This study provides an analysis on the situation of young persons with disabilities concerning discrimination and gender-based violence, including the impact on their sexual and reproductive health and rights. It also provides an assessment of legal, policy and programming developments and specific good practices in service delivery as well as best-standard prevention and protection measures. Finally, policy and programming recommendations are provided to assist in greater promotion of the rights of young persons with disabilities, with a particular emphasis on preventing and responding to gender-based violence, and realizing sexual and reproductive health and rights.
This publication provides introductory chapters from two activists who work to create better opportunities for people with disabilities in Nigeria and India. Subsequently, the challenges that organisations worldwide have encountered whilst improving the access to and knowledge of sexual and reproductive health and rights for people with disabilities are presented. Ways in which they managed to find solutions and the results achieved are reviewed. Some cases show the importance of a more personal approach whilst others emphasise the advantage of changing systems and policies. Different regions, types of disabilities and various SRHR-topics are reflected in these stories. All cases provide lessons learnt that contribute to a set of recommendations for improved responses. The closing chapter highlights the challenges, solutions, and ambitions that are presented and lead up to a concise overview of recommendations.
Good practice examples include:
A shift in SRH programming (Nepal)
Breaking Barriers with performance art (Kenya)
Her Body, Her Rights (Ethiopia)
People with disabilities leading the way (Israel Family Planning Association)
Best Wishes for safe motherhood (Nepal)
It’s my body! (Bangladesh)
Calling a spade a spade (Netherlands)
Four joining forces (Colombia)
Change agents with a disability (Zimbabwe)
Tito’s privacy and rights (Argentina)
Sign language for service providers (Kenya)
"The Dictionary includes an illustrated guide to signing and signing for individual letters, along with illustrations and descriptions for common words and for those new HIV/SRHR signs that have been developed, making it an invaluable reference for both those with hearing impairments and those without hearing challenges. The dictionary is suitable for use in educational institutions (schools, colleges and universities) as well as in health institutions such as hospitals, clinics and VCT centres. Counsellors and all staff working directly and indirectly in the HIV and SRHR sectors will find the dictionary most useful"
"This paper presents one position in support of sexuality education for children and adolescents with ASD (autism spectrum disorders). The nature of human sexuality is discussed to provide a context for the rights of individuals with ASD to learn about their sexuality. Further justification for providing sexuality education in terms of the unique characteristics of this population is offered in conjunction with potential consequences of failing to provide sexuality education. Lastly, information regarding a decision-making process for sexuality education curriculum is presented, including the responsibilities of families and professionals providing sexuality education"
Education and Training in Autism and Developmental Disabilities, 45(2)
This is a report on women and health - both women’s health needs and their contribution to the health of societies. Women’s health has long been a concern for the World Health Organization but today it has become an urgent priority. This report explains why. Using current data, it takes stock of what is known about the health of women throughout their lives and across the different regions of the world
"This report talks about the Sex and Relationships project. This was a 3-year project that took place at CHANGE, a leading national organisation led by disabled people that is based in Leeds, in England, that fights for the rights of people with learning disabilities...The project found out about the views and experiences of young people with learning disabilities about sex and relationships"
"The Training Guide was developed as a tool for ‘Mobilising Communities for Young People’s Health and Rights: An Advocacy Toolkit for Programme Managers’, which is designed to assist programme planners and managers in designing, conducting, and evaluating advocacy campaigns to advance the implementation of existing policies, with a specific focus on young people’s sexual and reproductive health (SRH) and rights. The Training Guide was developed with the view that community-based advocacy is a crucial intervention, and that much more needs to be done to equip grassroots groups, networks, and organisations with the information and advocacy skills to demand that community needs and priorities be addressed. The Training Guide is specifically designed for use with community-based organisations, youth groups, and other grassroots partners that are interested in improving access to SRH information and services for youth. The five-day training leads participants through the essential steps in designing and planning an advocacy campaign. The Training Guide includes a number tools specifically designed to help grassroots partners formulate advocacy goals and objectives, and map out a comprehensive advocacy plan"
This guide covers basic ideas on community mobilisation, youth participation and participatory tools with examples from Africa. It aims to equip users with competencies to develop the capacity of communities and young people to work together to address sexual and reproductive health (including HIV) needs of young people in Uganda. It provides tools and processes for mobilising young people and communities at various stages and planning activities for HIV prevention
This issue discusses the sexual and reproductive health of young people living with a disability and the importance of safer sex and sexual pleasure in their lives. Case studies, related studies, and questions and answers are also provided. This resource is useful for people interested in sexual and reproductive health of young people living with a disability
This report assesses the impact of scaling up a peer education programme in schools to help girls and young women aged 6 to 25 years in Kenya, in making decisions related to their sexual and reproductive health, and to increase their knowledge about sexually transmitted infections and HIV & AIDS
This is a quick-reference resource for health care workers at all levels. It reflects the family planning guidance developed by the WHO and expands on the coverage of 'The essentials of contraceptive technology' (CCP:1997) to address other needs of clients that come up during the course of family planning. Coverage includes different methods of contraception, sexually transmitted diseases, maternal and new born health, reproductive health issues, family planning provision and serving diverse groups; e.g. adolescents, men, and women near menopause . The handbook is one of the WHO's 'four cornerstones of family planning guidance'
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
This briefing paper summarises the key findings from an evidence review on the sexual health and wellbeing of young people with learning disabilities. The review assimilates various forms of evidence, including the voices of young people themselves and emerging findings from practice. It also identifies a number of potential future actions that will help ensure that sexual health services and sex and relationships education are better able to meet the needs of young people with learning disabilities, as well as those of their parents and the professionals that support them
During the past 20 years, substantial reductions have occurred in the proportion of young women who report marrying as teenagers in sub-Saharan Africa. An oft-stated consequence of a delay in age at marriage is a rise in the proportion of young women who engage in premarital sex. This paper investigates the links between changing age at marriage and premarital sexual behavior in 27 sub-Saharan African countries in which Demographic and Health Surveys were conducted between 1994 and 2003. Using multiple-decrement life tables to examine the competing risks of premarital sex and marriage without prior sexual experience, we answer the largely unaddressed question of how reductions in the prevalence of early marriage have affected the likelihood of initiating premarital sex. Our analysis reveals that although the age of first sexual activity has either remained the same or increased, a shift in the context of sexual debut from marriage to before marriage has taken place in many countries. We assess whether the increase in the proportion of young women who report premarital sex is influenced by an increase in exposure resulting from delayed marriage or by an increase in the rate of premarital sex. The evidence on this point is mixed; in some settings greater exposure explains more of the increase, whereas in others an increased rate of premarital sex dominates
This report presents the findings of a study on the effects of exposure to life skills education based on student recall of 11 life skills topics on sexual and reproductive health and HIV and AIDS-related knowledge, attitudes, and behaviours of adolescents in selected areas of KwaZulu Natal
Provides summaries of research findings, programme experience and clinical guidelines related to key reproductive health topics, as well as analyses of policy and programme implications. Reproductive Health Outlook is designed for reproductive health programme managers and decision makers working in developing countries and low-resource settings
The Life Skills Programme aims to increase knowledge and develop skills to help youth protect themselves from HIV infection and to safeguard their reproductive health
This manual lays out eight sessions, each with an array of diverse learning activities, for capacity building to help participants grasp the implications of working with gender in HIV prevention. The session themes are: Perceptions of gender, Ways of Understanding Gender, Key aspects of Gender for HIV prevention, Sex as a Gendered Activity, Gender and HIV, Embodying Change, A Sense of Working Together, Reviewing Gender issues in Context
This good practice guide introduces practitioners, policy-makers and researchers to two distinct but related concepts - risk and vulnerability. The guide explores how gender, race, culture, sexuality and social status all influence young people's experiences of sexual relationships and makes some more vulnerable to poor sexual health. Using case studies from Africa, Asia, Latin America and Europe, this resource sets out guidelines to inform work with especially vulnerable young people (including young people who sell sex, young people who inject drugs, and young migrants and refugees)
Source e-bulletin on Disability and Inclusion