Literature Review on Provision of Appropriate and Accessible ...
Literature Review on Provision of Appropriate and Accessible ...
Literature Review on Provision of Appropriate and Accessible ...
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PAGE 42<br />
almost 18 per cent used Depot Medroxyprogester<strong>on</strong>e Acetate (DMPA).<br />
[14]<br />
The researchers <str<strong>on</strong>g>Literature</str<strong>on</strong>g> found <str<strong>on</strong>g>Review</str<strong>on</strong>g> that instituti<strong>on</strong>al Provisi<strong>on</strong> <strong>of</strong> factors <strong>Appropriate</strong> played <strong>and</strong> a major <strong>Accessible</strong> role<br />
Support to People with an Intellectual Disability who are<br />
in c<strong>on</strong>tracepti<strong>on</strong> usage am<strong>on</strong>gst women with intellectual disability,<br />
Experiencing Crisis Pregnancy<br />
factors such as whether the women were residing in an instituti<strong>on</strong> or<br />
at home with their parents, as well as the sexual relati<strong>on</strong>ship policy<br />
<strong>and</strong> c<strong>on</strong>tracepti<strong>on</strong> policy <strong>of</strong> the instituti<strong>on</strong>. The following factors were<br />
associated with an increased probability <strong>of</strong> using c<strong>on</strong>tracepti<strong>on</strong>:<br />
• Residing in an instituti<strong>on</strong><br />
• Living in an instituti<strong>on</strong> where c<strong>on</strong>tracepti<strong>on</strong> is required or advised<br />
• Living in an instituti<strong>on</strong> where sexual intercourse is not prohibited<br />
• Having a milder disability.<br />
Servais et al. (2002) comment <strong>on</strong> the low influence <strong>of</strong> pers<strong>on</strong>al or<br />
medical factors in the women’s use <strong>of</strong> c<strong>on</strong>tracepti<strong>on</strong> <strong>and</strong> argued that<br />
medical factors should be given more c<strong>on</strong>siderati<strong>on</strong> when decisi<strong>on</strong>s<br />
about c<strong>on</strong>tracepti<strong>on</strong> are being made. They assert that c<strong>on</strong>tracepti<strong>on</strong><br />
for sub-groups <strong>of</strong> women with intellectual disability should be more<br />
comprehensively managed, taking into account medical factors<br />
<strong>and</strong> the heterogeneity am<strong>on</strong>gst women with intellectual disability.<br />
C<strong>on</strong>traceptive choices, they argue, should not be exclusively influenced<br />
by envir<strong>on</strong>mental factors.<br />
Other findings from Servais et al.’s research included:<br />
• Previous sexual intercourse <strong>and</strong> involvement in an affective<br />
relati<strong>on</strong>ship were str<strong>on</strong>gly associated with the level <strong>of</strong> disability.<br />
• Women with severe intellectual disability had increased usage <strong>of</strong><br />
Depot Medroxyprogester<strong>on</strong>e Acetate.<br />
14 The authors note that these figures differed widely from the general Belgian<br />
populati<strong>on</strong>. Women with ID were using c<strong>on</strong>tracepti<strong>on</strong> less frequently (60% versus<br />
68%), their c<strong>on</strong>traceptive method was less likely to be an oral c<strong>on</strong>traceptive agent<br />
(18% versus 46%), <strong>and</strong> more <strong>of</strong>ten sterilisati<strong>on</strong> (22% versus 7%) or DMPA (17%<br />
versus ‹2%) (Servais et al., 2002).