Background

Persons with Disabilities have historically experienced poorer health outcomes due to lifelong social exclusion and marginalization. The Convention on the Rights of Persons with Disabilities (CRPD) 2006 articulates that Persons with Disabilities should have the same range, quality and standard of health care as people without disability including sexual and reproductive health (SRH). However, evidences suggest the SRH rights of Persons with Disabilities have been denied. Despite being sexually active they may have less access to SRH information and services such as knowledge about reproductive anatomy, family planning, and sexually transmitted infections. Within the health system, Persons with Disabilities may be mistreated by health care providers for wanting to become a parent or becoming pregnant. Social stigmatization over such issues may force them into sterilization and abortion. Further, they may encounter physical and emotional violence and those with intellectual impairments face the additional risk of sexual violence. The marginalization and exclusion of Persons with Disabilities may intensify during crisis increasing episodes of sexual violence, domestic abuse and physical assault.  Nepal’s access to health care including SRH services deteriorated during the COVID-19 lockdown. In Nepal, there are limited evidence on the availability and accessibility of SRH services by Persons with Disability. The issue itself is also negligibly discussed in the public domain.

Objective

To conduct a scoping review to explore barriers and facilitators encountered by persons with disability while accessing sexual and reproductive health services in Nepal

Methods

We reviewed published government policies on reproductive health and disability, searched PubMed database and used google scholar search engine to find literature published between 2011 to 2021 that reported on barriers and facilitators to sexual and reproductive health rights for persons with disability in Nepal.

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