A Qualitative Study Exploring the Sexual Experiences of Women with Disabilities in Lagos, Nigeria

Abstract As of 2021, 1.3 billion people globally live with disabilities, with 80% in low-and-middle-income countries and 12.8% in Africa. Women with disabilities often face gender-based discrimination and limited sexual autonomy, impacting their sexual health. Despite global progress, there is limited research on the sexuality of women with disabilities in sub-Saharan Africa, particularly Nigeria. This study explores the sexual experiences of women with disabilities in Lagos, Nigeria. Using a qualitative approach, 24 women with disabilities, including blindness and mobility impairments, were interviewed to understand their experiences with sexual activity, autonomy, contraceptive use, risky behaviors, and sexual violence. The participants demographic shows that 67% of participants had physical disabilities, while 33% had visual impairments, with ages ranging from 20 to 45 and varying education and employment levels. Themes were generated around the experience of women with disabilities in sexual activities, modern contraceptive use, sexual autonomy, risky sexual behavior and sexual violence. Many participants did not see their disabilities as hindering sexual activity but faced challenges in relationships due to physical limitations and societal stigma. The study found mixed experiences with modern contraceptives, hindered by misconceptions and accessibility issues, and some women reported experiencing sexual violence and inadequate access to reproductive health resources and support. The findings underscore the need for targeted interventions, including improved access to contraceptives, public education to reduce stigma, and enhanced legal protections to support the sexual and reproductive health of women with disabilities in Lagos.