The Women’s Integrated Sexual Health programme: phase one

Women and girls with disabilities have the same sexual and reproductive health rights as anyone else. Yet they face barriers in exercising their bodily autonomy, making free and informed reproductive choices, and accessing the services they need.

With a focus on reaching the most underserved populations, one of the core aims of the Women’s Integrated Sexual Health (WISH) programme is to address the unmet needs of women and girls with disabilities for high quality and voluntary sexual and reproductive health services.

The WISH programme is the flagship sexual and reproductive health project funded by the UK’s Foreign, Commonwealth and Development Office (FCDO). The first phase of the programme, known as WISH1, ran from 2018 to 2024 in Africa and Asia. In West and Central Africa, the programme was implemented in Burkina Faso, Chad, Senegal, Mauritania, Mali, Sierra Leone, Democratic Republic of Congo, Niger, Nigeria, Cameroon, Cote d’Ivoire and Ghana.

Find out more about the second phase of the WISH programme (2024-2029)

What was Sightsavers’ role?

• We provided technical assistance and leadership to consortium and government partners to incorporate and strengthen disability inclusion in mainstream sexual and reproductive health interventions
• We worked with partners and organisations of persons with disabilities (OPDs) to develop targeted activities to reach the most marginalised groups of women and girls with disabilities
• We identified the barriers that people with disabilities face when accessing SRHR services, and design technical resources to address these obstacles. We also train health care providers to ensure their interventions are accessible and inclusive for all
• We closely collaborated with ministries of health and agencies such as the World Health Organization to develop action plans aimed at promoting health equity for people with disabilities

What did WISH1 achieve?

• The percentage of people with disabilities accessing sexual and reproductive health and rights services doubled from 2.5% to 5.1%. (Source: MSI Reproductive Choices)
• Strategic partnerships were established with OPDs in countries such as Nigeria, Burkina Faso, Democratic Republic of Congo, Mali, Mauritania, Sierra Leone, Cameroon and Chad
• An FCDO co-sponsored session held at Conference of States Parties to the CRPD (COSP 16) shared the key approaches implemented by WISH and how it contributed to progress in harmonising national policies and strategies with the Convention on the Rights of Persons with Disabilities
• The Federal Ministry of Health in Nigeria committed to developing a strategic roadmap on health equity for people with disabilities
• Together with global OPDs, we developed and piloted a disability-inclusive SRHR training pack for healthcare providers in Nigeria. The pilot equipped 40 providers with practical tools on inclusive, informed consent, safeguarding and decision-making, and was then finalised for wider use

WISH resources

• Committed to Leaving No One Behind: Contributions of the WISH programme to increasing disability inclusive sexual and reproductive health and rights in West and Central Africa: Read the report from MSI Reproductive Choices
• Online self-directed courses on disability inclusion from MSI Reproductive Choices
• Community engagement for inclusive sexual and reproductive health: a guide for conducting workshops with persons with disabilities: Read the guide from MSI Reproductive Choices and Leonard Cheshire
• Disability inclusion in reproductive health programmes: An orientation and values clarification toolkit: Read the toolkit from Ipas
• Working together for inclusive sexual and reproductive health: How to develop and maintain meaningful partnerships with organisations of persons with disabilities: Read the guide from Leonard Cheshire