Barriers to utilization of sexual and reproductive health services among young deaf persons in Ghana

Wisdom K. Mprah, Juventus Duorinaah, Maxwell P. Opoku, William Nketsia


Despite significant progress made to improve access to sexual and reproductive health (SRH) services to the general populace in Ghana, information on the accessibility of such services to deaf persons is limited. This study investigated access to and utilization of SRH services among young female deaf persons in Ghana. Sixty deaf persons were interviewed from six metropolis/municipalities/districts in three regions of Ghana. The data were collected using focus group discussion and one-on-one interviews. The data were subjected to content analysis, leading to the identification of two broad themes. The study identified barriers at two levels: point of service delivery and barriers at the individual level. For instance, at the point of service delivery, they were claims that deaf women were victims of negative attitudes from health workers. The study concludes on the need for health policymakers to consider collaborating with the Ghana National Association of the Deaf in an effort towards designing inclusive SRH programmes. (Afr J Reprod Health 2022; 26[12]: 58-66).

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Karimu ATFA. Disabled persons in Ghanaian health

strategies: reflections on the 2016 adolescent

reproductive health policy. Reproductive health

matters. 2018 Nov 8;26(54):20-24.

Snow RC, Laski L and Mutumba M. Sexual and

reproductive health: progress and outstanding needs.

Global public health. 2015 Feb 7;10(2):149-73.

Germain A, Sen G, Garcia-Moreno C, Shankar M.

Advancing sexual and reproductive health and rights

in low-and middle-income countries: Implications

for the post-2015 global development agenda. Global

Public Health. 2015 Feb 7;10(2):137-48.

Oronje RN. The Kenyan national response to internationally

agreed sexual and reproductive health and rights

goals: a case study of three policies. Reproductive

Health Matters. 2013 Jan 1;21(42):151-60.

Biney AA. Exploring contraceptive knowledge and use

among women experiencing induced abortion in the

Greater Accra Region, Ghana. African journal of

reproductive health. 2011 Mar 1;15(1):37-46.

National Population Council. Adolescent reproductive

health policy. Accra, Ghana: Ghana National

Population Council; 2000.

Adinew YM, Worku AG and Menesha ZB. Knowledge of

reproductive and sexual rights among University

students in Ethiopia. Institution based cross sectional

studies. BMC Int Health Hum Rights 2013;13:12.

Egemba MN and Ajuwon AJ. Knowledge and perceptions

of reproductive rights among female postgraduate students of the University of Ibadan, Nigeria. African

Journal of Biomedical Research. 2015;18(2):95-107.

Yendaw E, Martin YE and Bagah D. Knowledge and

perception of adolescents on sexual and reproductive

health rights in Ghana. A case study of Yamoransa in

Manteman municipality. Br J Educ Soc Behav Sci


National Population Council. (1994). National population

policy (Rev. ed.). Accra, Ghana: Ghana National

Population Council;1994.

Hardee K, Agarwal K, Luke N, Wilson E, Pendzich M,

Farrell M and Cross H. Reproductive health policies

and programs in eight countries: progress since

Cairo. International family planning perspectives.

Jan 1:S2-9.

Odoi-Agyarko H. Profile of Reproductive Health Situation

in Ghana. WHO, Geneva;2003.

Ghana AIDS Commission. National HIV/AIDS and STI

Policy. Author; 2004.

Opoku MP, Banye MA, Mprah WK, Nketsia W, Dogbe JA

and Badu E. Caregiving experiences and

expectations of parents with in-school children with

intellectual disabilities in Ghana. Research in

Development Disabilities. 2020: 1-10. DOI:


Opoku MP, J-F, Swabey K, Pullen D and Dowden T.

Poverty alleviation among persons with disabilities

via United Nations' sustainable development goals in

Ghana: Voices of stakeholders with disabilities.

Sustainable Development. 2019; 27(1): 175-182.

Baffoe M. Stigma, discrimination & marginalization:

Gateways to oppression of persons with disabilities

in Ghana, West Africa. Journal of Educational and

Social Research.2013; 3(1); 187-187.

Anthony J. Conceptualising disability in Ghana:

Implications for EFA and inclusive

education. International Journal of Inclusive

Education.2011; 15(10); 1073-1086.

Opoku MP, Gyamfi N, Badu E and Mprah W. They think

we are all beggars”: the resilience of a person with

disability in Ghana. J Except People.2017; 2(11); 7-

Opoku MP, Nketsia W, Agyei-Okyere E and Mprah WK.

Extending social protection to persons with

disabilities: exploring the accessibility and the

impact of the disability fund on the lives of persons

with disabilities in Ghana. Global Social

Policy.2019; 19(3); 225-245.

Badu E, Gyamfi N, Opoku M, Mprah KW and Edusei, KA.

Enablers and barriers in accessing sexual and

reproductive health services among visually

impaired women in the Ashanti and Brong Ahafo

Regions of Ghana, Reproductive Health Matters.

; 26(54); 51-60.

Kusters A. “The Gong Gong Was Beaten”—Adamorobe:

A “Deaf Village” in Ghana and Its Marriage

Prohibition for Deaf

Partners. Sustainability.2012; 4(10); 2765-2784.

Kusters A. Deaf sociality and the deaf Lutheran church in

Adamorobe, Ghana. Sign Language

Studies.2014; 14(4); 466-487.

Friedner M and Kusters A. On the possibilities and limits

of" DEAF DEAF SAME": Tourism and

empowerment camps in Adamorobe (Ghana),

Bangalore and Mumbai (India). Disability Studies

Quarterly.2014; 34(3); 1-22.

Ahumuza SE, Matovu JK, Ddamulira JB and Muhanguzi

FK. Challenges in accessing sexual and reproductive

health services by people with physical disabilities in

Kampala, Uganda. Reproductive health. 2014



Akasreku BD, Habib H and Ankomah A. Pregnancy in

disability: community perceptions and personal

experiences in a rural setting in Ghana. Journal of

pregnancy. 2018 Dec 16;2018.

Lee K, Devine A, Marco M, Zayas J, Gill-Atkinson L and

Vaughan C. Sexual and reproductive health services

for women with disability: a qualitative study with

service providers in the Philippines. BMC women's

health. 2015 Dec;15(1):1-1.

Tanabe M, Nagujjah Y, Rimal N, Bukania F and Krause S.

Intersecting sexual and reproductive health and

disability in humanitarian settings: risks, needs, and

capacities of refugees with disabilities in Kenya,

Nepal, and Uganda. Sexuality and disability. 2015


World Health Organisation. Promoting sexual and

reproductive health for persons with disabilities.

Author; 2009.

Gartrell A, Baesel K and Becker C. “We do not dare to

love”: women with disabilities' sexual and

reproductive health and rights in rural Cambodia.

Reproductive health matters. 2017 Jun 12;25(50):31-

DOI: 10.1080/09688080.2017.1332447

Government of Kenya, Kenyan National Commission on

Human Rights, Realising Sexual and Reproductive

Health Rights in Kenyan: A myth or reality. Author;

Suariyani NLP, Kurniati DPY, Widyanthini DN and Artha

LPW. Reproductive Health Services for Adolescents

with Hearing Impairment in Indonesia: Expectations

and Reality. Journal of Preventive Medicine and

Public Health. 2020; 53(6): 487-491.

Mprah WK. Perceptions about barriers to sexual and

reproductive health information and services among

deaf people in Ghana. Journal Disability, CBR &

Inclusive Development.2013; 24(3); 24-36

Mprah WK. Exploring Knowledge and Attitudes towards

HIV/AIDS among Deaf People in Ghana, Journal of

Disability CBR, and Inclusive Development.2013;

(2), 22-39.

Mprah WK, Anafi P and Addai Yeboah PY. Exploring

misinformation of family planning practices and

methods among deaf people in Ghana. Reproductive health matters. 2017 Jun 12;25(50):20-30.

United Nations. Convention on the Rights of Persons with

Disabilities. Author; 2007.

Erlingsson C and Brysiewicz P. A hands-on guide to doing

content analysis. African journal of emergency

medicine.2017; 7(3); 93-99.

Heward LW. Exceptional children: An introduction to

special education. Pearson; 2013.

Woog V and Kågesten A. The sexual and reproductive

health needs of very young adolescents aged 10–14

in developing countries: what does the evidence

show?; 2017 Retrieved from


Schiavo S. Health communication: From theory to practice.

Jossey-Bass, San Francisco; 2007.

Abuosi AA and Anaba EA. Barriers on access to and use of

adolescent health services in Ghana. Journal of

Health Research. 2019 Apr 25;33(3):197-207.


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