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Experiences of Girls with Hearing Impairment in Accessing Reproductive Health Care Services in Ibadan, Nigeria

Oyedunni S. Arulogun, Musibau A. Titiloye, Nathanael B. Afolabi, Oyediran E. Oyewole, Onyekwere G.B. Nwaorgu

Abstract

Delivery of health services to people with hearing impairment is poorly understood in Nigeria and limited research has been done to throw more light on the process involved. This study described experiences of 167 girls with hearing impairment in accessing reproductive health services in Ibadan using a validated questionnaire. Descriptive statistics and binary logistic regression were used to analyze the data. Almost 95.0% of respondents had ever visited health facility for reproductive health issues. Of these 6.2% and 4.6% went for treatment of STIs and pregnancy termination respectively; 36.7% were embarrassed to ask questions in the presence of an  interpreter, communication (40.5%) and cost (10.8%) were key barriers to access and 85.6% would use facility if hearing impairment-friendly services are provided. Respondents who were currently working were 20 times more likely to receive services they wanted (OR=20.29, CI=1.05-392.16). Availability of certified interpreters and ensuring confidentiality are key to effective service delivery for the hearing impaired.  (Afr J Reprod Health 2013; 17[1]: 85-93).

Résumé

La prestation des services de santé aux personnes atteintes de déficience auditive est mal comprise au  Nigéria et il n’y a pas eu assez de recherche faite  pour jeter plus de lumière sur le processus impliqué. A l’aide d’un questionnaire validé, cette étude décrit les expériences de 167 filles atteintes de déficience auditive, face à l'accès aux services de santé de la reproduction, à Ibadan. Les statistiques descriptives et de régression logistique binaire ont été utilisées pour analyser les données. Près de 95,0% des interviewées avaient déjà visité un établissement de santé pour les questions de santé de la reproduction. Parmi  elles, 6,2% et 4,6% sont allées pour le traitement des ISTs et l'interruption de grossesse, respectivement; 36,7% étaient gênées de poser des questions à la présence d'un interprète ; la communication (40,5%) et le coût (10,8%) étaient les principaux obstacles à l'accès et 85,6% se serviront des établissements de santé si les services adaptés à la déficience auditive  sont assurés. Les interviewées qui travaillent actuellement étaient 20 fois plus susceptibles de recevoir des services qu'ils voulaient (OR = 20,29, IC = 1,05 à 392,16). La disponibilité des interprètes certifiés et l’assurance de la confidentialité sont essentielles à la prestation efficace des services pour les personnes atteintes de  déficience auditive (Afr J Reprod Health 2013; 17[1]: 85-93).

Keywords: disability, reproductive health, health care access, hearing impaired girls

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