Accessing Sexual and Reproductive Health Services in Chile: Women with Disabilities and Their Experience with Gynaecological and Obstetric Violence

Abstract

[eng] Introduction Although access to sexual and reproductive health services is a human right, violations of the rights of women with disabilities in this aspect are frequent. However, there are no studies regarding gynaecological and obstetric violence that this population subgroup may face. This qualitative study is aimed at identifying and analysing the experiences of women with disabilities with regard to gynaecological and obstetric violence in Chile. Methods From a feminist phenomenological paradigm of research, data were collected from March 2017 to December 2018. Women with disabilities (n = 18) were interviewed regarding their experiences. Data were analysed through thematic analysis. Results The experiences of women with disabilities regarding gynaecological and obstetric violence fall under three central categories: (a) health inequity in communication, (b) objectification of girls' and women's bodies through practices, such as forced sterilisation, and (c) intimidation and discrimination related to maternity. Conclusions Gynaecological and obstetric violence of women with disabilities is a present form of gender-based violence in Chile. Such instances occur systematically and persistently and lead to the dehumanisation of healthcare, an increase in health inequities, and the creation of particularly complex scenarios experienced by women with disabilities regarding access to sexual and reproductive healthcare. Policy Implications It is necessary to promote research on gynaecological and obstetric violence faced by women with disabilities, take action against this form of gender-based violence, and improve access to sexual and reproductive services for this population. Specific recommendations aimed at the elimination of gynaecological and obstetric violence are given.