BACKGROUND:
Access to sexual and reproductive health (SRH) services is a fundamental human right and a cornerstone of global health strategies, including the Sustainable Development Goals. However, women with motor disabilities in low- and middle-income countries (LMICs) across Africa continue to experience systemic discrimination and exclusion from SRH services, despite legal frameworks such as the Convention on the Rights of Persons with Disabilities.

OBJECTIVES:
To identify and synthesize the main barriers and facilitators influencing access to SRH services among women with motor disabilities in African LMICs.

METHODS:
A systematic review was conducted in accordance with PRISMA guidelines and registered with PROSPERO (CRD42024555816). A comprehensive search was performed using the Population–Concept–Context (PCC) approach across major scientific databases and grey literature, including studies published in English and French between 2001 and 2024. Data extraction and quality assessment were performed independently by multiple reviewers. Qualitative findings were synthesized thematically; quantitative data were analyzed descriptively.

RESULTS:
Twenty-eight studies from eleven African LMICs were included. Barriers were grouped into five categories: (1) physical and logistical obstacles, (2) negative social attitudes and stigma, (3) institutional shortcomings (e.g., lack of provider training), (4) financial limitations, and (5) inadequate communication and information. Facilitating factors included disability-sensitive provider training, accessible infrastructure, community mobilization, and inclusive health policies.

CONCLUSIONS:
The findings underscore the importance of integrating disability inclusion into national SRH strategies. Midwives play a key role in providing equitable care and advocating for inclusive practices. System-level changes and intersectoral collaboration are essential to remove structural barriers and ensure rights-based access for all women.

KEY MESSAGE:
Women with motor disabilities face multiple, intersecting barriers to SRH services. Inclusive training and infrastructure are critical to overcoming access challenges. Midwives are central actors in promoting equity and inclusive care delivery. Poster session 1 (Group A)