tailieunhanh - SEXUAL AND REPRODUCTIVE HEALTH OF PERSONS WITH DISABILITIES

As the program and concept of family planning grew more accepted, demand grew for other types of contraception, resulting in a pioneering project that used CHWs to deliver Depo Provera injections to their clients in their homes. The community-based distribution program proved so successful, it expanded from its initial three sites to 72 by the mid-1990s. Door-to-door delivery, however, is a costly and time-consuming approach to delivering family planning services. In 1991 Pathfinder’s projects in Bangladesh began to move toward a more sustainable village-based depot approach. By 1997, 27 percent of pill and condom users were getting their supplies from a village depot holder or satellite clinic | emerging issues SEXUAL and REPRODUCTIVE HEALT h o f persons with disabilities UNFPA United Nations Population Fund 220 East 42nd Street New York New York 10017 USA Sexual and Reproductive Health of Persons with Disabilities About 10 per cent of the world s population 650 million people live with a disability and their sexual and reproductive health has been neglected. In countries where life expectancy is more than 70 years individuals spend on average eight years of their lives with one or more disabilities. However 80 per cent of persons with disabilities live in developing countries most without social systems to support them. Their burdens are tremendous. In addition to the impacts of physical mental intellectual or sensory impairments persons with disabilities often face stigma discrimination violence and poverty. They must cope with inadequate health services and have limited access to education. They experience the deprivation of opportunities in all aspects of life including access to essential services. In particular their sexuality has been ignored and their reproductive rights denied. People who are blind deaf or have intellectual or cognitive impairments find that information on sexual and reproductive health is often inaccessible to them. Moreover because of the lack of physical access the lack of disability-related technical and human supports stigma and discrimination sexual and reproductive health services are often inaccessible as well. Persons with disabilities include those who have long-term physical mental intellectual or sensory impairments which in interaction with various barriers may hinder their full and effective participation in society on an equal basis with others. Convention on the Rights of Persons with Disabilities Article 1 10 per cent of the world s population 650 million people live with a disability. 30 per cent of families live with a family member who has a disability. 80 per cent of persons with disabilities live in .