Poverty, gender and reproductive justice. A qualitative study among adolescent girls in Western Uganda

Datos Bibliográficos

ID15099367
AutoresAnna B Ninsiima (0000-0002-9524-1100, Research Centre on Gender, Diversity and Intersectionality, Vrije Universiteit Brussel (VUB), Brussels, Belgium, autor de correspondencia), Kristien Michielsen (0000-0002-4119-6770, Department of Public Health and Primary Care, Faculty of Medicine and Health Sciences, International Centre for Reproductive Health, Ghent University, Ghent, Belgium), Elizabeth Kemigisha (0000-0001-9137-8014, Mbarara University of Science and Technology), Viola N Nyakato (0000-0003-1148-9959, Mbarara University of Science and Technology), Els Leye (0000-0002-1740-7814, Department of Public Health and Primary Care, Faculty of Medicine and Health Sciences, International Centre for Reproductive Health, Ghent University, Ghent, Belgium), Gily Coene (0000-0002-8158-0718, Research Centre on Gender, Diversity and Intersectionality, Vrije Universiteit Brussel (VUB), Brussels, Belgium)
Año2020
Volumen22
Númerosup1
Páginas65-79
Fecha de publicación2020-04-20
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaCulture Health & Sexuality (JOURNAL)
Identificadores de la revistaISSN: 1369-1058 • E-ISSN: 1464-5351
EditorialInforma UK Limited (PUBLISHER • GB)
DOI10.1080/13691058.2019.1660406
PMID32045321
OpenAlexW3005792892
IdiomaEN
Citas recibidas16
Referencias citadas34

Low socio-economic status has been consistently identified as a primary risk factor for sexual and reproductive health violations affecting young women. This study shows how poverty interacts with gender power relations to impact upon adolescent girls' sexual and reproductive lives in Western Uganda. Qualitative research with 147 participants was undertaken. This comprised 59 in-depth interviews and 11 focus group discussions with groups of 12-14 year-old young women, teachers and parents. Data were analysed manually using open and axial coding, and conclusions were generated inductively. Findings reveal that young women are restricted in exercising their sexual and reproductive rights not only by poverty and unequal gender relations, but also by corruption and poor service provision. In contrast to interventions using liberal rights-based approaches, we advocate the use of a 'marketplace of options' since access to sexual and reproductive health services is very limited for poor girls and not evenly distributed. Moreover, while poverty and unequal gender relations render girls vulnerable to sexual coercion and violence, the criminal justice system is often weak, leaving victims powerless. Investment in appropriate resources and inclusive and affordable access to justice is essential to advance young women's sexual and reproductive health

Economic Justice · Environmental health · Focus group · Poison control · Political science · Population · Poverty · Psychiatry · Psychological intervention · Qualitative research · Reproductive health · Reproductive rights · Sexual coercion · Sociology · Suicide prevention · Adolescent Sexual and Reproductive Health · Gender Studies · Global Maternal and Child Health · Medicine · Poverty, Education, and Child Welfare · Psychology