Sexual Health

Availability, acceptability and uptake of Sexual Reproductive Health interventions for young people with disabilities in Sub Saharan Africa: A scoping review protocol.

TL;DR

This paper presents a protocol for a scoping review aimed at mapping existing literature on the availability, acceptability, and uptake of sexual reproductive health service delivery interventions for young people with disabilities in Sub-Saharan Africa.

Key Findings

Young people with disabilities in Sub-Saharan Africa face major barriers to accessing sexual reproductive health services.

  • Identified barriers include stigma, poverty, lack of information, and physical barriers.
  • The paper characterizes Sub-Saharan Africa as a 'resource-poor setting' in which these barriers are particularly pronounced.
  • The population of young people with disabilities is described as having 'unique SRH needs' that are increasingly recognized but inadequately addressed.

There is a paucity of knowledge on availability, acceptability, and uptake of SRH service delivery interventions for young people with disabilities in Sub-Saharan Africa.

  • The authors state that 'the availability, acceptability, and uptake of SRH service delivery interventions for this population group remain understudied.'
  • The scoping review protocol is explicitly designed to 'fill the gap by demonstrating the breadth of literature' on this topic.
  • This gap is identified as relevant for both policy making and the design of effective interventions.

The scoping review protocol follows the Arksey and O'Malley methodological framework for conducting the review.

  • Six electronic databases will be searched: PubMed, African Index Medicus, Google Scholar, African Journals Online, Web of Science, and Embase.
  • Grey literature will be searched via the Open Grey database.
  • A citation search of references of eligible papers will also be conducted to capture literature potentially missed in database searches.
  • A two-step screening process will be used: (i) title and abstract screening, followed by (ii) full text screening.

Results of the scoping review will be reported following the PRISMA-P extension for scoping reviews.

  • PRISMA-P refers to Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for scoping reviews.
  • This reporting standard is intended to ensure transparency and reproducibility of the review process.
  • The protocol is registered and published prior to execution of the full review.

The scoping review is intended to identify which SRH service delivery interventions work or do not work for young people with disabilities, as well as gaps in service delivery.

  • The review aims to 'map which SRH service delivery interventions work or do not work, as well as gaps in SRH service delivery interventions for young people with disabilities.'
  • Findings are intended to be 'useful for policy making and for designing effective SRH service delivery interventions.'
  • The mapping of evidence has the 'potential to identify whether there is a need for SRH service delivery interventions for young people with disabilities.'

What This Means

This paper describes a research plan (called a protocol) for a scoping review — a type of study that maps out what is already known about a topic in the scientific literature. The topic is sexual and reproductive health (SRH) services for young people with disabilities living in Sub-Saharan Africa. The researchers note that this group faces serious obstacles to getting SRH care, including social stigma, poverty, a lack of accessible information, and physical barriers to reaching clinics or services. Despite these known challenges, very little research has been done on what services exist, whether young people with disabilities find them acceptable, and whether they actually use them. This research suggests that there is a significant gap in knowledge about SRH interventions for young people with disabilities in Sub-Saharan Africa. To address this, the authors plan to systematically search multiple academic databases and grey literature sources, screen the results in two stages, and summarize what the existing literature says about the availability, acceptability, and uptake of these services. The review will follow established scientific guidelines to ensure the process is rigorous and transparent. The practical importance of this work is that it could reveal which types of SRH programs or services have been tried, which have shown promise, and where the biggest gaps remain. This information could help governments, health organizations, and advocates design better, more inclusive SRH services for young people with disabilities — a population whose reproductive health needs have historically been overlooked in both research and policy.

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Citation

Kabonga I, Mashanyare T, Nyamwanza O. (2025). Availability, acceptability and uptake of Sexual Reproductive Health interventions for young people with disabilities in Sub Saharan Africa: A scoping review protocol.. PloS one. https://doi.org/10.1371/journal.pone.0324364