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Cited by 13Reproductive Health and ContraceptionMale Reproductive Health StudiesHIV/AIDS Research and Interventions

Barriers to male condom use in Rohingya refugee camps in Bangladesh: A qualitative study

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Islam, M Mofizul, Rahman, Md Mashiur, Khan, Md Nuruzzaman·2022·The Lancet Regional Health - Southeast Asia
DOI 10.1016/j.lansea.2022.04.004PMC PMC10305886
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Abstract

Background: Rohingya people are often called the most persecuted minority in the world. Currently, almost 800,000 Rohingya refugees live in temporary shelters in Cox's Bazar, Bangladesh. More than one-quarter of them are women and girls of reproductive age who are at increased risk of unplanned pregnancies, unsafe abortions and related complications. However, the use of contraception remains inadequate, and particularly use of condoms and male participation is scarce. This study examines the barriers to condom use as a contraceptive method among married Rohingya couples. Methods: We conducted in-depth qualitative interviews of married Rohingya men and women and thematically analysed the data. Findings: Depo Provera injections and pills are the dominant forms of contraception. Men's participation in family planning and contraceptive use is rare, and so is the use of condoms. Participants identified several barriers to condom use, including contraception being the responsibility of the women, socio-cultural issues, the stigma attached to condoms, unfamiliarity with condoms, the limitations of condoms, and issues of security in conjugal life. Health workers do not promote condoms in the same way as other contraceptive methods. Interpretation: Condom use and men's participation in contraception use are rare in Rohingya camps. The involvement of family planning workers who are males may help to promote the use of condoms and increase the method-mix options of contraceptives. Funding: La Trobe University, Melbourne, Australia.

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  • Rohingya refugees lack trust in government-provided family planning services and contraception, perceiving them as potentially causing permanent infertility and as an attempt by the government to manipulate their return.

    “This fundamental misconception is further amplified by their lack of trust in government-provided family planning services and contraception. They perceive these services as potentially leading to permanent infertility, viewing them as an attempt by the government to manipulate their return to their country of origin (Islam et al., 2021; Islam et al., 2022).”

    From Exploring the impact of preconception care and unintended pregnancy on access to antenatal healthcare services among Rohingya women: Insights from a cross-sectional survey (2024) · cites this paper as Islam et al., 2022

    The Introduction reports that, while in Myanmar, many Rohingya avoided family planning clinics because they feared authorities would give them medication to hamper reproduction. It does not say they currently distrust government-provided services in Bangladesh, fear permanent infertility, or see contraception as an attempt to manipulate their return to Myanmar. (LLM, conf=0.86)

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  • Promotion of contraception among Rohingya refugees has faced significant hurdles due to deeply ingrained beliefs and religious interpretations.

    “However, the promotion of contraception among the Rohingya refugees has faced significant hurdles, primarily due to deeply ingrained beliefs and religious interpretations (Islam et al., 2022; Khan et al., 2021; Sarker et al., 2020).”

    From Exploring the impact of preconception care and unintended pregnancy on access to antenatal healthcare services among Rohingya women: Insights from a cross-sectional survey (2024) · cites this paper as Islam et al., 2022

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Research works printed but not linked: 2

  1. [1]Habib M, Jubb C, Ahmad S, Rahman M, Pallard H. Forced migration of Rohingya: an untold experience. Available at SSRN 32426962018.
  2. [3]editors Islam MN Khan MS Bülbül K Rohingya Refugee Crisis in Myanmar: Ethnic Conflict and Resolution 2022 Springer Nature B.V

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Authors
Islam, M. M., Rahman, M. M., & Khan, M. N.
Affiliations
  • La Trobe University (AU)
  • Jatiya Kabi Kazi Nazrul Islam University (BD)
Corresponding author
Islam, M Mofizul
ORCID
Venue
The Lancet Regional Health - Southeast Asia
Publisher
Elsevier BV
Published
2022-07
Volume
2
Pages
100008
ISSN
2772-3682 (ISSN-L)
DOI
10.1016/j.lansea.2022.04.004
PMC
PMC10305886
OpenAlex
W4280498205
Cited by
13
References
25
Citations by year
2026: 2 · 2025: 5 · 2024: 4 · 2023: 2
FWCI
2.43
Type
journal article
Language
en
Open access
Licence
Locations
  • The Lancet Regional Health - Southeast Asia (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Funders
La Trobe University
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Reproductive Health and Contraception
  • Health Sciences › Health Professions › General Health Professions › Male Reproductive Health Studies
  • Health Sciences › Medicine › Infectious Diseases › HIV/AIDS Research and Interventions
Keywords
male condom use, barriers to condom use, Rohingya refugees, refugee camps, contraception, family planning, socio-cultural barriers, unintended pregnancy, Cox's Bazar

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