific subject in the curriculum regarding this issue. Teachers did not specifically provide reproductive health information. The health service unit in the school had not been utilized well for this purpose. Furthermore, no reproductive health services were provided due to the limited number of healthcare workers who could use sign language. Conclusions: The awareness and intentions of adolescents with hearing impairment regarding access to reproductive health services remain low. Health service units at schools should be optimized to enable schools to provide reproductive health information and services for these adolescents.
Abstract
Objectives: Reproductive health education is essential for adolescents with hearing impairment. Since they communicate using specialized language (i.e., sign language), specialized reproductive health services in sign language is a necessity. This study aimed to describe the needs, availability, and expectations of reproductive health services among adolescents with hearing impairment. Methods: This study used a qualitative approach. It was carried out at a school for children with special needs in the city of Denpasar, Bali, Indonesia. Data were collected by in-depth interviews. The informants were 6 adolescents with hearing impairment aged 16-17 years and 4 other key informants, including school staff and health officers. The data were then analyzed using the thematic method. Results: We found that the informants had insufficient knowledge regarding reproductive health. There was no specific subject in the curriculum regarding this issue. Teachers did not specifically provide reproductive health information. The health service unit in the school had not been utilized well for this purpose. Furthermore, no reproductive health services were provided due to the limited number of healthcare workers who could use sign language. Conclusions: The awareness and intentions of adolescents with hearing impairment regarding access to reproductive health services remain low. Health service units at schools should be optimized to enable schools to provide reproductive health information and services for these adolescents.
참고문헌 (20)
- "Government regulation number 61 2014"[URL]
- "The state of the world’s children 2013: children with disabilities" (2013)[URL]
- "Promoting sexual and reproductive health for persons with disabilities: WHO/UNFPA guidance note" (2009)[URL]
- Mprah WK, "Perceptions about barriers to sexual and reproductive health information and services among deaf people in Ghana", Disabil CBR Incl Dev, 24(3), pp.21~36 (2013)
- Hoang L, "Assessing deaf cultural competency of physicians and medical students", J Cancer Educ, 26(1), pp.175~182 (2011)
- Baart J, "Barriers to healthcare services for people with disabilities in developing countries : a literature review", Disabil CBR Incl Dev, 28(4), pp.26~40 (2017)
- Mprah WK, "Sources and use of sexual and reproductive health information among deaf people in Ghana", Indones J Disabil Stud, 1(1), pp.1~11 (2014)
- Touko A, "Sexual vulnerability and HIV seroprevalence among the deaf and hearing impaired in Cameroon", J Int AIDS Soc, 13, pp.5~ (2010)
- Sangowawa AO, "Sexual practices of deaf and hearing secondary school students in Ibadan, Nigeria", Ann Ib Postgrad Med, 7(1), pp.26~30 (2009)
- Samaha AM, "What good is the social model of disability", Univ Chic Law Rev, 74(4), pp.1251~1308 (2007)
- Reindal SM, "A social relational model of disability : a theoretical framework for special needs education", Eur J Spec Needs Educ, 23(2), pp.135~146 (2008)
- James G, "Education and sexuality : towards addressing adolescents’ reproductive health needs in Nigeria", Curr Res J Soc Sci, 4(4), pp.285~293 (2012)
- Kassa TA, "Sexual and reproductive health of young people with disability in Ethiopia: a study on knowledge, attitude and practice: a cross-sectional study", Global Health, 12, pp.5~ (2016)
- Gavin LE, "A review of positive youth development programs that promote adolescent sexual and reproductive health", J Adolesc Health, 46(3 Suppl), pp.S75~S91 (2010)
- Juliana B, "Development of sexual education programs in utilizing social media", Indones Couns J, 4(2), pp.43~48 (2019)
- Bampi LN, "Social model : a new approach of the disability theme", Rev Lat Am Enfermagem, 18(4), pp.816~823 (2010)
- Arulogun OS, "Experiences of girls with hearing impairment in accessing reproductive health care services in Ibadan, Nigeria", Afr J Reprod Health, 17(1), pp.85~93 (2013)
- Kuenburg A, "Health care access among deaf people", J Deaf Stud Deaf Educ, 21(1), pp.1~10 (2016)
- Scheier DB, "Barriers to health care for people with hearing loss : a review of the literature", J N Y State Nurses Assoc, 40(1), pp.4~10 (2009)
- Aziz S, "Sex education for special needs children", J Kependidikan, 2(2), pp.182~204 (2014)