Access to and Utilzation of Reproductive Health Services by Women with Disabilities in Rural Uganda
John Mushomi Atwebembeire
School of Statistics and Applied Economics, Makerere University, Kampala, Uganda

The extent of access to and utilization of reproductive health services by rural women with disabilities in Uganda is not very clear. A cross sectional study uses a sample of 187 rural women with disabilities in Kabale district and 10 key informants to investigate access to and utilization of Reproductive Health services by women with disabilities in Rural Uganda.

The study revealed that access to and utilization of reproductive health services by rural women with disabilities increases with age. Also, the more educated the woman is, the more the possibility of accessing and utilizing reproductive health services. Married women accessed and utilized reproductive health services more than their unmarried counterparts while rural women with disabilities who used relatives as the source of information regarding reproductive health accessed and utilized reproductive health services more than those who used other sources. It was also found out that the nature of disability affected the women's ability to utilize the family planning and delivery services. Stigma against women with disabilities was found to be high in rural Uganda and many men took advantage of young girls with disabilities and wanted them for sex at night, but did not want to identify with them for marriage. Many health facilities in place do not favour women with disabilities and many have to move long distances to the health facility.

The government and concerned organizations should create awareness among RWWDs and the local community. Programmes targeting RWWDs should be put in place and relatives of RWWDs should be encouraged to offer them support. There is need for putting in place income generating projects for women with disabilities, to enable them have money for health services.


Adesegun, O.F., & Kayode, T.L. (2003). National Study on Essential Obstetric Care facilities in Nigeria. Lagos: Federal Ministry of Health.

Ayiga, N. (1999). Infant and Childhood Mortality Dynamics. Kampala: Unpublished PhD. thesis, Makerere University.

Becker, H., Stuifbergen, A., & Tinkle, M. (1997). 'Reproductive Health Care Experiences of Women With Physical Disabilities: a qualitative study'. Arch Phys Med Rehabil., 78: S 26-S33.

Begum, N. (1992) “Disabled Women and the Feminist Agenda”. Feminist Review 40-42; 70-84.

Blane, A. K., Wolff B., Gage, A. J., Ezeh, A.C., Neema, S., & Ssekamatte-Ssebuliba, J. (1996). Negotiating Reproductive Outcomes in Uganda. Calverton, Maryland USA and Institute of Statistics and Applied Economics, Makerere University, Kampala-Uganda: Macro International Inc.

Burns, A., Lovich, R., Maxwell, J., Shapiro, K., The Hesperian Foundation, & Niemann, S. (1997). Where Women Have No Doctor: A Health Guide for Women. California: Macmillan Education Ltd.

Carr, D. (2004). 'Improving the Health of the World's Poorest People'. Health Bulletin. 1: 9.

Keywords: Reproductive Health; Access; Utilization

Biography: A demographer by training, holds an MPHIL in Demography from Cairo Demographic Center, a Special Diploma in Population and Development, a Diploma in Demography and a BA in social Sciences from Makerere University. Teaching at Makerere University in population studies department. Has done research with numerous organisations the most recent being the UNFPA- Liberia country office job for analysing the Liberian Census.