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Perceptions of women on seeking sexual healthcare in Beirut: a qualitative study
Diana Sabbagh1, Jessie V Ford2, Sohayla El-Fakahany3
1Research Assistant, Faculty of Health Sciences, American University in Beirut, Beirut, Lebanon.
Abstract:
Sexual health is a vital component of overall well-being, shaped by biological, emotional, and sociocultural influences. In Lebanon, the limited provision of sexual healthcare for women remains a neglected concern that perpetuates inequities in access and outcomes. Understanding women's perceptions of sexual healthcare, alongside provider perspectives, is essential to designing effective interventions and strengthening health systems. This study examines Lebanese women's experiences and expectations regarding sexual healthcare seeking. A qualitative study was conducted in Beirut (2022-2023) using in-depth interviews with 19 participants: 6 women who had sought sexual health services, 8 who had not, and 5 healthcare providers. Data were analysed thematically using an inductive approach, with codes generated and compared within and across interviews to build broader thematic categories. Three overarching themes emerged. (1) Barriers to Care: participants described stigma, cultural restrictions, fear of judgment, poor communication with providers, and limited service options as central obstacles. (2) Facilitators of Care: awareness of available services, sexual activity, supportive relationships, medical needs, and positive physician-patient interactions enabled access. (3) Recommendations: participants highlighted expanding service availability, strengthening awareness campaigns, and training providers to offer sensitive, non-judgmental care. Despite cultural and systemic barriers, Lebanese women show willingness to seek sexual healthcare when it is accessible, acceptable, and supportive. Improving sexual healthcare requires widening access, enhancing education, and building provider capacity to deliver woman-centred care. Findings underscore the need for policy, practice, and research initiatives that foster open dialogue, equitable access, and integrated services tailored to women's needs.
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