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Family Planning Knowledge, Attitudes and Practices Among Rohingya Women Living in Refugee Camps in Bangladesh: A Cross-Sectional Study

Azad, Md. Abul Kalam, Zakaria, Muhammad, Nachrin, Tania, Das, Madhab Chandra, Cheng, Feng, Xu, Junfang·2021

Abstract

Background: Considering more than 720,000 Rohingya into Bangladesh, unplanned pregnancy, and serious complications of pregnancy among refugees, this study aims to explore the knowledge, attitude, and practice (KAP) of family planning (FP) and associated factors among the Rohingya women living in the refugee camps in Cox’s Bazar, Bangladesh. Methods: Four hundred Rohingya women were investigated, and data were collected using a structured questionnaire, which included socio-demographic characteristics, awareness of contraceptive methods, knowledge, attitudes and practices on FP. Linear regression analysis was performed to identify the predictors of outcome variables. Results: Of the Rohingya refugee women, 60% were unaware that there is no physical harm in adopting a permanent method of birth control. Half of them lack proper knowledge of whether a girl was eligible for marriage before the age of 18. More than two-thirds think family planning methods should not be used without the husband’s permission. Besides, 40% were ashamed and afraid to discuss family planning matters with their husbands, considering it as a sin. Of them, 58% had the opinion that a couple should continue bearing children until a son is born. Linear regression analyses demonstrated that Racidong in Myanmar as the region of residence, being professional, number of children, physician/nurse being the source of FP knowledge, having FP interventions in the camp, participating in a FP program, visiting a health facility, and talking with a health care provider on FP were significantly associated with Rohingya women’s better KAP of FP. Conclusions: The study showed that Rohingya refugee women are a marginalized population in family planning and the comprehensive FP-KAP capability was low. Contraceptives among the Rohingyas are unpopular, mainly due to a lack of education and family planning awareness. In addition, family planning initiatives among Rohingya refugees were limited by some traditional cultural and religious beliefs. Therefore, strengthening FP interventions and increasing the accessibility to essential health services and education are indispensable in order to improve maternal health among refugees.

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Cites

Research works printed but not linked: 6

  1. Melnikas, A. J., Ainul, S., Ehsan, I., Haque, E., & Amin, S. (2020). Child marriage practices among the Rohingya in Bangladesh. Con ict and Health, 14(1), 1-12. https://doi.org/10.1186/s13031-020-00274-0 · DOI
  2. Save the Children. (2019, June 03). 3 in 4 Rohingya Refugee Babies are Born in Unsanitary Bamboo Shelters. Save the Children. https://www.savethechildren.org/us/about-us/media-and-news/2019-press-releases/rohingya-refugee-babies-born-unsanitary-shelters
  3. Ahmed, R., Aktar, B., Farnaz, N., Ray, P., Awal, A., Hassan, R., … Kobeissi, L.H.(2020). Challenges and strategies in conducting sexual and reproductive health research among Rohingya refugees in Cox's Bazar, Bangladesh. Con ict and Health, 14(1),1-8. https://doi.org/10.1186/s13031-020-00329-2 · DOI
  4. Tanabe, M., Myers, A., Bhandari, P., Cornier, N., Doraiswamy, S., & Krause, S. (2017). Family planning in refugee settings: ndings and actions from a multi-country study. Con ict and health, 11(1), 9. https://doi.org/10.1186/s13031-017-0112-2 · DOI
  5. Bangladesh Journal. (2019, May 16). Rohingyas have more children at home to increase strength. https://www.bd- journal.com/bangladesh/72869
  6. Rogers, E. M. (1973). Communication Strategies for Family Planning. New York: Free Press.

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Metadata

Authors
Azad, M. A. K., Zakaria, M., Nachrin, T., Das, M. C., Cheng, F., & Xu, J.
Affiliations
  • University of Chittagong
  • University of Louisiana at Lafayette
  • Tsinghua University
  • Zhejiang University
Published
2021-12-28
Cited by
1
References
1
Type
Preprint

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