Healthcare Workers' Perceptions and Attitude towards Sexuality and Pregnancy of Disabled Women in Nairobi: Implications for Sustainable Development Goals

Abstract

The Sustainable Development Goals (SDGs) focus on inclusivity and have a specific reference to ‘leave no one behind’. But disabled women are discriminated against, particularly in the context of sexual and reproductive health and rights, which has negative effects on Kenya’s and global efforts towards inclusive development. This study aimed to explore perceptions and attitudes of healthcare workers on sexuality and pregnancy of disabled women in Nairobi. The study used a cross-sectional study design, surveying 145 healthcare workers, specifically doctors, nurses, clinical officers, and community health workers. Data collection involved a perception questionnaire, and the Attitude Toward Disabled Persons (ATDP) scale. Statistical analyses included descriptive and inferential statistics were conducted, including chi-square tests and one-way ANOVA. It was established in the study that the majority of health care workers posited that women with disabilities are sexually active, have sexual drives, and possess functional sexual organs, thus breaking the conception of total asexuality as previously thought. The mean ATDP score of 117.77 (SD=19.25) of the respondents was found to be positive; private healthcare providers displayed more positive attitudes towards disabled women than those employed in public institutions. The study findings highlight the need for comprehensive disability sensitivity training that promotes the dignity and autonomy of disabled women. The study recommends policy initiatives that mandate comprehensive disability sensitivity training, particularly in public facilities, to foster inclusive attitudes and behaviours. Multi-level interventions should prioritize equitable healthcare access, supporting disabled women’s reproductive autonomy and well-being.