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 80<br />
used by most women with learning disabilities, with barrier<br />
methods being reported as unheard <strong>of</strong>.<br />
• One <str<strong>on</strong>g>Literature</str<strong>on</strong>g> study in Belgium <str<strong>on</strong>g>Review</str<strong>on</strong>g> <strong>on</strong> (Servais Provisi<strong>on</strong> et <strong>of</strong> al., <strong>Appropriate</strong> 2002) found <strong>and</strong> that <strong>Accessible</strong> women<br />
Support to People with an Intellectual Disability who are<br />
with intellectual disabilities were more likely to be treated with<br />
Experiencing Crisis Pregnancy<br />
sterilisati<strong>on</strong> or Depot Medroxyprogester<strong>on</strong>e <strong>and</strong> less likely to be<br />
prescribed oral c<strong>on</strong>traceptives. Another study in Engl<strong>and</strong> showed<br />
that the women were not well informed about the nature <strong>of</strong> the<br />
medical interventi<strong>on</strong>s arranged for them or possible side-effects.<br />
• Reliance <strong>on</strong> low/no maintenance methods as outlined above<br />
assumes that women with learning disabilities are incapable<br />
or unreliable when it comes to managing their own fertility<br />
(McCarthy, 1999).<br />
• The following factors were associated with an increased<br />
probability <strong>of</strong> using c<strong>on</strong>tracepti<strong>on</strong> (Servais et al., 2002):<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<br />
or advised<br />
- Living in an instituti<strong>on</strong> where sexual intercourse is not<br />
prohibited<br />
- Having a milder disability.<br />
The authors noted the low influence <strong>of</strong> pers<strong>on</strong>al or medical<br />
factors in the women’s use <strong>of</strong> c<strong>on</strong>tracepti<strong>on</strong>.<br />
• Small-scale research in Engl<strong>and</strong> (McCarthy, 1998) dem<strong>on</strong>strated<br />
that decisi<strong>on</strong>-making about c<strong>on</strong>tracepti<strong>on</strong> was d<strong>on</strong>e by others<br />
(including doctors, parents, <strong>and</strong> family members) <strong>on</strong> behalf <strong>of</strong><br />
women with intellectual disabilities. McCarthy (1998) asserts that<br />
while some women with learning disabilities would find making<br />
decisi<strong>on</strong>s about c<strong>on</strong>tracepti<strong>on</strong> difficult <strong>and</strong> would find it hard to<br />
manage the practicalities <strong>of</strong> some methods, women with learning<br />
disabilities are not given sufficient or appropriate informati<strong>on</strong> <strong>and</strong><br />
support to make these choices themselves.