(871) Barriers to Sexual and Reproductive Health Services for Young Persons with Disabilities in Morocco: Health Professionals' Perspectives

Introduction Despite international recognition of sexual and reproductive health (SRH) as a fundamental human right, persons with disabilities (PWD) face significant barriers to accessing adequate SRH services. In Morocco, young PWD encounter numerous structural, attitudinal, and sociocultural obstacles that restrict their access to these services. These limitations not only compromise their physical and mental well-being but also contribute to their social exclusion. Health professionals play a pivotal role as key agents in challenging and reshaping social perceptions of sexuality and disability among marginalized and overlooked populations. Objective This study aimed to explore the perceptions and practices of Moroccan health professionals regarding SRH services for young PWD, identifying key challenges, barriers, and priority needs to guide future interventions. Methods A descriptive cross-sectional study was conducted using a self-administered questionnaire. The sample included 40 health professionals working in various disability care centers. Data were analyzed using descriptive statistics and thematic content analysis to assess professional attitudes, identify perceived barriers, and document recommendations. Results The sample consisted of 28 women (70%) and 12 men (30%), predominantly working in the Rabat-Salé-Kenitra region (57.5%). Most professionals worked in non-governmental organizations (NGOs) (30%) or rehabilitation centers (25%), with occupational therapists (52.5%) and physiotherapists (25%) being the most represented. Key findings revealed the majority of participants (90%, n=36) acknowledged the persistence of prejudices and stereotypes, while emphasizing the need for specific training. Furthermore, three-quarters (75%, n=30) reported significant physical barriers, a shortage of qualified staff and specialized facilities, and entrenched sociocultural taboos prohibiting discussion of sexuality with PWD. Participants proposed three priority recommendations: (1) specialized training programs on disability-inclusive SRH for healthcare providers (75%, n=30); multidisciplinary coordination integrating rehabilitation, mental health, and SRH services (57.5%, n=23); and (3) policy reforms ensuring non-discriminatory, rights-based access to SRH services for young PWD, endorsed by all respondents (100%, n=40). Conclusions This study highlights critical gaps in health professionals' preparedness to provide culturally sensitive SRH services for young PWD in Morocco. The unanimous call for targeted training, specialized resources, and systemic reforms underscores the urgent need for policy interventions that challenge sociocultural barriers and adopt inclusive, rights-based frameworks. Disclosure No