The Lived Experiences of Young People With Disabilities in Accessing Sexual and Reproductive Health Services in Ethiopia: An Interpretative Phenomenological Analysis

Introduction Although Young people with disabilities (YPWDs) have similar sexual and reproductive health and rights (SRHR) and sexual desires as their non-disabled peers, equitable access to these essential services remains largely overlooked for this population segment. This exclusion exacerbates compounded vulnerabilities. To address the specific challenges faced by YPWDs, integrated and tailored SRH information and services are essential. This study aims to explore the lived experience of YPWDs in accessing SRH services in Ethiopia. Methods A qualitative study was conducted in Areka and Tebela towns of the Wolaita zone using the Interpretative Phenomenological Analysis (IPA) approach. Nine participants aged 10 to 24 years with physical and visual disabilities were purposively recruited for In-depth Interviews (IDIs). Data were collected using a semi-structured IDI guide and a field notebook. All IDIs were audio-recorded, averaging 30.5 minutes. The six-step structured iterative IPA framework was employed. Open code software version 4.01 was used for coding and data management. Before the commencement of data collection, the principal investigator underwent a reflexive interview and shared his philosophical point of view and aims of the study with participants. The rigor of the study is ensured by maintaining the five principles of trustworthiness. Results The IPA yielded four overarching themes: The dualistic SRH access paradox, Intersectional burden of disability and adolescence, The critical role of youth and disability networks, and Demands for tangible improvement in SRH inclusion. Most YPWDs who participated in this study reported that they were facing multiple barriers when seeking to access SRH services. Conclusion This study navigates the profound marginalization of YPWDs in accessing SRH services in Ethiopia. The healthcare system must dismantle dehumanizing societal attitudes, establish and strengthen community networks, and ensure enforcement of disability and SRH standards.